梯度增强树对ICU患者脓毒症的早期预测

Teh Xuan Ying, Asma’ Abu-Samah
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引用次数: 3

摘要

重症监护病房的病人,尤其是那些接受过手术或有严重健康问题的病人,由于免疫系统较弱,患败血症的风险往往更高。由于脓毒症发现较晚,无法对脓毒症患者采取预防措施。因此,本研究旨在识别、验证和测试适用于脓毒症早期预测的机器学习算法,使用来自重症监护医学信息市场III (MIMIC-III)数据库的预处理数据。本研究将使用决策树、随机森林、AdaBoost、梯度提升树和多层感知器从MIMIC-III数据库中获得的预处理数据,设计脓毒症发作前15小时的预测模型。在验证模型时使用10交叉验证。预测模型的性能主要用ROC-AUC评分来评价。在模型比较中,在脓毒症发病前10小时,使用相同算法开发了一组额外的预测模型,将其性能与早期开发的预测模型进行比较。模型比较结果显示,对于脓毒症发病前15小时和10小时的预测模型,梯度提升树的ROC-AUC评分最好,15小时为0.777,10小时预测模型为0.769。使用更多的数据和派生的提升树算法可以进一步优化结果。
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Early Prediction of Sepsis for ICU Patients using Gradient Boosted Tree
Intensive care unit patients, especially those who have undergone surgeries or have severe health issues, tend to have a higher risk of developing sepsis due to a weaker immune system. Due to late detection of sepsis, no preventive actions can be taken to treat sepsis patients. Therefore, this research aims to identify, validate, and test suitable machine learning algorithms for the early prediction of sepsis using pre-processed data produced from the Medical Information Mart for Intensive Care III, MIMIC-III database. This research will be designing prediction models for 15 hours before sepsis onset using pre-processed data obtained from MIMIC-III database using Decision Tree, Random Forest, AdaBoost, Gradient Boosted Tree, and Multilayer Perceptron. A 10 cross-validation is used in validating the models. The performance of prediction models is evaluated mainly using ROC-AUC score. In model comparison, an extra set of prediction models using the same algorithms is developed for 10 hours before sepsis onset to compare its performance with the earlier prediction model developed. The result of model comparison shows that for the prediction model of 15 and 10 hours before sepsis onset, ROC-AUC score for Gradient Boosted Tree is the best with 0.777 for 15 hours and 0.769 respectively from 10 hours prediction model. The results can be optimized further using more data and using derived Boosted Trees algoritms.
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