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开发和验证基于在脆弱时期严重心力衰竭的药物暴露的新型可解释的生存预测模型
Yu Guo1,2,3, Fang Yu1, Fang-Fang Jiang1,2
1Department of Clinical Pharmacy, The 920th Hospital of Joint Logistics Support Force, 212 Daguan Rd, Kunming, 650032, China.
Journal of translational medicine
|August 6, 2024
概括
这项研究使用药物暴露数据开发了严重心力衰竭 (HF) 患者的生存预测模型. DeepSurv模型显示出最佳性能,为HF预后提供了改进的临床决策.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 药理学 药理学是指药理学的学科.
背景情况:
- 严重的心力衰竭 (HF) 在关键时期具有很高的死亡率.
- 预测HF预后的预测工具,特别是那些使用药物数据的预测工具,是不发达的.
研究的目的:
- 开发和验证严重HF患者的生存模型.
- 利用药物信息作为HF预后的主要预测因素.
主要方法:
- 利用MIMIC-IV,MIMIC-III和当地医院的数据进行培训和验证.
- 应用了Cox比例危险 (CoxPH),随机生存森林 (RSF) 和DeepSurv算法.
- 将药物暴露时间和住院信息纳入模型.
主要成果:
- 在分析中包括11590名严重的HF患者.
- DeepSurv 模型表现出卓越的性能,具有最高的 AUC 和最低的屏障评分.
- 决策曲线分析证实了DeepSurv模型的卓越临床实用性.
结论:
- 开发了对严重的HF患者的生存预测工具.
- 药物治疗的持续时间是这些预测模型的关键输入.
- 这些工具可以帮助优化HF管理的临床决策.
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