重症监护病房脓毒症的早期预测和诊断:unsupervİsed机器学习模型

Gökhan Silahtaroglu, Zehra Nur Canbolat
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引用次数: 2

摘要

败血症感染是重症监护病房中最重要的死亡原因之一,被视为严重的全球健康危机。如果不能对脓毒症感染进行早期诊断,不迅速开始治疗,脓毒症休克可能导致多器官衰竭,死亡几乎是不可避免的。因此,建立早期诊断并立即开始治疗至关重要。本研究旨在利用被认为是诊断脓毒症感染的重要参数乳酸和Ph实验室检测值,实现一种新的无监督机器学习模型。研究中使用的数据来自MIMIC-III国际临床数据库。通过Fuzzy-C算法,结合Xie Beni等有效性指标,对诊断为败血症和非败血症的患者数据进行无监督机器学习。在训练结束时,机器根据设计的有效性指标生成10个标签。通过主成分分析方法将标记的聚类代表降维到二维空间,以便在二维空间中监控学习。该研究通过两个参数(乳酸和Ph)进行无监督学习,并导致多参数研究,从而为文献做出贡献。此外,该研究报告在乳酸和PH实验室测试方面存在五种败血症模式。
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AN EARLY PREDICTION AND DIAGNOSIS OF SEPSIS IN INTENSIVE CARE UNITS: AN UNSUPERVİSED MACHINE LEARNING MODEL
Sepsis infection, which is one of the most important causes of death in intensive care units, is seen as a severe global health crisis. If an early diagnosis of sepsis infection cannot be made, and treatment is not started rapidly, septic shock may result in multiple organ failure and death is almost inevitable. Therefore, it is vital to establish an early diagnosis and start the treatment at once. This study aims to accomplish a new model of unsupervised machine learning using lactate and Ph laboratory test values, which are considered to be important parameters to diagnose sepsis infection. The data used in the study have been obtained from MIMIC-III international clinical database. Unsupervised machine learning has been performed via the Fuzzy-C algorithm along with validity indexes like Xie Beni on patients’ data diagnosed sepsis and non-sepsis. The machine-generated ten labels at the end of the training session considering-designed validity indexes. The labelled cluster representatives have been reduced to two dimensions by Principal Component Analysis method in order to monitor the learning in a two-dimensional space. The study contributes to the literature by conducting unsupervised learning through two parameters (Lactate and Ph) and leading to multi-parameter studies. In addition, the study reports that there are five types of sepsis patterns in terms of Lactate and PH laboratory tests.
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