scholarly journals Artificial Intelligence for Risk Prediction of Rehospitalization with Acute Kidney Injury in Sepsis Survivors

2022 ◽  
Vol 12 (1) ◽  
pp. 43
Author(s):  
Shuo-Ming Ou ◽  
Kuo-Hua Lee ◽  
Ming-Tsun Tsai ◽  
Wei-Cheng Tseng ◽  
Yuan-Chia Chu ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Acute Kidney Injury ◽  
Kidney Injury ◽  
Gradient Boosting ◽  
Light Gradient ◽  
Cell Counts ◽  
Tree Classifier ◽  
Extreme Gradient Boosting ◽  
Sepsis Survivors

Sepsis survivors have a higher risk of long-term complications. Acute kidney injury (AKI) may still be common among sepsis survivors after discharge from sepsis. Therefore, our study utilized an artificial-intelligence-based machine learning approach to predict future risks of rehospitalization with AKI between 1 January 2008 and 31 December 2018. We included a total of 23,761 patients aged ≥ 20 years who were admitted due to sepsis and survived to discharge. We adopted a machine learning method by using models based on logistic regression, random forest, extra tree classifier, gradient boosting decision tree (GBDT), extreme gradient boosting, and light gradient boosting machine (LGBM). The LGBM model exhibited the highest area under the receiver operating characteristic curves (AUCs) of 0.816 to predict rehospitalization with AKI in sepsis survivors and followed by the GBDT model with AUCs of 0.813. The top five most important features in the LGBM model were C-reactive protein, white blood cell counts, use of inotropes, blood urea nitrogen and use of diuretics. We established machine learning models for the prediction of the risk of rehospitalization with AKI in sepsis survivors, and the machine learning model may set the stage for the broader use of clinical features in healthcare.

scholarly journals Machine Learning for the Prediction of Progression in Patients with Acute Kidney Injury in Critical Care

2021 ◽  
Author(s):  
Lifan Zhang ◽  
Canzheng Wei ◽  
Yunxia Feng ◽  
Aijia Ma ◽  
Yan Kang
Keyword(s):  
Machine Learning ◽  
Acute Kidney Injury ◽  
Logistic Regression ◽  
Critical Care ◽  
Intensive Care ◽  
Logistic Regression Model ◽  
Kidney Injury ◽  
Gradient Boosting ◽  
Extreme Gradient Boosting ◽  
Stage 1

Abstract Background: Acute kidney injury (AKI) is a serve and harmful syndrome in the intensive care unit. The purpose of this study is to develop a prediction model that predict whether patients with AKI stage 1/2 will progress to AKI stage 3. Methods: Patients with AKI stage 1/2, when they were first diagnosed with AKI in the Medical Information Mart for Intensive Care (MIMIC-III), were included. We excluded patients who had underwent RRT or progressed to AKI stage 3 within 72 hours of the first AKI diagnosis. We also excluded patients with chronic kidney disease (CKD). We used the Logistic regression and machine learning extreme gradient boosting (XGBoost) to build two models which can predict patients who will progress to AKI stage 3. Established models were evaluated by cross-validation, receiver operating characteristic curve (ROC), and precision-recall curves (PRC). Results: We included 25711 patients, of whom 2130 (8.3%) progressed to AKI stage 3. Creatinine, multiple organ failure syndromes (MODS), blood urea nitrogen (BUN), sepsis, and respiratory failure were the most important in AKI progression prediction. The XGBoost model has a better performance than the Logistic regression model on predicting AKI stage 3 progression (AU-ROC, 0.926; 95%CI, 0.917 to 0.931 vs. 0.784; 95%CI, 0.771 to 0.796, respectively). Conclusions: The XGboost model can better identify patients with AKI progression than Logistic regression model. Machine learning techniques may improve predictive modeling in medical research. Keywords: Acute kidney injury; Critical care; Logistic Models; Extreme gradient boosting

scholarly journals Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis Patients

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Cheng Qu ◽  
Lin Gao ◽  
Xian-qiang Yu ◽  
Mei Wei ◽  
Guo-quan Fang ◽  
...  
Keyword(s):  
Machine Learning ◽  
Acute Kidney Injury ◽  
Acute Pancreatitis ◽  
Logistic Regression ◽  
Kidney Injury ◽  
Gradient Boosting ◽  
Support Vector ◽  
Learning Models ◽  
Extreme Gradient Boosting ◽  
Machine Learning Models

Background. Acute kidney injury (AKI) has long been recognized as a common and important complication of acute pancreatitis (AP). In the study, machine learning (ML) techniques were used to establish predictive models for AKI in AP patients during hospitalization. This is a retrospective review of prospectively collected data of AP patients admitted within one week after the onset of abdominal pain to our department from January 2014 to January 2019. Eighty patients developed AKI after admission (AKI group) and 254 patients did not (non-AKI group) in the hospital. With the provision of additional information such as demographic characteristics or laboratory data, support vector machine (SVM), random forest (RF), classification and regression tree (CART), and extreme gradient boosting (XGBoost) were used to build models of AKI prediction and compared to the predictive performance of the classic model using logistic regression (LR). XGBoost performed best in predicting AKI with an AUC of 91.93% among the machine learning models. The AUC of logistic regression analysis was 87.28%. Present findings suggest that compared to the classical logistic regression model, machine learning models using features that can be easily obtained at admission had a better performance in predicting AKI in the AP patients.

scholarly journals Machine Learning for the Prediction of Progression in Patients With Acute Kidney Injury in Critical Care

2020 ◽  
Author(s):  
Lifan Zhang ◽  
Canzheng Wei ◽  
Xuepeng Zhang ◽  
Aijia Ma ◽  
Jiangli Cheng ◽  
...  
Keyword(s):  
Machine Learning ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Regression Model ◽  
Cox Regression ◽  
Kidney Injury ◽  
Machine Learning Techniques ◽  
Gradient Boosting ◽  
Cox Regression Model ◽  
Extreme Gradient Boosting

Abstract Background Acute kidney injury (AKI) is a serve and harmful syndrome in the intensive care unit. Our previous study has shown that patients who will progress to AKI 3 stage are considered to receive RRT. This study aimed to develop a prediction model that can predict whether progression to AKI stage 3. Methods Patients with AKI stage 1/2, when they were first diagnosed with AKI in the Medical Information Mart for Intensive Care (MIMIC-III), were included. Patients who receive RRT or progress to AKI 3 stage within 72 hours of first AKI diagnosis were excluded. We build two predictive models, respectively using machine learning extreme gradient boosting (XGBoost) and logistic regression, to predict patients who will progress to AKI stage 3. Established models were evaluated by cross-validation and area under receiver operating characteristic curve (AU-ROC). Results Of the 29238 patients included in the analysis, 3237 (11.1%) patients progressed to AKI stage 3. Creatinine, blood urea nitrogen (BUN), sepsis and respiratory failure were the important predictors of AKI progression. The machine learning XGBoost model has a better performance than the Cox regression model on predicting AKI stage 3 progression (AU-ROC, 0.860 vs. 0.728, respectively). Conclusions The XGBoost model was able to identify patients with AKI progression better than the Cox regression model. Machine learning techniques may improve predictive modeling in medical research.

scholarly journals Prediction of population behavior of Listeria monocytogenes in food using machine learning and a microbial growth and survival database

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Satoko Hiura ◽  
Shige Koseki ◽  
Kento Koyama
Keyword(s):  
Machine Learning ◽  
Data Mining ◽  
Listeria Monocytogenes ◽  
Water Activity ◽  
Bacterial Population ◽  
Gradient Boosting ◽  
Initial Cell ◽  
Data Mining Approach ◽  
Cell Counts ◽  
Extreme Gradient Boosting

AbstractIn predictive microbiology, statistical models are employed to predict bacterial population behavior in food using environmental factors such as temperature, pH, and water activity. As the amount and complexity of data increase, handling all data with high-dimensional variables becomes a difficult task. We propose a data mining approach to predict bacterial behavior using a database of microbial responses to food environments. Listeria monocytogenes, which is one of pathogens, population growth and inactivation data under 1,007 environmental conditions, including five food categories (beef, culture medium, pork, seafood, and vegetables) and temperatures ranging from 0 to 25 °C, were obtained from the ComBase database (www.combase.cc). We used eXtreme gradient boosting tree, a machine learning algorithm, to predict bacterial population behavior from eight explanatory variables: ‘time’, ‘temperature’, ‘pH’, ‘water activity’, ‘initial cell counts’, ‘whether the viable count is initial cell number’, and two types of categories regarding food. The root mean square error of the observed and predicted values was approximately 1.0 log CFU regardless of food category, and this suggests the possibility of predicting viable bacterial counts in various foods. The data mining approach examined here will enable the prediction of bacterial population behavior in food by identifying hidden patterns within a large amount of data.

scholarly journals Development and validation of a difficult laryngoscopy prediction model using machine learning of neck circumference and thyromental height

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jong Ho Kim ◽  
Haewon Kim ◽  
Ji Su Jang ◽  
Sung Mi Hwang ◽  
So Young Lim ◽  
...  
Keyword(s):  
Machine Learning ◽  
Random Forest ◽  
Confidence Interval ◽  
Neck Circumference ◽  
Difficult Laryngoscopy ◽  
Gradient Boosting ◽  
Test Set ◽  
Equal Distribution ◽  
Light Gradient ◽  
Extreme Gradient Boosting

Abstract Background Predicting difficult airway is challengeable in patients with limited airway evaluation. The aim of this study is to develop and validate a model that predicts difficult laryngoscopy by machine learning of neck circumference and thyromental height as predictors that can be used even for patients with limited airway evaluation. Methods Variables for prediction of difficulty laryngoscopy included age, sex, height, weight, body mass index, neck circumference, and thyromental distance. Difficult laryngoscopy was defined as Grade 3 and 4 by the Cormack-Lehane classification. The preanesthesia and anesthesia data of 1677 patients who had undergone general anesthesia at a single center were collected. The data set was randomly stratified into a training set (80%) and a test set (20%), with equal distribution of difficulty laryngoscopy. The training data sets were trained with five algorithms (logistic regression, multilayer perceptron, random forest, extreme gradient boosting, and light gradient boosting machine). The prediction models were validated through a test set. Results The model’s performance using random forest was best (area under receiver operating characteristic curve = 0.79 [95% confidence interval: 0.72–0.86], area under precision-recall curve = 0.32 [95% confidence interval: 0.27–0.37]). Conclusions Machine learning can predict difficult laryngoscopy through a combination of several predictors including neck circumference and thyromental height. The performance of the model can be improved with more data, a new variable and combination of models.

scholarly journals Interpretable Machine Learning for Early Neurological Deterioration Prediction in Atrial Fibrillation-Related Stroke

2021 ◽  
Author(s):  
Seong Hwan Kim ◽  
Eun-Tae Jeon ◽  
Sungwook Yu ◽  
Kyungmi O ◽  
Chi Kyung Kim ◽  
...  
Keyword(s):  
Machine Learning ◽  
Atrial Fibrillation ◽  
Neurological Deterioration ◽  
Gradient Boosting ◽  
Support Vector ◽  
Light Gradient ◽  
Interpretable Machine Learning ◽  
Extreme Gradient Boosting ◽  
Early Neurological Deterioration ◽  
Feature Importance

Abstract We aimed to develop a novel prediction model for early neurological deterioration (END) based on an interpretable machine learning (ML) algorithm for atrial fibrillation (AF)-related stroke and to evaluate the prediction accuracy and feature importance of ML models. Data from multi-center prospective stroke registries in South Korea were collected. After stepwise data preprocessing, we utilized logistic regression, support vector machine, extreme gradient boosting, light gradient boosting machine (LightGBM), and multilayer perceptron models. We used the Shapley additive explanations (SHAP) method to evaluate feature importance. Of the 3,623 stroke patients, the 2,363 who had arrived at the hospital within 24 hours of symptom onset and had available information regarding END were included. Of these, 318 (13.5%) had END. The LightGBM model showed the highest area under the receiver operating characteristic curve (0.778, 95% CI, 0.726 - 0.830). The feature importance analysis revealed that fasting glucose level and the National Institute of Health Stroke Scale score were the most influential factors. Among ML algorithms, the LightGBM model was particularly useful for predicting END, as it revealed new and diverse predictors. Additionally, the SHAP method can be adjusted to individualize the features’ effects on the predictive power of the model.

scholarly journals Prediction of Acute Kidney Injury after Liver Transplantation: Machine Learning Approaches vs. Logistic Regression Model

2018 ◽  
Vol 7 (11) ◽  
pp. 428 ◽  
Author(s):  
Hyung-Chul Lee ◽  
Soo Yoon ◽  
Seong-Mi Yang ◽  
Won Kim ◽  
Ho-Geol Ryu ◽  
...  
Keyword(s):  
Machine Learning ◽  
Liver Transplantation ◽  
Acute Kidney Injury ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Kidney Injury ◽  
Gradient Boosting ◽  
Learning Approaches ◽  
Gradient Boosting Machine

Acute kidney injury (AKI) after liver transplantation has been reported to be associated with increased mortality. Recently, machine learning approaches were reported to have better predictive ability than the classic statistical analysis. We compared the performance of machine learning approaches with that of logistic regression analysis to predict AKI after liver transplantation. We reviewed 1211 patients and preoperative and intraoperative anesthesia and surgery-related variables were obtained. The primary outcome was postoperative AKI defined by acute kidney injury network criteria. The following machine learning techniques were used: decision tree, random forest, gradient boosting machine, support vector machine, naïve Bayes, multilayer perceptron, and deep belief networks. These techniques were compared with logistic regression analysis regarding the area under the receiver-operating characteristic curve (AUROC). AKI developed in 365 patients (30.1%). The performance in terms of AUROC was best in gradient boosting machine among all analyses to predict AKI of all stages (0.90, 95% confidence interval [CI] 0.86–0.93) or stage 2 or 3 AKI. The AUROC of logistic regression analysis was 0.61 (95% CI 0.56–0.66). Decision tree and random forest techniques showed moderate performance (AUROC 0.86 and 0.85, respectively). The AUROC of support the vector machine, naïve Bayes, neural network, and deep belief network was smaller than that of the other models. In our comparison of seven machine learning approaches with logistic regression analysis, the gradient boosting machine showed the best performance with the highest AUROC. An internet-based risk estimator was developed based on our model of gradient boosting. However, prospective studies are required to validate our results.

scholarly journals Modeling of nitrogen solubility in normal alkanes using machine learning methods compared with cubic and PC-SAFT equations of state

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Seyed Ali Madani ◽  
Mohammad-Reza Mohammadi ◽  
Saeid Atashrouz ◽  
Ali Abedi ◽  
Abdolhossein Hemmati-Sarapardeh ◽  
...  
Keyword(s):  
Machine Learning ◽  
Molecular Weight ◽  
Oil Recovery ◽  
Equations Of State ◽  
Coefficient Of Determination ◽  
Gradient Boosting ◽  
Operating Pressure ◽  
Normal Alkanes ◽  
Light Gradient ◽  
Extreme Gradient Boosting

AbstractAccurate prediction of the solubility of gases in hydrocarbons is a crucial factor in designing enhanced oil recovery (EOR) operations by gas injection as well as separation, and chemical reaction processes in a petroleum refinery. In this work, nitrogen (N2) solubility in normal alkanes as the major constituents of crude oil was modeled using five representative machine learning (ML) models namely gradient boosting with categorical features support (CatBoost), random forest, light gradient boosting machine (LightGBM), k-nearest neighbors (k-NN), and extreme gradient boosting (XGBoost). A large solubility databank containing 1982 data points was utilized to establish the models for predicting N2 solubility in normal alkanes as a function of pressure, temperature, and molecular weight of normal alkanes over broad ranges of operating pressure (0.0212–69.12 MPa) and temperature (91–703 K). The molecular weight range of normal alkanes was from 16 to 507 g/mol. Also, five equations of state (EOSs) including Redlich–Kwong (RK), Soave–Redlich–Kwong (SRK), Zudkevitch–Joffe (ZJ), Peng–Robinson (PR), and perturbed-chain statistical associating fluid theory (PC-SAFT) were used comparatively with the ML models to estimate N2 solubility in normal alkanes. Results revealed that the CatBoost model is the most precise model in this work with a root mean square error of 0.0147 and coefficient of determination of 0.9943. ZJ EOS also provided the best estimates for the N2 solubility in normal alkanes among the EOSs. Lastly, the results of relevancy factor analysis indicated that pressure has the greatest influence on N2 solubility in normal alkanes and the N2 solubility increases with increasing the molecular weight of normal alkanes.

scholarly journals Machine learning-based prediction of acute kidney injury after nephrectomy in patients with renal cell carcinoma

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yeonhee Lee ◽  
Jiwon Ryu ◽  
Min Woo Kang ◽  
Kyung Ha Seo ◽  
Jayoun Kim ◽  
...  
Keyword(s):  
Machine Learning ◽  
Renal Cell Carcinoma ◽  
Acute Kidney Injury ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Kidney Injury ◽  
Gradient Boosting ◽  
Scoring Model ◽  
Postoperative Aki ◽  
Better Than

AbstractThe precise prediction of acute kidney injury (AKI) after nephrectomy for renal cell carcinoma (RCC) is an important issue because of its relationship with subsequent kidney dysfunction and high mortality. Herein we addressed whether machine learning (ML) algorithms could predict postoperative AKI risk better than conventional logistic regression (LR) models. A total of 4104 RCC patients who had undergone unilateral nephrectomy from January 2003 to December 2017 were reviewed. ML models such as support vector machine, random forest, extreme gradient boosting, and light gradient boosting machine (LightGBM) were developed, and their performance based on the area under the receiver operating characteristic curve, accuracy, and F1 score was compared with that of the LR-based scoring model. Postoperative AKI developed in 1167 patients (28.4%). All the ML models had higher performance index values than the LR-based scoring model. Among them, the LightGBM model had the highest value of 0.810 (0.783–0.837). The decision curve analysis demonstrated a greater net benefit of the ML models than the LR-based scoring model over all the ranges of threshold probabilities. The application of ML algorithms improves the predictability of AKI after nephrectomy for RCC, and these models perform better than conventional LR-based models.

Protein pKa prediction by tree-based machine learning

2021 ◽  
Author(s):  
Ada Y. Chen ◽  
Juyong Lee ◽  
Ana Damjanovic ◽  
Bernard R. Brooks
Keyword(s):  
Machine Learning ◽  
Machine Learning Algorithms ◽  
Gradient Boosting ◽  
Pka Prediction ◽  
Light Gradient ◽  
Structure Database ◽  
Gradient Boosting Machine ◽  
Extreme Gradient Boosting ◽  
Better Than ◽  
Protein Pka

We present four tree-based machine learning models for protein pKa prediction. The four models, Random Forest, Extra Trees, eXtreme Gradient Boosting (XGBoost) and Light Gradient Boosting Machine (LightGBM), were trained on three experimental PDB and pKa datasets, two of which included a notable portion of internal residues. We observed similar performance among the four machine learning algorithms. The best model trained on the largest dataset performs 37% better than the widely used empirical pKa prediction tool PROPKA. The overall RMSE for this model is 0.69, with surface and buried RMSE values being 0.56 and 0.78, respectively, considering six residue types (Asp, Glu, His, Lys, Cys and Tyr), and 0.63 when considering Asp, Glu, His and Lys only. We provide pKa predictions for proteins in human proteome from the AlphaFold Protein Structure Database and observed that 1% of Asp/Glu/Lys residues have highly shifted pKa values close to the physiological pH.

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