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利用基于机器学习的筛查工具实现营养不良的个性化营养治疗。

Towards personalized nutritional treatment for malnutrition using machine learning-based screening tools.

机构信息

Industrial Engineering and Management, Ariel University, Israel; General Intensive Care Department and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital. Affiliated to Sackler School of Medicine, Tel Aviv University, Israel.

General Intensive Care Department and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital. Affiliated to Sackler School of Medicine, Tel Aviv University, Israel.

出版信息

Clin Nutr. 2021 Oct;40(10):5249-5251. doi: 10.1016/j.clnu.2021.08.013. Epub 2021 Aug 25.

Abstract

Early identification of patients at risk of malnutrition or who are malnourished is crucial in order to start a timely and adequate nutritional therapy. Yet, despite the presence of many nutrition screening tools for use in the hospital setting, there is no consensus regarding the best tool as well as inadequate adherence to screening practices which impairs the achievement of effective nutritional therapy. In recent years, artificial intelligence and machine learning methods have been widely used, across multiple medical domains, to aid clinical decision making and to improve quality and efficiency of care. Therefore, Yin and colleagues propose a machine learning based individualized decision support system aimed to identify and grade malnutrition in cancer patients by applying unsupervised and supervised machine learning methods on nationwide cohort. This approach, demonstrate the ability of machine learning methods to create tools to recognize malnutrition. The machine learning based screening serves as a first layer in a nutritional therapy workflow and provides improved support for decision making of health professionals to fit individualized nutritional therapy in at-risk patients.

摘要

早期识别有营养不良风险或已经发生营养不良的患者对于及时、充分的营养治疗至关重要。然而,尽管有许多用于医院环境的营养筛查工具,但目前仍没有关于最佳工具的共识,并且筛查实践的依从性不足,这会影响营养治疗的有效性。近年来,人工智能和机器学习方法已广泛应用于多个医学领域,以辅助临床决策,并提高护理质量和效率。因此,Yin 及其同事提出了一种基于机器学习的个体化决策支持系统,该系统旨在通过在全国性队列中应用无监督和监督机器学习方法来识别和分级癌症患者的营养不良。这种方法证明了机器学习方法能够创建识别营养不良的工具。基于机器学习的筛查作为营养治疗工作流程的第一层,可以为卫生专业人员的决策提供更好的支持,以便为有风险的患者制定个体化的营养治疗方案。

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