如何在真实世界的临床数据上进行机器学习,改善内镜检查不良事件的记录
Stefan Wittlinger1, Isabella C Wiest1,2, Mahboubeh Jannesari Ladani3
1Department of Medicine II, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
NPJ digital medicine
|July 10, 2025
概括
本研究引入了一种机器学习模型,用于从临床数据中检测内镜中的不良事件,例如穿孔和出血. 该方法提高了识别这些关键事件的准确性,提高了患者的安全性和胃肠道护理的质量控制.
科学领域:
- 胃肠病学 胃肠病学
- 医疗信息学 医疗信息学
- 机器学习 机器学习
背景情况:
- 内镜干预对于诊断和治疗胃肠道疾病至关重要.
- 准确的文档对于患者安全和临床结果至关重要.
- 内镜手术后的不良事件往往被低估.
研究的目的:
- 评估用于检测内镜不良事件的机器学习 (ML) 方法.
- 使用现实世界的临床元数据系统地识别不良事件.
- 为了提高内镜中不良事件检测的准确性.
主要方法:
- 使用随机森林分类器检测不良事件:穿孔,出血和再接收.
- 该模型使用结构化医院数据分析了2490例住院病例,包括ICD代码和手术时间.
- 机器学习方法利用多个元数据特征进行可靠的预测.
主要成果:
- 经过ML模型的测试,对不良事件的基线预测准确度有显著的改进.
- 获得的AUC-ROC/AUC-PR值:穿孔为0.9/0.69,出血为0.84/0.64,再录取为0.96/0.9.
- 强调了多个元数据特征对于有效预测的重要性.
结论:
- 半自动化,保护隐私的ML方法有效地识别文档差异,并加强内镜质量控制.
- 这种方法支持更好的临床决策,质量改善和资源配置.
- 降低了错过不良事件的风险,从而提高了内镜手术中的患者安全.
更多相关视频
10:31Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
12.9K
04:58Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation
Published on: August 25, 2022
2.3K
相关概念视频
Pharmacovigilance
999
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
999
Endoscopic Procedures III: Video Capsule Endoscopy
335
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
335
Endoscopic Procedures I: Esophagogastroduodenoscopy
358
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
358
Data Reporting and Recording
4.9K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
4.9K
