Metsker Oleg, Kopanitsa Georgy, Komlichenko Eduard, Yanushanets Maria, Bolgova Ekaterina
Almazov National Medical Research Centre, Saint-Petersburg, Russia.
ITMO University, Saint-Petersburg, Russia.
Stud Health Technol Inform. 2020 Sep 4;273:104-108. doi: 10.3233/SHTI200622.
Prediction of a labor due date is important especially for the pregnancies with high risk of complications where a special treatment is needed. This is especially valid in the countries with multilevel health care institutions like Russia. In Russia medical organizations are distributed into national, regional and municipal levels. Organizations of each level can provide treatment of different types and quality. For example, pregnancies with low risk of complications are routed to the municipal hospitals, moderate risk pregnancies are routed to the reginal and high risk of complications are routed to the hospitals of the national level. In the situation of resource deficiency especially on the national level it is necessary to plan admission date and a treatment team in advance to provide the best possible care. When pregnancy data is not standardized and semantically interoperable, data driven models. We have retrospectively analyzed electronic health records from the perinatal Center of the Almazov perinatal medical center in Saint-Petersburg, Russia. The dataset was exported from the medical information system. It consisted of structured and semi structured data with the total of 73115 lines for 12989 female patients. The proposed due date prediction data-driven model allows a high accuracy prediction to allow proper resource planning. The models are based on the real-world evidence and can be applied with limited amount of predictors.
预测预产期非常重要,尤其是对于那些需要特殊治疗的高风险妊娠。在像俄罗斯这样拥有多层次医疗机构的国家,这一点尤为适用。在俄罗斯,医疗组织分为国家、地区和市级三个层面。每个层面的组织都能提供不同类型和质量的治疗。例如,并发症风险低的妊娠被安排到市级医院,中度风险妊娠被安排到地区级医院,而并发症高风险妊娠则被安排到国家级医院。在资源短缺的情况下,尤其是在国家级层面,有必要提前规划入院日期和治疗团队,以提供尽可能好的护理。当妊娠数据不规范且缺乏语义互操作性时,数据驱动模型就很有必要。我们对俄罗斯圣彼得堡阿尔马佐夫围产医学中心围产中心的电子健康记录进行了回顾性分析。数据集从医疗信息系统导出。它由结构化和半结构化数据组成,共有12989名女性患者的73115行数据。所提出的预产期预测数据驱动模型能够进行高精度预测,以便进行合理的资源规划。这些模型基于实际证据,并且可以使用有限数量的预测变量。