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心力衰竭的临床预测建模:领域描述、模型特征及文献综述

Clinical Predictive Modeling of Heart Failure: Domain Description, Models' Characteristics and Literature Review.

作者信息

Odrobina Igor

机构信息

Mathematical Institute, Slovak Academy of Science, Štefánikova 49, SK-841 73 Bratislava, Slovakia.

出版信息

Diagnostics (Basel). 2024 Feb 17;14(4):443. doi: 10.3390/diagnostics14040443.

Abstract

This study attempts to identify and briefly describe the current directions in applied and theoretical clinical prediction research. Context-rich chronic heart failure syndrome (CHFS) telemedicine provides the medical foundation for this effort. In the chronic stage of heart failure, there are sudden exacerbations of syndromes with subsequent hospitalizations, which are called acute decompensation of heart failure (ADHF). These decompensations are the subject of diagnostic and prognostic predictions. The primary purpose of ADHF predictions is to clarify the current and future health status of patients and subsequently optimize therapeutic responses. We proposed a simplified discrete-state disease model as an attempt at a typical summarization of a medical subject before starting predictive modeling. The study tries also to structure the essential common characteristics of quantitative models in order to understand the issue in an application context. The last part provides an overview of prediction works in the field of CHFS. These three parts provide the reader with a comprehensive view of quantitative clinical predictive modeling in heart failure telemedicine with an emphasis on several key general aspects. The target community is medical researchers seeking to align their clinical studies with prognostic or diagnostic predictive modeling, as well as other predictive researchers. The study was written by a non-medical expert.

摘要

本研究旨在识别并简要描述应用和理论临床预测研究的当前方向。情境丰富的慢性心力衰竭综合征(CHFS)远程医疗为此项工作提供了医学基础。在心力衰竭的慢性阶段,会出现综合征的突然加重并随后住院,这被称为心力衰竭急性失代偿(ADHF)。这些失代偿是诊断和预后预测的主题。ADHF预测的主要目的是阐明患者当前和未来的健康状况,并随后优化治疗反应。在开始预测建模之前,我们提出了一个简化的离散状态疾病模型,作为对一个医学主题的典型总结尝试。该研究还试图构建定量模型的基本共同特征,以便在应用背景下理解该问题。最后一部分概述了CHFS领域的预测工作。这三个部分为读者提供了心力衰竭远程医疗中定量临床预测建模的全面视图,重点关注几个关键的一般方面。目标群体是寻求将其临床研究与预后或诊断预测建模相结合的医学研究人员,以及其他预测研究人员。该研究由一位非医学专家撰写。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3390/10888082/a5be510e0e06/diagnostics-14-00443-g001.jpg

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