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利用机器学习进行登革热病例筛查。

Utilization of machine learning for dengue case screening.

机构信息

Laboratory of Veterinary Epidemiology, Postgraduate Program in Veterinary, Federal University of Pelotas (UFPel), Capão do Leão, RS, Brazil.

Automation Department, Federal University of Lavras, Lavras, Minas Gerais, Brazil.

出版信息

BMC Public Health. 2024 Jun 11;24(1):1573. doi: 10.1186/s12889-024-19083-8.

Abstract

Dengue causes approximately 10.000 deaths and 100 million symptomatic infections annually worldwide, making it a significant public health concern. To address this, artificial intelligence tools like machine learning can play a crucial role in developing more effective strategies for control, diagnosis, and treatment. This study identifies relevant variables for the screening of dengue cases through machine learning models and evaluates the accuracy of the models. Data from reported dengue cases in the states of Rio de Janeiro and Minas Gerais for the years 2016 and 2019 were obtained through the National Notifiable Diseases Surveillance System (SINAN). The mutual information technique was used to assess which variables were most related to laboratory-confirmed dengue cases. Next, a random selection of 10,000 confirmed cases and 10,000 discarded cases was performed, and the dataset was divided into training (70%) and testing (30%). Machine learning models were then tested to classify the cases. It was found that the logistic regression model with 10 variables (gender, age, fever, myalgia, headache, vomiting, nausea, back pain, rash, retro-orbital pain) and the Decision Tree and Multilayer Perceptron (MLP) models achieved the best results in decision metrics, with an accuracy of 98%. Therefore, a tree-based model would be suitable for building an application and implementing it on smartphones. This resource would be available to healthcare professionals such as doctors and nurses.

摘要

登革热每年在全球导致约 10000 人死亡和 1 亿例症状感染,成为一个重大的公共卫生关注点。为了解决这一问题,人工智能工具,如机器学习,可以在制定更有效的控制、诊断和治疗策略方面发挥关键作用。本研究通过机器学习模型确定了登革热病例筛查的相关变量,并评估了模型的准确性。通过国家法定疾病监测系统(SINAN)获取了 2016 年和 2019 年里约热内卢州和米纳斯吉拉斯州报告的登革热病例数据。互信息技术用于评估与实验室确诊的登革热病例最相关的变量。接下来,对 10000 例确诊病例和 10000 例排除病例进行随机选择,并将数据集分为训练集(70%)和测试集(30%)。然后对机器学习模型进行测试以对病例进行分类。结果发现,具有 10 个变量(性别、年龄、发热、肌痛、头痛、呕吐、恶心、背痛、皮疹、眼眶后疼痛)的逻辑回归模型以及决策树和多层感知器(MLP)模型在决策指标方面取得了最佳结果,准确率为 98%。因此,基于树的模型适合构建应用程序并在智能手机上实现。该资源将提供给医疗保健专业人员,如医生和护士。

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