预测影响冠状动脉绕道移植手术的患者的生存率的因素,使用机器学习方法:系统性审查
Alireza Jafarkhani1, Behzad Imani1, Soheila Saeedi2
1Department of Operating Room, School of Paramedicine Hamadan University of Medical Sciences Hamadan Iran.
Health science reports
|January 23, 2025
概括
在冠状动脉旁路移植 (CABG) 后预测存活是具有挑战性的. 这次审查使用机器学习确定了年龄和功能等关键因素,以改善CABG后患者生存预测.
科学领域:
- 心血管外科心血管外科
- 医疗信息学 医疗信息学
- 生物统计学 生物统计学
背景情况:
- 冠状动脉旁路移植 (CABG) 是冠状动脉疾病的关键干预措施.
- 准确预测CABG后患者存活率仍然是一个重大的临床挑战.
- 机器学习 (ML) 提供了提高生存预测准确性的潜力.
研究的目的:
- 系统地审查有关ML技术的文献,以预测CABG后患者的存活率.
- 确定影响CABG手术患者生存率的关键因素.
- 提高对患者结果的理解,并为临床管理策略提供信息.
主要方法:
- 从2015年1月1日到2024年1月20日进行了系统的文献搜索.
- 搜索的数据库包括PubMed,Scopus,IEEE Xplore和科学网.
- 该审查遵循PRISMA指南,包括24项预测CABG患者存活率的研究.
主要成果:
- 最初总共有1330篇文章被确定,其中24篇符合纳入标准.
- 确定了43个影响CABG后生存率的不同因素.
- 年龄,射出分数,糖尿病,脑血管病史和功能一直是重要的预测因素.
结论:
- 本综述强调了CABG手术后生存的关键预测因素.
- 机器学习技术可以显著提高生存预测的准确性.
- 使用这些因素识别高风险患者可以实现个性化管理和治疗策略.
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