利用NLP研究老年慢性肾病患者的生物标志物相互作用和心血管疾病风险

IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS SLAS Technology Pub Date : 2025-01-09 DOI:10.1016/j.slast.2025.100243
Hongli Han
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引用次数: 0

摘要

慢性肾脏疾病(CKD)显著增加心血管疾病的风险,特别是在老年患者中。了解几种生物标志物与心血管(CVD)风险之间的相互作用对于改善患者预后和定制个性化治疗策略至关重要。关于老年CKD患者生物标志物与心血管疾病风险之间的复杂关系,还有很多需要了解的。研究旨在利用自然语言处理(NLP)策略来研究老年CKD患者生物标志物与CVD风险之间的相互作用。本研究调查了四种新型和经典心脏生物标志物基线值的变化与大量CKD患者CVD危险和全因死亡的关系。最初,从老年CKD患者的电子病历中收集医疗数据。NLP技术,如命名实体识别(NER),用于从数据中提取相关的生物标志物和心血管疾病的危险因素。应用统计技术检查生物标志物与心血管疾病风险之间的关系。与传统方法相比,使用结构化和nlp提取特征相结合的预测模型在预测CVD结果方面具有更高的准确性。这项研究强调了PTH和FGF-23等特定生物标志物在预测CVD结果中的关键作用,为使用EHR数据进行更好的患者管理和增强这一高危人群的预测模型提供了可能性。
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Harnessing NLP to investigate biomarker interactions and CVD risks in elderly chronic kidney disease patients.

Chronic kidney disease (CKD) significantly increases the risk of CVD diseases, particularly among elderly patients. Understanding the interaction between several biomarkers and cardiovascular (CVD) risks is crucial for improving patient outcomes and tailoring personalized treatment strategies. There is much more to learn about the intricate relationship between biomarkers and CVD risks in elderly CKD patients. Research aims to harness natural language processing (NLP) strategies to investigate the interaction between biomarkers and CVD risks in elderly patients with CKD. This research examined how changes in baseline values of four novel and classic cardiac biomarkers relate to the danger of CVD, and all-cause death in a large cohort of patients with CKD. Initially, medical data were collected from EHR of elderly CKD patients. NLP technique, such as Named Entity Recognition (NER), is used to extract the relevant biomarkers and CVD risk factors from the data. Statistical techniques were applied to examine the associations between biomarkers and CVD risks. The predictive models, using a combination of structured and NLP-extracted features demonstrated improved accuracy in forecasting CVD outcomes compared to traditional methods. This investigation highlights the critical role of specific biomarkers like PTH and FGF-23 in predicting CVD outcomes, providing insights into the possibility of using EHR data for better patient management and enhancing predictive models for this high-risk population.

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来源期刊
SLAS Technology
SLAS Technology Computer Science-Computer Science Applications
CiteScore
6.30
自引率
7.40%
发文量
47
审稿时长
106 days
期刊介绍: SLAS Technology emphasizes scientific and technical advances that enable and improve life sciences research and development; drug-delivery; diagnostics; biomedical and molecular imaging; and personalized and precision medicine. This includes high-throughput and other laboratory automation technologies; micro/nanotechnologies; analytical, separation and quantitative techniques; synthetic chemistry and biology; informatics (data analysis, statistics, bio, genomic and chemoinformatics); and more.
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