Prediction of amputation risk of patients with diabetic foot using classification algorithms: A clinical study from a tertiary center.

Diabetic foot ulcers can have vital consequences, such as amputation for patients. The primary purpose of this study is to predict the amputation risk of diabetic foot patients using machine‐learning classification algorithms. In this research, 407 patients treated with the diagnosis of diabetic foo...

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Publicado en:International Wound Journal Vol. 21; no. 1; pp. 1 - 16
Autores principales: Demirkol, Denizhan, Erol, Çiğdem Selçukcan, Tannier, Xavier, Özcan, Tuncay, Aktaş, Şamil
Formato: algorithm research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2024
      vid: 21
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/iwj.14556
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        atl: Prediction of amputation risk of patients with diabetic foot using classification algorithms: A clinical study from a tertiary center.
      aug:
        au:
          Demirkol, Denizhan
          Erol, Çiğdem Selçukcan
          Tannier, Xavier
          Özcan, Tuncay
          Aktaş, Şamil
        affil: Faculty of Engineering, Department of Computer Engineering, Aydın Adnan Menderes University, Aydın, Turkey
      sug:
        subj:
          Diabetic Foot Classification
          Amputation Evaluation
          Risk Assessment
          Prediction Models
          Classification Algorithms
          Human
          Tertiary Health Care
      ab: Diabetic foot ulcers can have vital consequences, such as amputation for patients. The primary purpose of this study is to predict the amputation risk of diabetic foot patients using machine‐learning classification algorithms. In this research, 407 patients treated with the diagnosis of diabetic foot between January 2009–September 2019 in Istanbul University Faculty of Medicine in the Department of Undersea and Hyperbaric Medicine were retrospectively evaluated. Principal Component Analysis (PCA) was used to identify the key features associated with the amputation risk in diabetic foot patients within the dataset. Thus, various prediction/classification models were created to predict the "overall" risk of diabetic foot patients. Predictive machine‐learning models were created using various algorithms. Additionally to optimize the hyperparameters of the Random Forest Algorithm (RF), experimental use of Bayesian Optimization (BO) has been employed. The sub‐dimension data set comprising categorical and numerical values was subjected to a feature selection procedure. Among all the algorithms tested under the defined experimental conditions, the BO‐optimized "RF" based on the hybrid approach (PCA‐RF‐BO) and "Logistic Regression" algorithms demonstrated superior performance with 85% and 90% test accuracies, respectively. In conclusion, our findings would serve as an essential benchmark, offering valuable guidance in reducing such hazards.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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