Systematic Review of Machine Learning Applied to the Secondary Prevention of Ischemic Stroke.

Ischemic stroke is a serious disease posing significant threats to human health and life, with the highest absolute and relative risks of a poor prognosis following the first occurrence, and more than 90% of strokes are attributable to modifiable risk factors. Currently, machine learning (ML) is wid...

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Publicado en:Journal of Medical Systems Vol. 48; no. 1; pp. 1 - 21
Autores principales: Chen, Meng, Qian, Dongbao, Wang, Yixuan, An, Junyan, Meng, Ke, Xu, Shuai, Liu, Sheng, Sun, Meiyan, Li, Miao, Pang, Chunying
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature 1/2/2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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          Chen, Meng
          Qian, Dongbao
          Wang, Yixuan
          An, Junyan
          Meng, Ke
          Xu, Shuai
          Liu, Sheng
          Sun, Meiyan
          Li, Miao
          Pang, Chunying
        affil: https://ror.org/007mntk44 School of Life Science and Technology, Changchun University of Science and Technology, Jilin Province, 130022, Changchun, People's Republic of China
      sug:
        subj:
          Machine Learning
          Algorithms
          Ischemic Stroke Prognosis
          Cerebral Ischemia, Transient Prognosis
          Risk Assessment
          Ischemic Stroke Prevention and Control
          Cerebral Ischemia, Transient Prevention and Control
          Human
          Systematic Review
          Prediction Models
          Cardiovascular Diseases Complications
          Age Factors
          Sex Factors
          NIH Stroke Scale
          Diabetes Mellitus Complications
          Descriptive Statistics
          PubMed
          Individualized Medicine
          Ischemic Stroke Therapy
          Cerebral Ischemia, Transient Therapy
          Funding Source
      ab: Ischemic stroke is a serious disease posing significant threats to human health and life, with the highest absolute and relative risks of a poor prognosis following the first occurrence, and more than 90% of strokes are attributable to modifiable risk factors. Currently, machine learning (ML) is widely used for the prediction of ischemic stroke outcomes. By identifying risk factors, predicting the risk of poor prognosis and thus developing personalized treatment plans, it effectively reduces the probability of poor prognosis, leading to more effective secondary prevention. This review includes 41 studies since 2018 that used ML algorithms to build prognostic prediction models for ischemic stroke, transient ischemic attack (TIA), and acute ischemic stroke (AIS). We analyzed in detail the risk factors used in these studies, the sources and processing methods of the required data, the model building and validation, and their application in different prediction time windows. The results indicate that among the included studies, the top five risk factors in terms of frequency were cardiovascular diseases, age, sex, national institutes of health stroke scale (NIHSS) score, and diabetes. Furthermore, 64% of the studies used single-center data, 65% of studies using imbalanced data did not perform data balancing, 88% of the studies did not utilize external validation datasets for model validation, and 72% of the studies did not provide explanations for their models. Addressing these issues is crucial for enhancing the credibility and effectiveness of the research, consequently improving the development and implementation of secondary prevention measures.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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