利用病人特征预测心脏病的可能性

Jackson Cathey, Carson Herman, Michelle Tetro, M. Gao
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引用次数: 0

摘要

由于初级保健提供者处理多种慢性疾病,心血管疾病可能经常被忽视。在患者早期发现心血管疾病可以增加治疗选择,并减少进一步并发症的可能性。因此,重要的是,提供者有工具来评估病人的心脏疾病的可能性,根据过去的病史和生命体征在诊所。利用克利夫兰心脏诊所的患者数据,我们开发了一个预测模型,用于评估临床评估的患者可能患有潜在心脏病的几率。我们根据预测心脏状况的相对能力来选择每个变量,然后进一步分析该特征在模型中的贡献。最后的模型包括患者的性别,他们自我报告的运动诱发心绞痛的经历,以及静息心电图结果。这个模型可以在临床上用来估计病人患心脏病的几率。与目前在初级保健诊所使用的模型不同,该模型使用较少的变量,专门评估当前疾病的几率,而不是心血管疾病的未来发展。直接检测心脏病既昂贵又耗时,因此建立一个预测诊断模型是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilizing Patient Characteristics to Predict the Likelihood of Heart Condition
As primary care providers deal with a multitude of chronic conditions, cardiovascular disease may often be overlooked. Finding cardiovascular disease early in a patient increases treatment options and reduces the likelihood of further complications. Thus, it is important that providers have tools at their disposal to assess patients’ odds of heart disease, given past medical histories and vital signs in clinic. Utilizing patient data from the Cleveland Heart Clinic, we developed a predictive model for assessing the odds that a patient evaluated in clinic may have an underlying heart condition. We selected each variable based on its relative capacity for prediction of heart condition, then further analyzed the contributes of this feature in the model. The final model includes the sex of the patient, their self-reported experience of exercise-induced angina, and resting ECG results. This model can be used in the clinic to estimate a patient’s odds of heart disease. Unlike current models used in primary care clinics, this model uses fewer variables and specifically assesses the odds of a current condition, as opposed to the future development of cardiovascular disease. Testing directly for heart disease is costly and time-consuming, so it’s useful to build a predictive diagnostic model.
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