在美国的电子医疗记录中使用机器学习识别有体重增加风险的个人
Casey Choong1, Neena Xavier1, Beverly Falcon1
1Eli Lilly and Company, Indianapolis, Indiana, USA.
Diabetes, obesity & metabolism
|March 12, 2025
概括
机器学习使用电子健康记录准确地预测有重大体重增加风险的成年人. 这可以识别需要早期肥胖干预和预防策略的个人.
科学领域:
- 医疗信息学医学信息学
- 机器学习在医疗保健中的应用
- 肥胖研究的研究.
背景情况:
- 肥胖病因是复杂的,传统方法仅适用于大型数据集.
- 机器学习 (ML) 为肥胖风险因素提供了新的见解.
- 电子医疗记录 (EMR) 为预测建模提供了丰富的数据.
研究的目的:
- 预测12个月内身体质量指数 (BMI) 增加≥10%的成年人.
- 利用ML算法和大型EMR数据库来预测肥胖风险.
- 确定显著体重增加的关键预测因素.
主要方法:
- 使用了Optum的市场清晰度数据中的非识别EMR数据.
- 采用了各种ML模型,包括XGBoost,随机森林和处罚后勤回归.
- 使用诸如曲线下的面积 (AUC) 和精度等指标评估模型性能.
主要成果:
- XGBoost 模型在 12 个月内以 0.75 的 AUC 实现了最佳性能.
- 增加BMI的主要预测因素包括较低的基线BMI,急诊室访问,没有糖尿病/脂质疾病以及年轻的年龄.
- 确定了与未来体重增加相关的特定的人口和临床因素.
结论:
- 证明了使用EMR识别有体重增加风险的个体的ML方法的有效性.
- 开发的风险分层工具可以帮助提供者优先考虑预防和干预肥胖.
- 突出 ML 在个性化和主动性医疗保健中对肥胖管理的潜力.
更多相关视频
相关概念视频
Obesity
357
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
357
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Genome-wide Association Studies-GWAS
12.3K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
12.3K
Mechanistic Models: Compartment Models in Individual and Population Analysis
23
Mechanistic models are utilized in individual analysis using single-source data, but imperfections arise due to data collection errors, preventing perfect prediction of observed data. The mathematical equation involves known values (Xi), observed concentrations (Ci), measurement errors (εi), model parameters (ϕj), and the related function (ƒi) for i number of values. Different least-squares metrics quantify differences between predicted and observed values. The ordinary least...
23


