Machine Learning in Modeling High School Sport Concussion Symptom Resolve.

Supplemental digital content is available in the text. Introduction: Concussion prevalence in sport is well recognized, so too is the challenge of clinical and return-to-play management for an injury with an inherent indeterminant time course of resolve. A clear, valid insight into the anticipated r...

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Publicado en:Medicine & Science in Sports & Exercise Vol. 51; no. 7; pp. 1362 - 1372
Autores principales: BERGERON, MICHAEL F., LANDSET, SARA, KHOSHGOFTAAR, TAGHI M., MAUGANS, TODD A., WILLIAMS, VERNON B., COLLINS, CHRISTY L., WASSERMAN, ERIN B.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jul2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2019
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Machine Learning in Modeling High School Sport Concussion Symptom Resolve.
      aug:
        au:
          BERGERON, MICHAEL F.
          LANDSET, SARA
          KHOSHGOFTAAR, TAGHI M.
          MAUGANS, TODD A.
          WILLIAMS, VERNON B.
          COLLINS, CHRISTY L.
          WASSERMAN, ERIN B.
        affil: SIVOTEC Analytics, Boca Raton, FL
      sug:
        subj:
          Machine Learning Methods
          Football Injuries Rehabilitation
          Brain Concussion Rehabilitation
          Recovery Evaluation
          Time Factors
          Students, High School
          Human
          Algorithms
          Incidence
          Prevalence
          Headache
          Dizziness
          One-Way Analysis of Variance
          Confidence Intervals
          ROC Curve
          Decision Support Systems, Clinical
      ab: Supplemental digital content is available in the text. Introduction: Concussion prevalence in sport is well recognized, so too is the challenge of clinical and return-to-play management for an injury with an inherent indeterminant time course of resolve. A clear, valid insight into the anticipated resolution time could assist in planning treatment intervention. Purpose: This study implemented a supervised machine learning–based approach in modeling estimated symptom resolve time in high school athletes who incurred a concussion during sport activity. Methods: We examined the efficacy of 10 classification algorithms using machine learning for the prediction of symptom resolution time (within 7, 14, or 28 d), with a data set representing 3 yr of concussions suffered by high school student-athletes in football (most concussion incidents) and other contact sports. Results: The most prevalent sport-related concussion reported symptom was headache (94.9%), followed by dizziness (74.3%) and difficulty concentrating (61.1%). For all three category thresholds of predicted symptom resolution time, single-factor ANOVA revealed statistically significant performance differences across the 10 classification models for all learners at a 95% confidence interval (P = 0.000). Naïve Bayes and Random Forest with either 100 or 500 trees were the top-performing learners with an area under the receiver operating characteristic curve performance ranging between 0.656 and 0.742 (0.0–1.0 scale). Conclusions: Considering the limitations of these data specific to symptom presentation and resolve, supervised machine learning demonstrated efficacy, while warranting further exploration, in developing symptom-based prediction models for practical estimation of sport-related concussion recovery in enhancing clinical decision support.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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