使用生命体征数据预测败血症的发作:一种机器学习方法。

IF 1.7 4区 医学 Q2 NURSING Clinical Nursing Research Pub Date : 2023-09-01 DOI:10.1177/10547738231183207
An Tran, Robert Topp, Ebrahim Tarshizi, Anthony Shao
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引用次数: 0

摘要

脓毒症是住院病人死亡的主要原因。现有的脓毒症预测方法由于依赖于实验室结果和电子病历(EMRs)而面临局限性。本工作旨在建立一种利用连续生命体征监测的脓毒症预测模型,为脓毒症预测提供一种创新的方法。来自48,886名重症监护病房(ICU)患者的数据来自重症监护医疗信息市场-IV数据集。开发了一种机器学习模型,仅根据生命体征预测败血症的发作。将该模型的疗效与现有的SIRS评分系统、qSOFA评分系统和Logistic回归模型进行比较。机器学习模型在脓毒症发病前6小时表现优异,达到88.1%的敏感性和81.3%的特异性,超过了现有的评分系统。这种新颖的方法为临床医生提供了一个及时评估患者发展脓毒症的可能性。
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Predicting the Onset of Sepsis Using Vital Signs Data: A Machine Learning Approach.

Sepsis is a major cause of mortality among hospitalized patients. Existing sepsis prediction methods face limitations due to their reliance on laboratory results and Electronic Medical Records (EMRs). This work aimed to develop a sepsis prediction model utilizing continuous vital signs monitoring, offering an innovative approach to sepsis prediction. Data from 48,886 Intensive Care Unit (ICU) patient stays were extracted from the Medical Information Mart for Intensive Care -IV dataset. A machine learning model was developed to predict sepsis onset based solely on vital signs. The model's efficacy was compared with the existing scoring systems of SIRS, qSOFA, and a Logistic Regression model. The machine learning model demonstrated superior performance at 6 hrs prior to sepsis onset, achieving 88.1% sensitivity and 81.3% specificity, surpassing existing scoring systems. This novel approach offers clinicians a timely assessment of patients' likelihood of developing sepsis.

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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
107
审稿时长
>12 weeks
期刊介绍: Clinical Nursing Research (CNR) is a peer-reviewed quarterly journal that addresses issues of clinical research that are meaningful to practicing nurses, providing an international forum to encourage discussion among clinical practitioners, enhance clinical practice by pinpointing potential clinical applications of the latest scholarly research, and disseminate research findings of particular interest to practicing nurses. This journal is a member of the Committee on Publication Ethics (COPE).
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