Department of Emergency Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, No. 7 Chung Shan S. Road, Taipei, 100, Taiwan, ROC.
Department of Computer Science and Information Engineering, National Taiwan University, Taipei, 106, Taiwan, ROC.
Sci Rep. 2022 Jan 10;12(1):328. doi: 10.1038/s41598-021-03687-w.
Emerging infectious diseases (EIDs), including the latest COVID-19 pandemic, have emerged and raised global public health crises in recent decades. Without existing protective immunity, an EID may spread rapidly and cause mass casualties in a very short time. Therefore, it is imperative to identify cases with risk of disease progression for the optimized allocation of medical resources in case medical facilities are overwhelmed with a flood of patients. This study has aimed to cope with this challenge from the aspect of preventive medicine by exploiting machine learning technologies. The study has been based on 83,227 hospital admissions with influenza-like illness and we analysed the risk effects of 19 comorbidities along with age and gender for severe illness or mortality risk. The experimental results revealed that the decision rules derived from the machine learning based prediction models can provide valuable guidelines for the healthcare policy makers to develop an effective vaccination strategy. Furthermore, in case the healthcare facilities are overwhelmed by patients with EID, which frequently occurred in the recent COVID-19 pandemic, the frontline physicians can incorporate the proposed prediction models to triage patients suffering minor symptoms without laboratory tests, which may become scarce during an EID disaster. In conclusion, our study has demonstrated an effective approach to exploit machine learning technologies to cope with the challenges faced during the outbreak of an EID.
新兴传染病(EID),包括最近的 COVID-19 大流行,在最近几十年中出现并引发了全球公共卫生危机。由于没有现有的保护免疫力,EID 可能会迅速传播,并在很短的时间内造成大量人员伤亡。因此,必须确定有疾病进展风险的病例,以便在医疗设施因大量患者而不堪重负时优化医疗资源的分配。本研究旨在从预防医学的角度利用机器学习技术应对这一挑战。该研究基于 83227 例流感样疾病的住院病例,我们分析了 19 种合并症以及年龄和性别对严重疾病或死亡风险的影响。实验结果表明,基于机器学习的预测模型得出的决策规则可以为医疗保健政策制定者提供有价值的指导,以制定有效的疫苗接种策略。此外,在医疗设施因 EID 患者而不堪重负的情况下,这在最近的 COVID-19 大流行中经常发生,一线医生可以将提出的预测模型纳入对没有实验室检测的轻症患者进行分诊,在 EID 灾难期间,这些检测可能会变得稀缺。总之,我们的研究表明了一种利用机器学习技术应对 EID 爆发带来的挑战的有效方法。