数据驱动的糖尿病患者心血管风险预测及预后因素识别

Hugo Calero-Diaz, David Chushig-Muzo, H. Fabelo, I. Mora-Jiménez, C. Granja, C. Soguero-Ruíz
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引用次数: 2

摘要

被诊断患有非传染性疾病(NCDs)的患者数量已达到较高水平,成为一个重要的全球健康问题。非传染性疾病每年造成4100万人死亡,占全球死亡总数的71%。在非传染性疾病中,心血管疾病(cvd)的患病率不断上升,导致严重并发症和死亡。1型糖尿病患者更容易发生心血管疾病事件,死亡率高于一般人群。T1D患者发生CVD事件的早期风险预测可以支持临床医生采取适当的干预措施,包括改变生活方式或药物和手术治疗。在这项工作中,我们使用特征选择技术和数据驱动模型来识别与10年心血管疾病风险相关的相关预后因素,并设计模型进行早期预测。考虑了与患者生活方式相关的人口统计学和临床变量,包括这些变量对预测模型影响的解释。实验结果表明,线性数据驱动模型最适合CVD预测,优于其他技术。在危险因素方面,年龄是预测心血管疾病最重要的变量,在所有分析的模型中都存在。这项工作在预测心血管疾病、识别危险因素和为临床决策铺平道路方面显示出很大的希望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Data-driven cardiovascular risk prediction and prognosis factor identification in diabetic patients
The increase of patients diagnosed with non-communicable diseases (NCDs) has reached high levels, becoming an important global health issue. NCDs are the cause of decease of 41 million people yearly, accounting for 71% of all deaths world-wide. Among NCDs, cardiovascular diseases (CVDs) present an increasing prevalence, leading to severe complications and death. Patients with Type 1 diabetes are more prone to develop CVD events, and refer to greater mortality rates than the general population. An early risk prediction of developing CVD events in T1D patients could support clinicians in adequate interventions, including lifestyle changes or pharmacological and surgical treatments. In this work, we use feature selection techniques and data-driven models to identify relevant prognostic factors associated with the 10-year CVD risk, designing models for its earlier prediction. Demographic and clinical variables related to the patients' lifestyle were considered, including the interpretation of the variables' impact on the prediction models. Experimental results showed that linear data-driven models are best for CVD prediction, outperforming results of other techniques. Regarding the risk factors, the age was the most important variable for predicting CVD, being present in all the analyzed models. This work showed to be promising for predicting CVD, identifying risk factors, and paving the way for clinical decision-making.
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