Diagnostic and prognostic value of diquat plasma concentration and complete blood count in patients with acute diquat poisoning based on random forest algorithms.

Currently, the incidence of diquat (DQ) poisoning is increasing, and quickly predicting the prognosis of poisoned patients is crucial for clinical treatment. In this study, a total of 84 DQ poisoning patients were included, with 38 surviving and 46 deceased. The plasma DQ concentration of DQ poisone...

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Publicado en:Human & Experimental Toxicology Vol. 43; pp. 1 - 10
Autores principales: Hu, Hui, Ke, Xiaofang, Zheng, Fangfang, You, Minjie, Zhou, Tao, Xu, Yanwen, Wu, Jiaiying, Tong, Shuhua, Hu, Lufeng
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
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      pub: Sage Publications Inc.
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        atl: Diagnostic and prognostic value of diquat plasma concentration and complete blood count in patients with acute diquat poisoning based on random forest algorithms.
      aug:
        au:
          Hu, Hui
          Ke, Xiaofang
          Zheng, Fangfang
          You, Minjie
          Zhou, Tao
          Xu, Yanwen
          Wu, Jiaiying
          Tong, Shuhua
          Hu, Lufeng
        affil: Department of Pharmacy, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
      sug:
        subj:
          Herbicides Blood
          Herbicides Poisoning
          Poisoning Diagnosis
          Poisoning Prognosis
          Blood Cell Count
          Early Diagnosis
          Random Forest
          Prediction Algorithms
          China
          Funding Source
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Retrospective Design
          Record Review
          Liquid Chromatography-Mass Spectrometry
          Autoanalyzers
          Predictive Value of Tests
          Leukocyte Count
          Neutrophils
          Spearman's Rank Correlation Coefficient
          Support Vector Machine
          Decision Trees
          ROC Curve
          T-Tests
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Currently, the incidence of diquat (DQ) poisoning is increasing, and quickly predicting the prognosis of poisoned patients is crucial for clinical treatment. In this study, a total of 84 DQ poisoning patients were included, with 38 surviving and 46 deceased. The plasma DQ concentration of DQ poisoned patients, determined by liquid chromatography-mass spectrometry (LC-MS) were collected and analyzed with their complete blood count (CBC) indicators. Based on DQ concentration and CBC dataset, the random forest of diagnostic and prognostic models were established. The results showed that the initial DQ plasma concentration was highly correlated with patient prognosis. There was data redundancy in the CBC dataset, continuous measurement of CBC tests could improve the model's predictive accuracy. After feature selection, the predictive accuracy of the CBC dataset significantly increased to 0.81 ± 0.17, with the most important features being white blood cells and neutrophils. The constructed CBC random forest prediction model achieved a high predictive accuracy of 0.95 ± 0.06 when diagnosing DQ poisoning. In conclusion, both DQ concentration and CBC dataset can be used to predict the prognosis of DQ treatment. In the absence of DQ concentration, the random forest model using CBC data can effectively diagnose DQ poisoning and patient's prognosis.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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