Department of Information Technology, ABES Engineering College, Ghaziabad (UP) 201009, India.
Department of Information Technology, Raj Kumar Goel Institute of Technology, Ghaziabad (UP) 101003, India.
J Healthc Eng. 2022 Mar 26;2022:9263391. doi: 10.1155/2022/9263391. eCollection 2022.
In today's scenario, sepsis is impacting millions of patients in the intensive care unit due to the fact that the mortality rate is increased exponentially and has become a major challenge in the field of healthcare. Such peoples require determinant care which increases the cost of the treatment by using a large number of resources because of the nonavailability of the resources. The treatment of sepsis is available in the early state, but treatment is not started at the right time, and then it converts to the advanced level of sepsis and increases the fatalities. Thus, an intensive analysis is required to detect and identify sepsis at the early stage. There are some models available that work based on the manual score and based on only the biomark features, but these are not fully automated. Some machine learning-based models are also available, which can reduce the mortality rate, but accuracy is not up to date. This paper proposes a machine learning model for early detecting and predicting sepsis in intensive care unit patients. Various models, random forest (RF), linear regression (LR), support vector machine (SVM), naive Bayes (NB), ensemble (of SVM, RF, NB, and LR), XGBoost, and proposed ensemble (of SVM, RF, NB, LR, and XGBoost), are simulated by using the collected data from intensive care unit patient's database that is based on the clinical laboratory values and vital signs. The performance of the models is evaluated by considering the same datasets. The balanced accuracy of RF, LR, SVM, NB, ensemble (of SVM, RF, NB, and LR), XGBoost, and proposed ensemble (of SVM, RF, NB, LR, and XGBoost) is 0.90, 0.73, 0.93, 0.74, 0.94, 0.95, and 0.96, respectively. It is also evident from the experimental results that the proposed ensemble model performs well as compared to the other models.
在当今的情况下,由于死亡率呈指数级增长,败血症已成为医疗保健领域的主要挑战,重症监护病房中有数百万人因此受到影响。这些人需要特定的护理,由于资源不足,会增加治疗成本,从而使用大量资源。败血症的治疗在早期阶段是可行的,但由于没有及时开始治疗,病情会发展到败血症的晚期,导致死亡率增加。因此,需要进行深入分析,以便在早期阶段发现和识别败血症。目前有一些模型可基于手动评分和仅基于生物标志物特征来工作,但这些模型不是完全自动化的。也有一些基于机器学习的模型可以降低死亡率,但准确性还不够高。本文提出了一种用于早期检测和预测重症监护病房患者败血症的机器学习模型。使用基于临床实验室值和生命体征的重症监护病房患者数据库中收集的数据模拟了各种模型,包括随机森林 (RF)、线性回归 (LR)、支持向量机 (SVM)、朴素贝叶斯 (NB)、集成 (SVM、RF、NB 和 LR)、XGBoost 和提出的集成 (SVM、RF、NB、LR 和 XGBoost)。通过考虑相同的数据集来评估模型的性能。RF、LR、SVM、NB、集成 (SVM、RF、NB 和 LR)、XGBoost 和提出的集成 (SVM、RF、NB、LR 和 XGBoost) 的平衡准确率分别为 0.90、0.73、0.93、0.74、0.94、0.95 和 0.96。从实验结果还可以明显看出,与其他模型相比,提出的集成模型表现更好。