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基于机器学习算法的足月妊娠引产结局预测模型的建立。

Establishment of a model for predicting the outcome of induced labor in full-term pregnancy based on machine learning algorithm.

机构信息

People's Hospital of Deyang City, Deyang, 618000, Sichuan, China.

School of Nursing, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.

出版信息

Sci Rep. 2022 Nov 9;12(1):19063. doi: 10.1038/s41598-022-21954-2.

Abstract

To evaluate and establish a prediction model of the outcome of induced labor based on machine learning algorithm. This was a cross-sectional design. The subjects were divided into primipara and multipara, and the risk factors for the outcomes of induced labor were assessed by multifactor logistic regression analysis. The outcome model of labor induced with oxytocin (OT) was constructed based on the four machine learning algorithms, including AdaBoost, logistic regression, naive Bayes classifier, and support vector machine. Factors, such as accuracy, recall, precision, F1 value, and receiver operating characteristic curve, were used to evaluate the prediction performance of the model, and the clinical application of the model was verified. A total of 907 participants were included in this study. Logistic regression algorithm obtained better results in both primipara and multipara groups compared to the other three models. The accuracy of the model for the prediction of "successful induction of labor" was 94.24% and 96.55%, and that of "failed induction of labor" was 65.00% and 66.67% in the primipara and the multipara groups, respectively. This study established a prediction model of OT-induced labor based on the Logistic regression algorithm, with rapid response, high accuracy, and strong extrapolation, which was critical for obstetric clinical nursing.

摘要

为了基于机器学习算法评估并建立引产结局的预测模型。这是一项横断面设计。将研究对象分为初产妇和经产妇,通过多因素 logistic 回归分析评估引产结局的风险因素。基于 AdaBoost、logistic 回归、朴素贝叶斯分类器和支持向量机这四种机器学习算法,构建催产素引产结局模型。通过准确性、召回率、精度、F1 值和受试者工作特征曲线等指标评估模型的预测性能,并验证模型的临床应用。共纳入 907 名参与者。与其他三种模型相比,logistic 回归算法在初产妇和经产妇组中均获得了更好的结果。模型对“引产成功”的预测准确率分别为 94.24%和 96.55%,对“引产失败”的预测准确率分别为 65.00%和 66.67%。本研究基于 Logistic 回归算法建立了催产素引产的预测模型,具有响应迅速、准确率高、外推能力强的特点,对产科临床护理具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7b8/9646791/d1cc7dedb2ea/41598_2022_21954_Fig1_HTML.jpg

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