Prognostics of surgical site infections using dynamic health data.

Surgical Site Infection (SSI) is a national priority in healthcare research. Much research attention has been attracted to develop better SSI risk prediction models. However, most of the existing SSI risk prediction models are built on static risk factors such as comorbidities and operative factors....

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Publicado en:Journal of Biomedical Informatics Vol. 65; pp. 22 - 34
Autores principales: Ke, Chuyang, Jin, Yan, Evans, Heather, Lober, Bill, Qian, Xiaoning, Liu, Ji, Huang, Shuai
Formato: research Journal Article
Publicado: Academic Press Inc. Jan2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2017
      vid: 65
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      pub: Academic Press Inc.
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        atl: Prognostics of surgical site infections using dynamic health data.
      aug:
        au:
          Ke, Chuyang
          Jin, Yan
          Evans, Heather
          Lober, Bill
          Qian, Xiaoning
          Liu, Ji
          Huang, Shuai
        affil: Department of Computer Science, University of Rochester, United States
      sug:
        subj:
          Surgical Wound Infection
          Algorithms
          Telemedicine Statistics and Numerical Data
          Prognosis
          Risk Factors
          Forecasting
          Human
      ab: Surgical Site Infection (SSI) is a national priority in healthcare research. Much research attention has been attracted to develop better SSI risk prediction models. However, most of the existing SSI risk prediction models are built on static risk factors such as comorbidities and operative factors. In this paper, we investigate the use of the dynamic wound data for SSI risk prediction. There have been emerging mobile health (mHealth) tools that can closely monitor the patients and generate continuous measurements of many wound-related variables and other evolving clinical variables. Since existing prediction models of SSI have quite limited capacity to utilize the evolving clinical data, we develop the corresponding solution to equip these mHealth tools with decision-making capabilities for SSI prediction with a seamless assembly of several machine learning models to tackle the analytic challenges arising from the spatial-temporal data. The basic idea is to exploit the low-rank property of the spatial-temporal data via the bilinear formulation, and further enhance it with automatic missing data imputation by the matrix completion technique. We derive efficient optimization algorithms to implement these models and demonstrate the superior performances of our new predictive model on a real-world dataset of SSI, compared to a range of state-of-the-art methods.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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