机器学习预测重症监护的儿童幸存者的学校表现不佳:基于人口的队列研究
Patricia Gilholm1, Kristen Gibbons1, Sarah Brüningk2,3
1Child Health Research Centre, The University of Queensland, Brisbane, QLD, Australia.
Intensive care medicine
|June 24, 2023
概括
一个新的机器学习模型预测,在重症监护室 (ICU) 住院后,儿童的学校成绩不佳. 这个工具有助于识别需要额外支持以获得更好的长期教育成功的儿童.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 机器学习在医疗保健中的应用
- 预测教育成果的预测.
背景情况:
- 在儿科重症监护室 (ICU) 改善的生存率突显了需要工具来预测长期结果.
- 目前的方法缺乏预测儿童ICU幸存者的教育挑战的能力.
研究的目的:
- 开发和验证一种机器学习模型,用于预测ICU入院后儿童的学校成绩不佳.
- 确定导致儿科ICU幸存者的教育困难的关键因素.
主要方法:
- 一项以人口为基础的研究分析了澳大利亚昆士兰州 (1997-2019) 住院于ICU的16岁以下儿童的数据.
- 主要结果是未能在国家评估计划-识字和算术 (NAPLAN) 测试中达到国家最低标准 (NMS).
- 机器学习分类器使用常规ICU数据和分层嵌套交叉验证进行了训练和验证.
主要成果:
- 该研究包括13,957名ICU幸存者,在中位数6年的随访期间进行了37,200次NAPLAN测试.
- 该模型实现了0.8的接收器操作特征曲线 (AUROC) 下的面积,预测NMS故障的灵敏度为85%,特异性为51%.
- 社会经济地位,疾病严重程度,神经,先天性和遗传性疾病是重要的预测因素.
结论:
- 机器学习模型利用ICU出院时可用的数据可以预测学龄儿童的教育困难.
- 这种预测工具可以帮助优先考虑患者的后续护理和有针对性的康复干预.
- 该模型提供了一种有希望的方法来支持儿科ICU幸存者的长期福祉.
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