基于联合学习的临床支持系统用于韩国分拣和敏度尺度的分拣
Hansol Chang1,2, Jae Yong Yu3, Geun Hyeong Lee2,4
1Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 115 Irwon-ro Gangnam-gu, Seoul, 06355, South Korea.
Heliyon
|September 1, 2023
概括
这项研究开发了一种联合学习系统,用于预测韩国分辨率敏度度量 (KTAS) 修订. 该系统通过识别可能需要修订敏度得分的患者来支持临床分组.
科学领域:
- 紧急医疗 紧急医疗
- 人工智能的人工智能
- 临床信息学 临床信息学
背景情况:
- 在急诊室 (ED) 中,分辨准确度至关重要.
- 韩国诊断敏度度表 (KTAS) 是紧急护理优先级的重要工具.
- 预测KTAS修订的需要可以优化患者流量和资源配置.
研究的目的:
- 使用联合学习开发和验证临床支持系统.
- 预测急诊室患者修订KTAS分数的可能性.
- 提高紧急分拣过程的准确性和效率.
主要方法:
- 从韩国国家紧急情况部门信息系统 (NEDIS) (2016-2018) 中回顾分析了11,952,887名患者记录.
- 使用患者人口统计信息,生命体征,精神状态,到达细节和初始KTAS分数的预测模型的开发.
- 联合学习应用于解决不同级别紧急医疗中心 (REMC,LEMC,LEMI) 的数据质量差异,以进行强大的模型培训和验证.
主要成果:
- 预测模型在外部和时间验证队列中实现了0.786,0.750和0.770的接收器操作特征曲线下的面积.
- 分析显示,在不同级别的急诊医疗中心中,KTAS分数分布不同.
- 经过修订的KTAS得分的患者的入院率和死亡率更高,这凸显了准确分组的临床意义.
结论:
- 开发的联合学习系统显示了准确预测KTAS敏度修订的潜力.
- 这种新的系统可以作为一个有价值的临床决策支持工具,用于急诊室分类.
- 改进对分拣敏度修订的预测可以带来更好的患者结果和资源管理.
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