# Prediction of 30-day hospital readmission with clinical notes and EHR information

arXiv: https://arxiv.org/abs/2503.23050 · HTML: https://mlsanity.com/paper/2503.23050/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 7 of its 22 references that are in the map.
- First posted on arXiv 29 Mar 2025.

## Builds on (most cited first, 7 of 7)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Inductive Representation Learning on Large Graphs](https://mlsanity.com/paper/1706.02216/) (2017)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [Publicly Available Clinical BERT Embeddings](https://mlsanity.com/paper/1904.03323/) (2019)
- [ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmission](https://mlsanity.com/paper/1904.05342/) (2019)
- [Multimodal spatiotemporal graph neural networks for improved prediction of 30-day all-cause hospital readmission](https://mlsanity.com/paper/2204.06766/) (2022)
- [MuST: Multimodal Spatiotemporal Graph-Transformer for Hospital Readmission Prediction](https://mlsanity.com/paper/2311.07608/) (2023)

## Built on by (most cited first, 2 of 2)

- [X-FEMR: A Token-level Explainable Approach for Electronic Health Records Foundation Models using Transformer-based Models](https://mlsanity.com/paper/2607.06163/) (2026)
- [Knowledge-Enriched Structured EHR Features for 30-Day Hospital Readmission Prediction on MIMIC-IV](https://mlsanity.com/paper/2609.15713/) (2026)

## Abstract (arXiv)

High hospital readmission rates are associated with significant costs and health risks for patients. Therefore, it is critical to develop predictive models that can support clinicians to determine whether or not a patient will return to the hospital in a relatively short period of time (e.g, 30-days). Nowadays, it is possible to collect both structured (electronic health records - EHR) and unstructured information (clinical notes) about a patient hospital event, all potentially containing relevant information for a predictive model. However, their integration is challenging. In this work we explore the combination of clinical notes and EHRs to predict 30-day hospital readmissions. We address the representation of the various types of information available in the EHR data, as well as exploring LLMs to characterize the clinical notes. We collect both information sources as the nodes of a graph neural network (GNN). Our model achieves an AUROC of 0.72 and a balanced accuracy of 66.7%, highlighting the importance of combining the multimodal information.
