预测心衰患者再住院率和死亡率的机器学习算法

T. Rizinde, I. Ngaruye, N. D. Cahill, MLPs, Ann Cnn
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引用次数: 0

摘要

目的:预测性分析在改善心力衰竭(HF)结果的资源分配和患者护理方面潜力巨大。本综述旨在通过分析现有研究,确定在所有环境中应用的主要障碍和挑战,从而突出这一潜力。设计/方法/途径:在谷歌学术、科学网和 PubMed 等电子数据库中对相关文章进行了全面细致的搜索。使用精确的搜索短语和关键词,检索到了 1835 篇发表于 2017 年 1 月 1 日至 2024 年 5 月 14 日之间的学术文章。只有 23 篇文章符合严格的纳入标准,确保了研究结果的有效性。研究采用了定量荟萃分析方法。研究局限性/意义:本研究分析了在低收入环境中应用 ML 算法预测心衰预后所面临的挑战和可行性,为提高医疗保健成果提供了见解。研究结果挑战包括可扩展性、伦理和法律问题、选择适当的 ML 模型、可解释性、数据可用性以及医疗保健专业人员对这些 ML 算法的不信任。实际意义:本研究为缩小这些地区临床实践与预测分析之间的差距提供了切实可行的策略。这些策略应能启发和激励医疗保健专业人员、研究人员和政策制定者考虑并实施这些策略。社会意义:本研究提供的见解可改善高频结果和医疗服务。原创性/价值:该综述指出了当前研究中存在的差距,例如需要更多强有力的验证研究、模型可解释性面临的挑战以及模型必须能轻松集成到临床工作流程中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Machine Learning Algorithms for Predicting Hospital Readmission and Mortality Rates in Patients with Heart Failure
Purpose: The potential of predictive analytics in enhancing resource allocation and patient care for Heart failure (HF) outcomes is significant. This review aims to highlight this potential by analyzing existing studies and identifying the main barriers and challenges to applicability in all settings. Design/ Methodology/ Approach: A comprehensive search of related articles was meticulously conducted across electronic databases, including Google Scholar, Web of Science, and PubMed. Using precise search phrases and keywords, 1,835 scholarly articles published between 1 January 2017 and 14 May 2024 were retrieved. Only 23 articles that met the strict inclusion criteria were considered, ensuring the validity of the findings. A quantitative meta-analysis approach was utilised. Research Limitation/Implication: This research offers insights into enhancing healthcare outcomes as we analyse the challenges and feasibility of applying ML algorithms to predict heart failure outcomes in low-income settings. Findings: The challenges include scalability, ethical and legal issues, the choice of appropriate ML model, interpretability, data availability, and healthcare professional mistrust of these ML algorithms. Practical implications: This study offers practical strategies to bridge the gap between clinical practice and predictive analytics in these regions. These strategies should inspire and motivate healthcare professionals, researchers, and policymakers to consider and implement them. Social implication: This study provides insights that may improve HF outcomes and healthcare delivery. Originality/Value: The review identifies current gaps in the research, such as the need for more robust validation studies, the challenge of model interpretability, and the necessity for models that can be easily integrated into clinical workflows.
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