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基于模糊认知图的登革热临床决策支持系统。

A clinical decision-support system for dengue based on fuzzy cognitive maps.

机构信息

Grupo de Investigaciones Microbiológicas y Biomédicas de Córdoba, Universidad de Córdoba, Carrera 6 No 77-305, Montería, Colombia.

Grupo de Investigación en I+D+i en TIC, Universidad EAFIT, Carrera 48 No 7Sur-50, Medellín, Colombia.

出版信息

Health Care Manag Sci. 2022 Dec;25(4):666-681. doi: 10.1007/s10729-022-09611-6. Epub 2022 Aug 16.

Abstract

Dengue is a viral infection widely distributed in tropical and subtropical regions of the world. Dengue is characterized by high fatality rates when the diagnosis is not made promptly and effectively. To aid in the diagnosis of dengue, we propose a clinical decision-support system that classifies the clinical picture based on its severity, and using causal relationships evaluates the behavior of the clinical and laboratory variables that describe the signs and symptoms related to dengue. The system is based on a fuzzy cognitive map that is defined by the signs, symptoms and laboratory tests used in the conventional diagnosis of dengue. The evaluation of the model was performed on datasets of patients diagnosed with dengue to compare the model with other approaches. The developed model showed a good classification performance with 89.4% accuracy and could evaluate the behaviour of clinical and laboratory variables related to dengue severity (it is an explainable method). This model serves as a diagnostic aid for dengue that can be used by medical professionals in clinical settings.

摘要

登革热是一种广泛分布于世界热带和亚热带地区的病毒感染。如果不能及时有效地进行诊断,登革热的死亡率很高。为了辅助登革热的诊断,我们提出了一个临床决策支持系统,该系统根据严重程度对临床图像进行分类,并使用因果关系评估描述与登革热相关的体征和症状的临床和实验室变量的行为。该系统基于一个模糊认知图,该图由登革热常规诊断中使用的体征、症状和实验室测试定义。通过对确诊为登革热的患者数据集进行模型评估,将模型与其他方法进行比较。开发的模型表现出良好的分类性能,准确率为 89.4%,并且可以评估与登革热严重程度相关的临床和实验室变量的行为(它是一种可解释的方法)。该模型可作为一种辅助登革热的诊断工具,供临床环境中的医疗专业人员使用。

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