BACKGROUND: Atrial fibrillation (AF), the most common arrhythmia, is linked to high morbidity and mortality. In a fast-evolving AF rhythm control treatment era, predicting AF recurrence after its onset may be crucial to achieve the optimal therapeutic approach, yet traditional scores like CHADS2-VASc, HATCH, and APPLE show limited predictive accuracy. Moreover, early diagnosis studies often rely on codified electronic health record (EHR) data, which may contain errors and missing information. OBJECTIVE: This study aims to predict AF recurrence between one month and two years after onset by evaluating traditional clinical scores, ML models, and our LTM approach. Moreover, another objective is to develop a methodology for integrating structured and unstructured data to enhance tabular dataset quality. METHODS: A tabular dataset was generated by combining structured clinical data with free-text discharge reports processed through natural language processing techniques, reducing errors and annotation effort. A total of 1,508 patients with documented AF onset were identified, and models were evaluated on a manually annotated test set. The proposed approach includes a LTM compared against traditional clinical scores and ML models. RESULTS: The proposed LTM approach achieved the highest predictive performance, surpassing both traditional clinical scores and ML models. Additionally, the gender and age bias analyses revealed demographic disparities. CONCLUSION: The integration of structured data and free-text sources resulted in a high-quality dataset. The findings emphasize the limitations of traditional clinical scores in predicting AF recurrence and highlight the potential of ML-based approaches, particularly our LTM model.

We propose an innovative statistical method, called Ordinal Mixed-Effect Random Forest (OMERF), that extends the use of random forest to the analysis of hierarchical data and ordinal responses. The model preserves the flexibility and ability of modeling complex patterns of both categorical and continuous variables, typical of tree-based ensemble methods, and, at the same time, takes into account the structure of hierarchical data, modeling the dependence structure induced by the grouping and allowing statistical inference at all data levels. A simulation study is conducted to validate the performance of the proposed method and to compare it to the one of other state-of-the art models. The application of OMERF is exemplified in a case study focusing on predicting students performances using data from the Programme for International Student Assessment (PISA) 2022. The model identifies discriminating student characteristics and estimates the school-effect.

The hospital readmission rate of patients within 30 days after discharge is broadly accepted as a healthcare quality measure and cost driver in the United States. The ability to estimate hospitalization costs alongside 30 day risk-stratification for such readmissions provides additional benefit for accountable care, now a global issue and foundation for the U.S.~government mandate under the Affordable Care Act. Recent data mining efforts either predict healthcare costs or risk of hospital readmission, but not both. In this paper we present a dual predictive modeling effort that utilizes healthcare data to predict the risk and cost of any hospital readmission (``all-cause''). For this purpose, we explore machine learning algorithms to do accurate predictions of healthcare costs and risk of 30-day readmission.Results on risk prediction for ``all-cause'' readmission compared to the standardized readmission tool (LACE) are promising, and the proposed techniques for cost prediction consistently outperform baseline models and demonstrate substantially lower mean absolute error (MAE).