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人工智能能否在中风患者进入康复阶段的康复病房时预测其行走独立性?

Can AI predict walking independence in patients with stroke upon admission to a recovery-phase rehabilitation ward?

作者信息

Ono Keisuke, Takahashi Ryosuke, Morita Kazuyuki, Ara Yosuke, Abe Senshu, Ito Soichirou, Uno Shogo, Abe Masayuki, Shirasaka Tomohide

机构信息

Physical Therapy Division, Department of Rehabilitation, Hokuto Social Medical Corporation Tokachi Rehabilitation Center, Obihiro, Hokkaido, Japan.

Advanced Rehabilitation Office, Hokuto Social Medical Corporation Tokachi Rehabilitation Center, Obihiro, Hokkaido, Japan.

出版信息

Jpn J Compr Rehabil Sci. 2024 Apr 12;15:1-7. doi: 10.11336/jjcrs.15.1. eCollection 2024.

Abstract

UNLABELLED

Ono K, Takahashi R, Morita K, Ara Y, Abe S, Ito S, Uno S, Abe M, Shirasaka T. Can AI predict walking independence in patients with stroke upon admission to a recovery-phase rehabilitation ward? Jpn J Compr Rehabil Sci 2024; 15: 1-7.

OBJECTIVE

This study aimed to develop a prediction model for walking independence in patients with stroke in the recovery phase at the time of hospital discharge using Prediction One, an artificial intelligence (AI)-based predictive analysis tool, and to examine its utility.

METHODS

Prediction One was used to develop a prediction model for walking independence for 280 patients with stroke admitted to a rehabilitation ward-based on physical and mental function information at admission. In 134 patients with stroke hospitalized during different periods, accuracy was confirmed by calculating the correct response rate, sensitivity, specificity, and positive and negative predictive values based on the results of AI-based predictions and actual results.

RESULTS

The prediction accuracy (area under the curve, AUC) of the proposed model was 91.7%. The correct response rate was 79.9%, sensitivity was 95.7%, specificity was 62.5%, positive predictive value was 73.6%, and negative predictive value was 93.5%.

CONCLUSION

The accuracy of the prediction model developed in this study is not inferior to that of previous studies, and the simplicity of the model makes it highly practical.

摘要

未标注

小野K、高桥R、森田K、荒Y、阿部S、伊藤S、宇野S、阿部M、白坂T。人工智能能否预测脑卒中患者进入康复期病房时的步行独立性?《日本综合康复科学杂志》2024年;15:1 - 7。

目的

本研究旨在使用基于人工智能(AI)的预测分析工具Prediction One开发一种预测模型,以预测脑卒中康复期患者出院时的步行独立性,并检验其效用。

方法

使用Prediction One,根据280例入住康复病房的脑卒中患者入院时的身心功能信息,开发步行独立性预测模型。在不同时期住院的134例脑卒中患者中,根据基于AI的预测结果和实际结果,通过计算正确反应率、敏感性、特异性以及阳性和阴性预测值来确认准确性。

结果

所提出模型的预测准确率(曲线下面积,AUC)为91.7%。正确反应率为79.9%,敏感性为95.7%,特异性为62.5%,阳性预测值为73.6%,阴性预测值为93.5%。

结论

本研究开发的预测模型的准确性不低于先前研究,且模型的简单性使其具有高度实用性。

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