This study validates hospital admission prediction models initially developed using a small local dataset from a Greek hospital.
Using the comprehensive MIMIC-IV dataset, five algorithms were evaluated for prediction: Linear Discriminant Analysis (LDA), K-Nearest Neighbors (KNN), Random Forest (RF), Recursive Partitioning and Regression Trees (RPART), and Support Vector Machines (SVM Radial).
Random Forest (RF) demonstrated superior performance, achieving an Area Under the Receiver Operating Characteristic Curve (AUC-ROC) of 0.9999, sensitivity of 0.9997, and specificity of 0.9999 when applied to the MIMIC-IV data.
These findings highlight the robustness of Random Forest in handling complex datasets for admission prediction and provide actionable insights for improving Emergency Department (ED) management strategies.