普通外科手术中亚低温预测的可解释机器学习回归量

M. Kalyango, Emma E.Y Wilson, J. Nakatumba-Nabende, Ggaliwango Marvin
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引用次数: 0

摘要

体温过低是一种医学紧急情况,当体温低于正常体温35摄氏度时发生。据报道,在普通外科手术中,这种紧急情况的发生率从33%到89%不等,经常导致极短和长期的并发症。幸运的是,在智能医疗中使用电子和信息学的趋势越来越明显,特别是在使用人工智能(AI)和机器学习(ML)作为预测医疗紧急情况的创新应用方面。在本文中,利用可解释的机器学习回归量来预测普通外科手术中的亚低温。具体而言,建立、测试和优化了极限学习机(ELM)、线性、随机森林(RF)、Logistic和支持向量机回归模型,经过模型调整和超参数优化,分别获得了98.76%、98.79%、98.69%、73.28%和29.34%的准确率。透明地提供了基于生理指标的形状加性解释(SHAP)和局部可解释模型不可知论解释(LIME)。这项工作可以通过改善普通外科手术的患者结果、降低医疗保健成本和提高智能医疗保健系统的效率和有效性来促进社会5.0。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interpretable Machine Learning Regressors for Mild Hypothermia Prediction in General Surgical Operations
Hypothermia is a medical emergency that occurs when there is a low body temperature from the normal body temperature of 35oC. The occurrence of this emergency reportedly ranges from 33% to 89% during general surgical operations and often leads to extremely short and long-term complications. Fortunately, there has been a growing trend in using electronics and informatics for smart healthcare, particularly in using artificial intelligence (AI) and machine learning (ML) as innovative applications for predicting medical emergencies. In this paper, the use of Interpretable Machine Learning Regressors for Mild Hypothermia Prediction in General Surgical Operations was leveraged. Specifically, building, testing, and optimization of Extreme Learning Machine (ELM), Linear, Random Forest (RF), Logistic, and Support Vector Machine regression models were done where an accuracy of 98.76%, 98.79%, 98.69%, 73.28%, and 29.34% respectively was obtained upon model tuning and hyperparameter optimization. SHapely Additive exPlanations (SHAP) and Local Interpretable Model-Agnostic Explanations (LIME) based on physiological vitals were transparently provided. This work can contribute to Society 5.0 by improving patient outcomes of general surgical operations, reducing healthcare costs, and increasing the efficiency and effectiveness of Intelligent Healthcare Systems.
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