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The Evaluation of Ordinal Regression Model's Performance Through the Implementation of Multilayer Feed-Forward Neural
Mohamad N Adnan1, Wan Muhamad Amir W Ahmad1, Hazik B Shahzad1,2
1School of Dental Sciences, Universiti Sains Malaysia, Kota Bharu, MYS.
Insights
A new hybrid model combining statistical and neural network techniques effectively identifies hypertension and dyslipidemia risk factors. This approach shows superior predictive capability for patient health outcomes.
Area of Science:
- Cardiovascular Research
- Computational Statistics
- Machine Learning in Healthcare
Background:
- Hypertension (high blood pressure) is a prevalent global health issue, significantly increasing the risk of cardiovascular diseases (CVD), stroke, and kidney disorders.
- Co-occurrence of hypertension and dyslipidemia presents complex challenges in patient management and risk prediction.
Purpose of the Study:
- To develop and validate a novel hybrid model integrating bootstrapping, ordered logistic regression, and multilayer feed-forward neural networks (MLFFNN).
- To identify and analyze key factors associated with hypertension in patients who also have dyslipidemia.
Main Methods:
- Utilized advanced computational statistical modeling techniques with RStudio software.
- A hybrid model combining bootstrapping, ordered logistic regression, and MLFFNN was developed and validated.
- Data from 33 participants at Hospital Universiti Sains Malaysia were analyzed, divided into training and testing datasets.
Main Results:
- The hybrid model demonstrated good model fitting, evidenced by predicted mean square error (MSE), mean absolute deviance (MAD), and accuracy.
- The model exhibited superior predictive capability, outperforming traditional regression models in predicting MSE.
- Key predictors identified include marital status, smoking status, systolic blood pressure, fasting blood sugar, and high-density lipoprotein levels.
Conclusions:
- The developed hybrid model offers a robust and superior approach for analyzing hypertension and dyslipidemia comorbidities.
- The study highlights the effectiveness of integrating diverse computational statistical methods for enhanced predictive accuracy in clinical settings.
- Findings underscore the importance of identified risk factors in managing patients with both hypertension and dyslipidemia.
Abstract:
Background Hypertension, or high blood pressure, is a common medical condition that affects a significant portion of the global population. It is a major risk factor for cardiovascular diseases (CVD), stroke, and kidney disorders. Objective The objective of this study is to create and validate a model that combines bootstrapping, ordered logistic regression, and multilayer feed-forward neural networks (MLFFNN) to identify and analyze the factors associated with hypertension patients who also have dyslipidemia. Material and methods A total of 33 participants were enrolled from the Hospital Universiti Sains Malaysia (USM) for this study. In this study, advanced computational statistical modeling techniques were utilized to examine the relationship between hypertension status and several potential predictors. The RStudio (Posit, Boston, MA) software and syntax were implemented to establish the relationship between hypertension status and the predictors. Results The statistical analysis showed that the developed methodology demonstrates good model fitting through the value of predicted mean square error (MSE), mean absolute deviance (MAD), and accuracy. To evaluate model fitting, the data in this study was divided into distinct training and testing datasets. The findings revealed that the results strongly support the superior predictive capability of the hybrid model technique. In this case, five variables are considered: marital status, smoking status, systolic blood pressure, fasting blood sugar levels, and high-density lipoprotein levels. It is important to note that all of them affect the hazard ratio: marital status (β1, -17.12343343; p < 0.25), smoking status (β2, 1.86069121; p < 0.25), systolic blood pressure (β3, 0.05037332; p < 0.25), fasting blood sugar (β4, -0.53880322; p < 0.25), and high-density lipoprotein (β5, 5.38065556; p < 0.25). Conclusion This research aims to develop and extensively evaluate the hybrid approach. The statistical methods employed in this study using R language show that regression modeling surpasses R-squared values in predicting the mean square error. The study's conclusion provides strong evidence for the superiority of the hybrid model technique.
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