Mohammed Ashikur Rahman, Adamu Abubakar Ibrahim, A. Tumian
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引用次数: 0
Abstract
Sepsis is a life-threatening condition of patients in an intensive care unit. Early sepsis detection can reduce the mortality rate and cost of treatment among the patients of the Intensive care unit (ICU). Machine Learning-based model can be used to predict sepsis early using Electronic Health Record (EHR) which consists of big data. Features selection plays a vital role for reducing overfitting and the accuracy of the ML-based prediction model. In this paper, Generalized Linear Model (GLM) was used to select the significant features related to sepsis using MIMIC-III dataset which is a rational database that contains ICU patient’s data at Beth Israel Deaconess Medical center. In addition, developed a sepsis prediction model using Artificial Neural Network (ANN) and Random Forest (RF) and validated those models using confusion matrix. After that, clinical severity scores were also calculated with the same dataset. Finally, compared the Area Under the Receiver Operating Characteristic (AUROC) between ML-based model and clinical severity score. The accuracy of ML-based prediction model with GLM is better than clinical severity scores like SOFA, qSOFA and SIRS.
脓毒症是重症监护病房患者的一种危及生命的疾病。早期脓毒症检测可以降低重症监护病房(ICU)患者的死亡率和治疗费用。基于机器学习的模型可以利用由大数据组成的电子病历(Electronic Health Record, EHR)对败血症进行早期预测。特征选择对于减少过拟合和基于ml的预测模型的准确性起着至关重要的作用。本文采用基于Beth Israel Deaconess Medical center ICU患者数据的理性数据库MIMIC-III数据集,采用广义线性模型(Generalized Linear Model, GLM)选择脓毒症相关的显著特征。此外,利用人工神经网络(ANN)和随机森林(RF)建立了脓毒症预测模型,并利用混淆矩阵对模型进行了验证。之后,使用相同的数据集计算临床严重程度评分。最后,比较基于ml模型的受试者工作特征面积(Area Under Receiver Operating Characteristic, AUROC)与临床严重程度评分。基于ml的GLM预测模型的准确性优于SOFA、qSOFA、SIRS等临床严重程度评分。