基于临床特征的油填充后眼内压升高风险的预测模型
Wen Fan1, Chaohe Zhang2,3, Lexin Ge1
1Department of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Frontiers in medicine
|January 24, 2024
概括
在玻璃眼外科手术中使用油吸管后,确定了眼内压升高 (IOP) 的危险因素. 一种渐变增强决策树模型准确预测了IOP升高,有助于临床管理.
科学领域:
- 眼科医生 眼科 眼科
- 医疗技术 医疗技术 医学技术
- 数据科学数据科学数据科学
背景情况:
- 眼内压力 (IOP) 升高是使用油坦波尼德进行玻璃眼膜外科手术后的并发症.
- 识别风险因素和开发预测模型对于临床管理至关重要.
研究的目的:
- 为了评估使用油进行视频-甲状腺外科手术后IOP升高的风险因素.
- 开发和评估用于预测IOP升高的机器学习模型.
主要方法:
- 追溯分析了1061个用油进行玻璃视网膜外科手术的眼睛.
- 在手术前和多次手术后访问时进行的IOP测量.
- 四个机器学习模型 (决策树,物流回归,随机森林,GBDT) 用于预测.
- 根据单变量分析选择的预测者p值.
主要成果:
- 26.01%的眼睛经历了手术后IOP升高,主要是在1-2周内.
- 在预测IOP升高方面,GBDT模型实现了最高准确度 (0.7944).
- 确定了关键预测因素:年龄,性别,高血压,糖尿病,近视,视网膜脱落,透镜状况和生物参数.
结论:
- 人口,临床和手术因素显著影响术后内脏压力升高.
- 开发的预测模型显示了IOP升高发生的有希望的准确性.
- 研究结果提供了使用油进行帕斯普拉纳玻璃切除术后降低高IOP的参考.
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