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Related Experiment Videos

Development of Machine Learning Models to Predict Candidemia in Hospitalized Adult Patients.

Kenyu Hashimoto1,2,3, Koutarou Matsumoto4, Kenta Murotani5,6

  • 1Department of Biostatistics, Graduate School of Medicine, Kurume University.

The Kurume Medical Journal
|May 17, 2026
PubMed
Summary

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Steps in Outbreak Investigation01:18

Steps in Outbreak Investigation

In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:

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We developed machine learning models using electronic medical record data to predict candidemia, a bloodstream infection. The LASSO logistic regression model showed high accuracy, aiding early diagnosis and treatment.

Area of Science:

  • Medical Informatics
  • Machine Learning in Healthcare
  • Infectious Disease Epidemiology

Background:

  • Candidemia is a serious bloodstream infection with high mortality.
  • Early diagnosis and intervention are crucial for improving patient outcomes.
  • Predictive models using electronic medical record (EMR) data can aid early detection.

Purpose of the Study:

  • To develop a generalizable machine learning model for predicting candidemia.
  • To utilize readily available electronic medical record (EMR) data for prediction.
  • To identify predictive models using information available on or before blood culture collection.

Main Methods:

  • Adult patients from Shin Koga Hospital (April 2014-March 2022) with blood cultures were included.
  • Two datasets were prepared: complete case (13 variables) and imputed full-variable (36 variables).
Keywords:
LASSO logistic regressioncandidemiadecision supportelectronic medical recordmachine learningpredictive model

Related Experiment Videos

  • Four machine learning models (XGBoost, Random Forest, LASSO logistic regression, logistic regression) were evaluated using AUROC and 5-fold cross-validation.
  • Main Results:

    • A total of 919 patients were analyzed, with 5.1% experiencing candidemia.
    • LASSO logistic regression achieved the highest performance.
    • The area under the receiver operating characteristic curve (AUROC) was 0.880 for the complete case dataset and 0.913 for the imputed dataset.

    Conclusions:

    • Two LASSO logistic regression models were developed using EMR data.
    • These models demonstrate potential for early candidemia diagnosis.
    • The models can support timely therapeutic interventions for candidemia.