Machine Learning in Hypertension Detection: A Study on World Hypertension Day Data.

Many modifiable and non-modifiable risk factors have been associated with hypertension. However, current screening programs are still failing in identifying individuals at higher risk of hypertension. Given the major impact of high blood pressure on cardiovascular events and mortality, there is an u...

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Publicado en:Journal of Medical Systems Vol. 47; no. 1; pp. 1 - 11
Autores principales: Montagna, Sara, Pengo, Martino Francesco, Ferretti, Stefano, Borghi, Claudio, Ferri, Claudio, Grassi, Guido, Muiesan, Maria Lorenza, Parati, Gianfranco
Formato: research tables/charts Journal Article
Publicado: Springer Nature 2023
Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s10916-022-01900-5
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          Montagna, Sara
          Pengo, Martino Francesco
          Ferretti, Stefano
          Borghi, Claudio
          Ferri, Claudio
          Grassi, Guido
          Muiesan, Maria Lorenza
          Parati, Gianfranco
        affil: DiSPeA–University of Urbino Carlo Bo, Piazza della Repubblica 13, 61029, Urbino, Italy
      sug:
        subj:
          Hypertension Diagnosis
          Hypertension Risk Factors
          Health Screening Methods
          Machine Learning
          Algorithms Evaluation
          Predictive Value of Tests Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Questionnaires
          Decision Trees
          Random Forest
          Protocols
          Support Vector Machine
          Sensitivity and Specificity
          Descriptive Statistics
          Validity
          Precision
          ROC Curve
          Logistic Regression
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Many modifiable and non-modifiable risk factors have been associated with hypertension. However, current screening programs are still failing in identifying individuals at higher risk of hypertension. Given the major impact of high blood pressure on cardiovascular events and mortality, there is an urgent need to find new strategies to improve hypertension detection. We aimed to explore whether a machine learning (ML) algorithm can help identifying individuals predictors of hypertension. We analysed the data set generated by the questionnaires administered during the World Hypertension Day from 2015 to 2019. A total of 20206 individuals have been included for analysis. We tested five ML algorithms, exploiting different balancing techniques. Moreover, we computed the performance of the medical protocol currently adopted in the screening programs. Results show that a gain of sensitivity reflects in a loss of specificity, bringing to a scenario where there is not an algorithm and a configuration which properly outperforms against the others. However, Random Forest provides interesting performances (0.818 sensitivity – 0.629 specificity) compared with medical protocols (0.906 sensitivity – 0.230 specificity). Detection of hypertension at a population level still remains challenging and a machine learning approach could help in making screening programs more precise and cost effective, when based on accurate data collection. More studies are needed to identify new features to be acquired and to further improve the performances of ML models.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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