Mortality prediction of rats in acute hemorrhagic shock using machine learning techniques.

This study sought to determine a mortality prediction model that could be used for triage in the setting of acute hemorrhage from trauma. To achieve this aim, various machine learning techniques were applied using the rat model in acute hemorrhage. Thirty-six anesthetized rats were randomized into t...

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Publicado en:Medical & Biological Engineering & Computing Vol. 51; no. 9; pp. 1059 - 1068
Autores principales: Kim, Kyung-Ah, Choi, Joon Yul, Yoo, Tae Keun, Kim, Sung Kean, Chung, Kilsoo, Kim, Deok Won
Formato: research Journal Article
Publicado: Springer Nature Sep2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2013
      vid: 51
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      pub: Springer Nature
      place: New York, New York
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        2012212870
        10.1007/s11517-013-1091-0
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        atl: Mortality prediction of rats in acute hemorrhagic shock using machine learning techniques.
      aug:
        au:
          Kim, Kyung-Ah
          Choi, Joon Yul
          Yoo, Tae Keun
          Kim, Sung Kean
          Chung, Kilsoo
          Kim, Deok Won
        affil: Department of Biomedical Engineering, Chungbuk National University, College of Medicine, Cheongju, Korea.
      sug:
        subj:
          Artificial Intelligence
          Models, Statistical
          Shock, Hemorrhagic Physiopathology
          Algorithms
          Animal Studies
          Body Temperature
          Hemodynamics Physiology
          Lactic Acid Blood
          Logistic Regression
          Male
          Nonparametric Statistics
          Random Assignment
          Rats
          Respiratory Rate Physiology
          ROC Curve
          Male
      ab: This study sought to determine a mortality prediction model that could be used for triage in the setting of acute hemorrhage from trauma. To achieve this aim, various machine learning techniques were applied using the rat model in acute hemorrhage. Thirty-six anesthetized rats were randomized into three groups according to the volume of controlled blood loss. Measurements included heart rate (HR), systolic and diastolic blood pressures (SBP and DBP), mean arterial pressure, pulse pressure, respiratory rate, temperature, blood lactate concentration (LC), peripheral perfusion (PP), shock index (SI, SI = HR/SBP), and a new hemorrhage-induced severity index (NI, NI = LC/PP). NI was suggested as one of the good candidates for mortality prediction variable in our previous study. We constructed mortality prediction models with logistic regression (LR), artificial neural networks (ANN), random forest (RF), and support vector machines (SVM) with variable selection. The SVM model showed better sensitivity (1.000) and area under curve (0.972) than the LR, ANN, and RF models for mortality prediction. The important variables selected by the SVM were NI and LC. The SVM model may be very helpful to first responders who need to make accurate triage decisions and rapidly treat hemorrhagic patients in cases of trauma.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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