Multiclassifier Systems for Predicting Neurological Outcome of Patients with Severe Trauma and Polytrauma in Intensive Care Units.

This paper presents an ensemble based classification proposal for predicting neurological outcome of severely traumatized patients. The study comprises both the whole group of patients and a subgroup containing those patients suffering traumatic brain injury (TBI). Data was gathered from patients ho...

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Publicado en:Journal of Medical Systems Vol. 41; no. 9; pp. 1 - 9
Autores principales: González-Robledo, Javier, Martín-González, Félix, Sánchez-Barba, Mercedes, Sánchez-Hernández, Fernando, Moreno-García, María
Formato: algorithm equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Sep2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2017
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-017-0789-1
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        atl: Multiclassifier Systems for Predicting Neurological Outcome of Patients with Severe Trauma and Polytrauma in Intensive Care Units.
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        au:
          González-Robledo, Javier
          Martín-González, Félix
          Sánchez-Barba, Mercedes
          Sánchez-Hernández, Fernando
          Moreno-García, María
        affil: Intensive Care Unit , University Hospital of Salamanca , Salamanca Spain
      sug:
        subj:
          Trauma Complications
          Neurologic Examination
          Outcomes (Health Care)
          Intensive Care Units
          Patient Assessment
          Brain Injuries Diagnosis
          Classification
          Patient Care
          Literature Review
          APACHE (Acute Physiology and Chronic Health Evaluation)
          Scales
          Glasgow Coma Scale Evaluation
          Data Analysis Software
          Validation Studies
          Sensitivity and Specificity
          Biometrics
      ab: This paper presents an ensemble based classification proposal for predicting neurological outcome of severely traumatized patients. The study comprises both the whole group of patients and a subgroup containing those patients suffering traumatic brain injury (TBI). Data was gathered from patients hospitalized in the Intensive Care Unit (ICU) of the University Hospital in Salamanca. Predictive models were induced from both epidemiologic and clinical variables taken at the emergency room and along the stay in the ICU. The large number of variables leads to a low accuracy in the classifiers even when feature selection methods are used. In addition, the presence of a much larger number of instances of one of the classes in the subgroup of TBI patients produces a significantly lesser precision for the minority class. Usual ways of dealing with the last problem is to use undersampling and oversampling strategies, which can lead to the loss of valuable data and overfitting problems respectively. Our proposal for dealing with these problems is based in the use of ensemble multiclassifiers as well as in the use of an ensemble playing the role of base classifier in multiclassifiers. The proposed strategy gave the best values of the selected quality measures (accuracy, precision, sensitivity, specificity, F-measure and area under the Receiver Operator Characteristic curve) as well as the closest values of precision for the two classes under study in the case of the classification from imbalanced data.
      pubtype: Academic Journal
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        algorithm
        equations & formulas
        research
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        Journal Article
      ougenre: Article
    language: English
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