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Paper ID:IJSREM66640

A Hybrid Model for Predicting ICU Discharge Readiness and Estimating Excess ICU Stay Duration

Stream/Area:

-

Subject:

-

Paper ID:

IJSREM66640

Volume:

10 |

8 |

Aug 2026

Pages:

1-6

Publication Frequency:

Monthly (12 issues per year)

DOI
Digital Object Identifier
10.55041/IJSREM66640

License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.

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Authors

CTC

Chaithra T C

Computer Science and Engineering

R L Jalappa Institute of Technology

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DKC

Dr. Kavitha C

Computer Science and Engineering

R L Jalappa Institute of Technology

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DBSP

Dr. Basavaraj S Pol

Computer Science and Engineering

R L Jalappa Institute of Technology

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Abstract

Intensive Care Units (ICUs) manage patients whose clinical condition can change rapidly and whose treatment frequently depends on continuous monitoring. Determining the appropriate time for ICU discharge is difficult because readiness is influenced by multiple physiological, laboratory, treatment, and temporal factors. Premature transfer may increase the possibility of clinical deterioration, whereas unnecessarily prolonged ICU occupancy can consume critical resources and expose patients to avoidable complications. This paper proposes a hybrid machine learning framework that performs two related tasks: prediction of ICU discharge readiness and estimation of excess ICU stay duration. The proposed framework combines structured clinical variables with temporal information and integrates classification and regression components. Patient observations are first cleaned, normalized, and transformed into clinically meaningful features. A temporal learning component captures changes in physiological measurements, while a tree-based component models nonlinear relationships among heterogeneous clinical variables. Their out-puts are combined to generate a discharge-readiness probability and an estimate of additional ICU days beyond the expected stay. The framework is designed to provide an interpretable decision-support layer rather than replace clinical judgment. Experimen-tal evaluation can be performed using accuracy, precision, recall, F1-score, AUROC, MAE, and RMSE. The proposed approach provides a unified framework for both discharge decision support and excess-stay estimation, with potential applications in ICU resource planning and personalized patient management.

KEYWORDS

Intensive Care Unit ICU Discharge Prediction Length of Stay Machine Learning Deep Learning Hybrid Model Clinical Decision Support Time-Series Analysis.

Cite This Article

Chaithra T C, Dr. Kavitha C, Dr. Basavaraj S Pol, "A Hybrid Model for Predicting ICU Discharge Readiness and Estimating Excess ICU Stay Duration," International Journal of Scientific Research in Engineering and Management, vol. 10, no. 8, pp. 1-6, Aug 2026. https://doi.org/10.55041/IJSREM66640

Full Article/Conclusion

This paper presented a hybrid framework for predicting ICU discharge readiness and estimating excess ICU stay duration. The proposed architecture combines temporal patient information with structured clinical features and generates two complementary outputs: a probability of near-term discharge readiness and an estimate of additional ICU duration. The central idea is to represent both the current clinical state and the trajectory of patient recovery. Such a representation can provide more useful information than relying on a single severity score or a fixed length-of-stay threshold. The framework has potential applications in clinical de-cision support, personalized discharge planning, and ICU resource management. However, reliable deployment requires careful validation, attention to data quality, protection of patient privacy, and appropriate interpretation by clinical pro-fessionals. Future research will focus on multimodal clinical data, explainable prediction, uncertainty estimation, federated learn-ing, and prospective validation across multiple healthcare institutions.  

References

[1]     A. E. W. Johnson et al., “MIMIC-III, a freely accessible critical care database,” Scientific Data, vol. 3, 2016. [2]     T. J. Pollard et al., “The eICU Collaborative Research Database, a freely available multi-center database for critical care research,” Scientific Data, vol. 5, 2018. [3]     A. Rajkomar et al., “Scalable and accurate deep learning with electronic health records,” npj Digital Medicine, vol. 1, 2018. [4]     H. Harutyunyan, H. Khachatrian, D. C. Kale, and A. Galstyan, “Multi-task learning and benchmarking with clinical time series data,” Scientific Data, vol. 6, 2019. [5]     Z. Che, S. Purushotham, K. Cho, D. Sontag, and Y. Liu, “Recurrent neural networks for multivariate time series with missing values,” Scientific Reports, vol. 8, 2018. [6]     S. Hochreiter and J. Schmidhuber, “Long short-term memory,” Neural Computation, vol. 9, no. 8, pp. 1735–1780, 1997. [7]     K. Cho et al., “Learning phrase representations using RNN encoder-decoder for statistical machine translation,” in Proc. EMNLP, 2014, pp. 1724–1734. [8]     L. Breiman, “Random forests,” Machine Learning, vol. 45, pp. 5–32, 2001. [9]     J. H. Friedman, “Greedy function approximation: A gradient boosting machine,” Annals of Statistics, vol. 29, no. 5, pp. 1189–1232, 2001. [10]    T. Chen and C. Guestrin, “XGBoost: A scalable tree boosting system,” in Proc. ACM SIGKDD, 2016, pp. 785–794.

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Publication Date

8/10/2026

Peer Review Type

Double-Blind Peer Review

Review Rounds: 2

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