将神经网络应用于医疗质量参数

Sonja Novak, Miloš Milovančević
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引用次数: 0

摘要

为了监测和评估为病人提供的护理和治疗的质量,并为与医疗保健有关的活动提供支持,使用了一种被称为 "医疗保健质量指标 "的量化指标。本研究探讨了利用六个不同因素预测病死率的准确性。研究上述因素(入院 48 小时内的死亡率(百分比)、手术病死率、平均住院时间、平均术前天数、平均手术(麻醉)次数、每个占用病房床位的平均护士人数)与病死率预测之间的关系是首要目标。病例死亡率的预测将在极限学习机(ELM)的帮助下进行,极限学习机将在研究过程中建立和使用。对 ELM、遗传编程(GP)和人工神经网络(ANN)的结果进行了对比和讨论。通过将计算机模型的预测结果与经验数据进行比较,并使用一些统计量来评估计算机模型的准确性。模拟结果表明,ELM 可有效用于需要预测病死率的情况。Medianae 2023; 62(3):17-23.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
APPLYING NEURAL NETWORKS TO HEALTH CARE QUALITY PARAMETERS
For the purposes of monitoring and assessing the quality of care and treatment offered to patients and providing support for the activities related to health care, a quantitative indicator known as "indicator of quality in health care" is used. This study looked at the accuracy of forecasting case fatality rates using six distinct factors. Researching the relationship between the aforementioned factors (Death rate (percent) within 48 hours of admission, Surgery case fatality rate, The average length of hospital stay, The average number of pre-operative days, The average number of surgical procedures (anesthesia), The average number of nurses per occupied medical ward bed) and the prediction of the case fatality rate was the primary objective. Predictions of the case fatality rate will be made with the help of the Extreme Learning Machine (ELM) that will be built and utilized in the course of the research. Results from an ELM, a genetic programming (GP), and an artificial neural network (ANN) are contrasted and discussed. The accuracy of the computer models was assessed by comparing their predictions to empirical data and using a number of statistical measures. The results of simulations show that ELM may be used effectively in situations where the prediction of case fatality rates is required. Acta Medica Medianae 2023;62(3): 17-23.
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