预测心脏搭桥手术患者住院时间的机器学习算法比较

Martina Profeta, A. M. Ponsiglione, C. Ponsiglione, Giuseppe Ferrucci, Cristiana Giglio, A. Borrelli
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引用次数: 10

摘要

受冠状动脉阻塞影响的患者通常接受冠状动脉搭桥手术,这是一种对医疗保健支出有很大影响的心内直视手术。因此,对冠状动脉搭桥术的监测和管理可能有助于医疗保健管理。在这项工作中,我们比较了各种基于机器学习的分类算法,以确定冠状动脉旁路手术的住院时间。数据收集了萨勒诺(意大利)“圣乔凡尼·迪迪奥·鲁吉·达阿拉戈纳”大学医院的116名患者。不同的社会人口、临床和组织因素被考虑作为模型的输入参数进行分类分析。根据分类的准确性和错误率评估每种测试的机器学习算法的预测能力,并比较获得的结果。在所采用的算法中,Random Forest的表现远远好于其他算法,准确率在97%左右,这可能表明Random Forest是确定冠状动脉搭桥手术患者医疗数据住院时间的可靠预测工具。
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Comparison of machine learning algorithms to predict length of hospital stay in patients undergoing heart bypass surgery
Patients affected by coronary artery obstruction, generally undergo aortocoronary bypass, an open-heart surgery that considerably affect health care expenditure. Since that, the monitoring and government of Aortocoronary bypass performance may be of help in health care management. In this work we compare various machine learning-based classification algorithms, to determine the length of stay for aortocoronary bypass. Data were collected on a group of 116 patients of the “San Giovanni di Dio e Ruggi D'Aragona” University Hospital of Salerno (Italy). Different socio-demographic, clinical, and organizational factors were taken into consideration as input parameters of the model for carrying out the classification analysis. The predictive capability of each of the tested machine learning algorithms was assessed in terms of accuracy and error percentages in the classification and obtained results were compared. Among the adopted algorithms, the Random Forest showed far better performances than the other ones, with an accuracy level of around 97%, thus potentially suggesting the Random Forest as a reliable predictive tool in the determination of the length of hospital stay of healthcare data for patients undergoing coronary artery bypass surgery.
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