Predicting Olfactory Loss In Chronic Rhinosinusitis Using Machine Learning

ABSTRACTObjectiveCompare machine learning (ML) based predictive analytics methods to traditional logistic regression in classification of olfactory dysfunction in chronic rhinosinusitis (CRS-OD), and identify predictors within a large multi-institutional cohort of refractory CRS patients.MethodsAdult CRS patients enrolled in a prospective, multi-institutional, observational cohort study were assessed for baseline CRS-OD using a smell identification test (SIT) or brief SIT (bSIT). Four different ML methods were compared to traditional logistic regression for classification of CRS normosmics versus CRS-OD.ResultsData were collected for 611 study participants who met inclusion criteria between April 2011 and July 2015. 34% of enrolled patients demonstrated olfactory loss on psychophysical testing. Differences between CRS normosmics and those with smell loss included objective disease measures (CT and endoscopy scores), age, sex, prior surgeries, socioeconomic status, steroid use, polyp presence, asthma, and aspirin sensitivity. Most ML methods outperformed traditional logistic regression in terms of predictive ability. Top predictors include factors previously reported in the literature, as well as several socioeconomic factors.ConclusionOlfactory dysfunction is a variable phenomenon in CRS patients. ML methods outperform traditional logistic regression in classification of normosmia versus smell loss in CRS, and are able to include numerous risk factors into prediction models. These results carry implications for basic science and clinical research in hyposmia secondary to sinonasal disease, the most common cause of persistent olfactory loss in the general population.

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Predicting Olfactory Loss In Chronic Rhinosinusitis Using Machine Learning

Chemical Senses ◽

10.1093/chemse/bjab042 ◽

2021 ◽

Author(s):

Vijay R Ramakrishnan ◽

Jaron Arbet ◽

Jess C Mace ◽

Krithika Suresh ◽

Stephanie Shintani Smith ◽

...

Keyword(s):

Machine Learning ◽

Risk Factors ◽

Logistic Regression ◽

Chronic Rhinosinusitis ◽

Prediction Models ◽

Predictive Analytics ◽

Olfactory Dysfunction ◽

Olfactory Loss ◽

Smell Loss

Abstract Objective Compare machine learning (ML) based predictive analytics methods to traditional logistic regression in classification of olfactory dysfunction in chronic rhinosinusitis (CRS-OD), and identify predictors within a large multi-institutional cohort of refractory CRS patients. Methods Adult CRS patients enrolled in a prospective, multi-institutional, observational cohort study were assessed for baseline CRS-OD using a smell identification test (SIT) or brief SIT (bSIT). Four different ML methods were compared to traditional logistic regression for classification of CRS normosmics versus CRS-OD. Results Data were collected for 611 study participants who met inclusion criteria between April 2011 and July 2015. 34% of enrolled patients demonstrated olfactory loss on psychophysical testing. Differences between CRS normosmics and those with smell loss included objective disease measures (CT and endoscopy scores), age, sex, prior surgeries, socioeconomic status, steroid use, polyp presence, asthma, and aspirin sensitivity. Most ML methods performed favorably in terms of predictive ability. Top predictors include factors previously reported in the literature, as well as several socioeconomic factors. Conclusion Olfactory dysfunction is a variable phenomenon in CRS patients. ML methods perform well compared to traditional logistic regression in classification of normosmia versus smell loss in CRS, and are able to include numerous risk factors into prediction models. Several actionable features were identified as risk factors for CRS-OD. These results suggest that ML methods may be useful for current understanding and future study of hyposmia secondary to sinonasal disease, the most common cause of persistent olfactory loss in the general population.

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Predictors of remission from body dysmorphic disorder after internet-delivered cognitive behavior therapy: a machine learning approach

10.31234/osf.io/eqcdx ◽

2019 ◽

Author(s):

Oskar Flygare ◽

Jesper Enander ◽

Erik Andersson ◽

Brjánn Ljótsson ◽

Volen Z Ivanov ◽

...

Keyword(s):

Machine Learning ◽

Logistic Regression ◽

Random Forests ◽

Clinical Utility ◽

Body Dysmorphic Disorder ◽

Prediction Models ◽

Behavioral Therapy ◽

Learning Approach ◽

Learning Approaches ◽

Machine Learning Approach

**Background:** Previous attempts to identify predictors of treatment outcomes in body dysmorphic disorder (BDD) have yielded inconsistent findings. One way to increase precision and clinical utility could be to use machine learning methods, which can incorporate multiple non-linear associations in prediction models. **Methods:** This study used a random forests machine learning approach to test if it is possible to reliably predict remission from BDD in a sample of 88 individuals that had received internet-delivered cognitive behavioral therapy for BDD. The random forest models were compared to traditional logistic regression analyses. **Results:** Random forests correctly identified 78% of participants as remitters or non-remitters at post-treatment. The accuracy of prediction was lower in subsequent follow-ups (68%, 66% and 61% correctly classified at 3-, 12- and 24-month follow-ups, respectively). Depressive symptoms, treatment credibility, working alliance, and initial severity of BDD were among the most important predictors at the beginning of treatment. By contrast, the logistic regression models did not identify consistent and strong predictors of remission from BDD. **Conclusions:** The results provide initial support for the clinical utility of machine learning approaches in the prediction of outcomes of patients with BDD. **Trial registration:** ClinicalTrials.gov ID: NCT02010619.

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Development of Machine Learning Models to Predict Probabilities and Types of Stroke at Prehospital Stage: the Japan Urgent Stroke Triage Score Using Machine Learning (JUST-ML)

Translational Stroke Research ◽

10.1007/s12975-021-00937-x ◽

2021 ◽

Author(s):

Kazutaka Uchida ◽

Junichi Kouno ◽

Shinichi Yoshimura ◽

Norito Kinjo ◽

Fumihiro Sakakibara ◽

...

Keyword(s):

Machine Learning ◽

Logistic Regression ◽

Random Forests ◽

Prediction Models ◽

Characteristic Curve ◽

Predictive Performance ◽

Vessel Occlusion ◽

Predictive Values ◽

Training Cohort ◽

Sensitivity Specificity

AbstractIn conjunction with recent advancements in machine learning (ML), such technologies have been applied in various fields owing to their high predictive performance. We tried to develop prehospital stroke scale with ML. We conducted multi-center retrospective and prospective cohort study. The training cohort had eight centers in Japan from June 2015 to March 2018, and the test cohort had 13 centers from April 2019 to March 2020. We use the three different ML algorithms (logistic regression, random forests, XGBoost) to develop models. Main outcomes were large vessel occlusion (LVO), intracranial hemorrhage (ICH), subarachnoid hemorrhage (SAH), and cerebral infarction (CI) other than LVO. The predictive abilities were validated in the test cohort with accuracy, positive predictive value, sensitivity, specificity, area under the receiver operating characteristic curve (AUC), and F score. The training cohort included 3178 patients with 337 LVO, 487 ICH, 131 SAH, and 676 CI cases, and the test cohort included 3127 patients with 183 LVO, 372 ICH, 90 SAH, and 577 CI cases. The overall accuracies were 0.65, and the positive predictive values, sensitivities, specificities, AUCs, and F scores were stable in the test cohort. The classification abilities were also fair for all ML models. The AUCs for LVO of logistic regression, random forests, and XGBoost were 0.89, 0.89, and 0.88, respectively, in the test cohort, and these values were higher than the previously reported prediction models for LVO. The ML models developed to predict the probability and types of stroke at the prehospital stage had superior predictive abilities.

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Prediction of Hourly Effect of Land Use on Crime

ISPRS International Journal of Geo-Information ◽

10.3390/ijgi8010016 ◽

2018 ◽

Vol 8 (1) ◽

pp. 16 ◽

Cited By ~ 4

Author(s):

Irina Matijosaitiene ◽

Peng Zhao ◽

Sylvain Jaume ◽

Joseph Gilkey Jr

Keyword(s):

Machine Learning ◽

Land Use ◽

Logistic Regression ◽

Hot Spots ◽

Urban Areas ◽

Prediction Models ◽

Hot Spot ◽

Time Range ◽

Land Uses ◽

Police Departments

Predicting the exact urban places where crime is most likely to occur is one of the greatest interests for Police Departments. Therefore, the goal of the research presented in this paper is to identify specific urban areas where a crime could happen in Manhattan, NY for every hour of a day. The outputs from this research are the following: (i) predicted land uses that generates the top three most committed crimes in Manhattan, by using machine learning (random forest and logistic regression), (ii) identifying the exact hours when most of the assaults are committed, together with hot spots during these hours, by applying time series and hot spot analysis, (iii) built hourly prediction models for assaults based on the land use, by deploying logistic regression. Assault, as a physical attack on someone, according to criminal law, is identified as the third most committed crime in Manhattan. Land use (residential, commercial, recreational, mixed use etc.) is assigned to every area or lot in Manhattan, determining the actual use or activities within each particular lot. While plotting assaults on the map for every hour, this investigation has identified that the hot spots where assaults occur were ‘moving’ and not confined to specific lots within Manhattan. This raises a number of questions: Why are hot spots of assaults not static in an urban environment? What makes them ‘move’—is it a particular urban pattern? Is the ‘movement’ of hot spots related to human activities during the day and night? Answering these questions helps to build the initial frame for assault prediction within every hour of a day. Knowing a specific land use vulnerability to assault during each exact hour can assist the police departments to allocate forces during those hours in risky areas. For the analysis, the study is using two datasets: a crime dataset with geographical locations of crime, date and time, and a geographic dataset about land uses with land use codes for every lot, each obtained from open databases. The study joins two datasets based on the spatial location and classifies data into 24 classes, based on the time range when the assault occurred. Machine learning methods reveal the effect of land uses on larceny, harassment and assault, the three most committed crimes in Manhattan. Finally, logistic regression provides hourly prediction models and unveils the type of land use where assaults could occur during each hour for both day and night.

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45 Application of Machine Learning Models to Thermal Burn Patient Outcome Predictions in the Aftermath of a Nuclear Event

Journal of Burn Care & Research ◽

10.1093/jbcr/irab032.049 ◽

2021 ◽

Vol 42 (Supplement_1) ◽

pp. S33-S34

Author(s):

Morgan A Taylor ◽

Randy D Kearns ◽

Jeffrey E Carter ◽

Mark H Ebell ◽

Curt A Harris

Keyword(s):

Machine Learning ◽

Logistic Regression ◽

Length Of Stay ◽

Regression Models ◽

Large Scale ◽

Prediction Models ◽

Burn Patients ◽

Thermal Burn ◽

Logistic Regression Models ◽

Burn Patient

Abstract Introduction A nuclear disaster would generate an unprecedented volume of thermal burn patients from the explosion and subsequent mass fires (Figure 1). Prediction models characterizing outcomes for these patients may better equip healthcare providers and other responders to manage large scale nuclear events. Logistic regression models have traditionally been employed to develop prediction scores for mortality of all burn patients. However, other healthcare disciplines have increasingly transitioned to machine learning (ML) models, which are automatically generated and continually improved, potentially increasing predictive accuracy. Preliminary research suggests ML models can predict burn patient mortality more accurately than commonly used prediction scores. The purpose of this study is to examine the efficacy of various ML methods in assessing thermal burn patient mortality and length of stay in burn centers. Methods This retrospective study identified patients with fire/flame burn etiologies in the National Burn Repository between the years 2009 – 2018. Patients were randomly partitioned into a 67%/33% split for training and validation. A random forest model (RF) and an artificial neural network (ANN) were then constructed for each outcome, mortality and length of stay. These models were then compared to logistic regression models and previously developed prediction tools with similar outcomes using a combination of classification and regression metrics. Results During the study period, 82,404 burn patients with a thermal etiology were identified in the analysis. The ANN models will likely tend to overfit the data, which can be resolved by ending the model training early or adding additional regularization parameters. Further exploration of the advantages and limitations of these models is forthcoming as metric analyses become available. Conclusions In this proof-of-concept study, we anticipate that at least one ML model will predict the targeted outcomes of thermal burn patient mortality and length of stay as judged by the fidelity with which it matches the logistic regression analysis. These advancements can then help disaster preparedness programs consider resource limitations during catastrophic incidents resulting in burn injuries.

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Predicting hospitalization following psychiatric crisis care using machine learning

BMC Medical Informatics and Decision Making ◽

10.1186/s12911-020-01361-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Matthijs Blankers ◽

Louk F. M. van der Post ◽

Jack J. M. Dekker

Keyword(s):

Machine Learning ◽

Logistic Regression ◽

Prediction Models ◽

Learning Algorithms ◽

Nearest Neighbors ◽

Machine Learning Algorithms ◽

Gradient Boosting ◽

Ensemble Model ◽

K Nearest Neighbors ◽

Crisis Care

Abstract Background Accurate prediction models for whether patients on the verge of a psychiatric criseis need hospitalization are lacking and machine learning methods may help improve the accuracy of psychiatric hospitalization prediction models. In this paper we evaluate the accuracy of ten machine learning algorithms, including the generalized linear model (GLM/logistic regression) to predict psychiatric hospitalization in the first 12 months after a psychiatric crisis care contact. We also evaluate an ensemble model to optimize the accuracy and we explore individual predictors of hospitalization. Methods Data from 2084 patients included in the longitudinal Amsterdam Study of Acute Psychiatry with at least one reported psychiatric crisis care contact were included. Target variable for the prediction models was whether the patient was hospitalized in the 12 months following inclusion. The predictive power of 39 variables related to patients’ socio-demographics, clinical characteristics and previous mental health care contacts was evaluated. The accuracy and area under the receiver operating characteristic curve (AUC) of the machine learning algorithms were compared and we also estimated the relative importance of each predictor variable. The best and least performing algorithms were compared with GLM/logistic regression using net reclassification improvement analysis and the five best performing algorithms were combined in an ensemble model using stacking. Results All models performed above chance level. We found Gradient Boosting to be the best performing algorithm (AUC = 0.774) and K-Nearest Neighbors to be the least performing (AUC = 0.702). The performance of GLM/logistic regression (AUC = 0.76) was slightly above average among the tested algorithms. In a Net Reclassification Improvement analysis Gradient Boosting outperformed GLM/logistic regression by 2.9% and K-Nearest Neighbors by 11.3%. GLM/logistic regression outperformed K-Nearest Neighbors by 8.7%. Nine of the top-10 most important predictor variables were related to previous mental health care use. Conclusions Gradient Boosting led to the highest predictive accuracy and AUC while GLM/logistic regression performed average among the tested algorithms. Although statistically significant, the magnitude of the differences between the machine learning algorithms was in most cases modest. The results show that a predictive accuracy similar to the best performing model can be achieved when combining multiple algorithms in an ensemble model.

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Prediksi Not Operational Transaction Menggunakan Logistic Regression pada Bank XYZ di Kota Kupang

AITI ◽

10.24246/aiti.v17i1.42-55 ◽

2020 ◽

Vol 17 (1) ◽

pp. 42-55

Author(s):

Radius Tanone ◽

Arnold B Emmanuel

Keyword(s):

Machine Learning ◽

Logistic Regression ◽

Regression Method ◽

Learning Approach ◽

Know How ◽

Independent Variables ◽

Machine Learning Approach ◽

Logistic Regression Method ◽

Python Programming

Bank XYZ is one of the banks in Kupang City, East Nusa Tenggara Province which has several ATM machines and is placed in several merchant locations. The existing ATM machine is one of the goals of customers and non-customers in conducting transactions at the ATM machine. The placement of the ATM machines sometimes makes the machine not used optimally by the customer to transact, causing the disposal of machine resources and a condition called Not Operational Transaction (NOP). With the data consisting of several independent variables with numeric types, it is necessary to know how the classification of the dependent variable is NOP. Machine learning approach with Logistic Regression method is the solution in doing this classification. Some research steps are carried out by collecting data, analyzing using machine learning using python programming and writing reports. The results obtained with this machine learning approach is the resulting prediction value of 0.507 for its classification. This means that in the future XYZ Bank can classify NOP conditions based on the behavior of customers or non-customers in making transactions using Bank XYZ ATM machines.

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Machine Learning-based in-hospital Mortality Prediction Models for Patients With Acute Coronary Syndrome

10.21203/rs.3.rs-134944/v1 ◽

2020 ◽

Author(s):

Jun Ke ◽

Yiwei Chen ◽

Xiaoping Wang ◽

Zhiyong Wu ◽

qiongyao Zhang ◽

...

Keyword(s):

Machine Learning ◽

Logistic Regression ◽

Random Forest ◽

Hospital Mortality ◽

Operating Characteristic ◽

Prediction Models ◽

Characteristic Curve ◽

Multivariate Logistic Regression Analysis ◽

Hdl Cholesterol ◽

Coronary Syndrome

Abstract BackgroundThe purpose of this study is to identify the risk factors of in-hospital mortality in patients with acute coronary syndrome (ACS) and to evaluate the performance of traditional regression and machine learning prediction models.MethodsThe data of ACS patients who entered the emergency department of Fujian Provincial Hospital from January 1, 2017 to March 31, 2020 for chest pain were retrospectively collected. The study used univariate and multivariate logistic regression analysis to identify risk factors for in-hospital mortality of ACS patients. The traditional regression and machine learning algorithms were used to develop predictive models, and the sensitivity, specificity, and receiver operating characteristic curve were used to evaluate the performance of each model.ResultsA total of 7810 ACS patients were included in the study, and the in-hospital mortality rate was 1.75%. Multivariate logistic regression analysis found that age and levels of D-dimer, cardiac troponin I, N-terminal pro-B-type natriuretic peptide (NT-proBNP), lactate dehydrogenase (LDH), high-density lipoprotein (HDL) cholesterol, and calcium channel blockers were independent predictors of in-hospital mortality. The study found that the area under the receiver operating characteristic curve of the models developed by logistic regression, gradient boosting decision tree (GBDT), random forest, and support vector machine (SVM) for predicting the risk of in-hospital mortality were 0.963, 0.960, 0.963, and 0.959, respectively. Feature importance evaluation found that NT-proBNP, LDH, and HDL cholesterol were top three variables that contribute the most to the prediction performance of the GBDT model and random forest model.ConclusionsThe predictive model developed using logistic regression, GBDT, random forest, and SVM algorithms can be used to predict the risk of in-hospital death of ACS patients. Based on our findings, we recommend that clinicians focus on monitoring the changes of NT-proBNP, LDH, and HDL cholesterol, as this may improve the clinical outcomes of ACS patients.

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Abstract 16588: Using Machine Learning to Improve Survival Prediction After Heart Transplantation

Circulation ◽

10.1161/circ.142.suppl_3.16588 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Brian Ayers ◽

Toumas Sandhold ◽

Igor Gosev ◽

Sunil Prasad ◽

Arman Kilic

Keyword(s):

Machine Learning ◽

Logistic Regression ◽

Heart Transplantation ◽

Risk Prediction ◽

Predictive Analytics ◽

Predictive Performance ◽

Orthotopic Heart Transplantation ◽

Survival Prediction ◽

One Year ◽

Testing Set

Introduction: Prior risk models for predicting survival after orthotopic heart transplantation (OHT) have displayed only modest discriminatory capability. With increasing interest in the application of machine learning (ML) to predictive analytics in clinical medicine, this study aimed to evaluate whether modern ML techniques could improve risk prediction in OHT. Methods: Data from the United Network for Organ Sharing registry was collected for all adult patients that underwent OHT from 2000 through 2019. The primary outcome was one-year post-transplant mortality. Dimensionality reduction and data re-sampling were employed during training. The final ensemble model was created from 100 different models of each algorithm: deep neural network, logistic regression, adaboost, and random forest. Discriminatory capability was assessed using area under receiver-operating-characteristic curve (AUROC), net reclassification index (NRI), and decision curve analysis (DCA). Results: Of the 33,657 study patients, 26,926 (80%) were randomly selected for the training set and 6,731 (20%) as a separate testing set. One-year mortality was balanced between cohorts (11.0% vs 11.3%). The optimal model performance was a final ensemble ML model. This model demonstrated an improved AUROC of 0.764 (95% CI, 0.745-0.782) in the testing set as compared to the other models (Figure). Additionally, the final model demonstrated an improvement of 72.9% ±3.8% (p<0.001) in predictive performance as assessed by NRI compared to logistic regression. The DCA showed the final ensemble method improved risk prediction across the entire spectrum of predicted risk as compared to all other models (p<0.001). Conclusions: An ensemble ML model was able to achieve greater predictive performance as compared to individual ML models as well as logistic regression for predicting survival after OHT. This analysis demonstrates the promise of ML techniques in risk prediction in OHT.

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Machine Learning Dimensionality Reduction Showed Marginal Performance Benefit Over Stepwise Regression for Risk Stratification of Chest Pain Patients in the Emergency Department

10.21203/rs.3.rs-43703/v1 ◽

2020 ◽

Author(s):

Nan Liu ◽

Marcel Lucas Chee ◽

Zhi Xiong Koh ◽

Su Li Leow ◽

Andrew Fu Wah Ho ◽

...

Keyword(s):

Machine Learning ◽

Logistic Regression ◽

Chest Pain ◽

Risk Stratification ◽

Dimensionality Reduction ◽

Prediction Models ◽

Stepwise Logistic Regression ◽

Stepwise Variable Selection ◽

Reduction Methods ◽

Pain Patients

Abstract Background: Chest pain is among the most common presenting complaints in the emergency department (ED). Swift and accurate risk stratification of chest pain patients in the ED may improve patient outcomes and reduce unnecessary costs. Traditional logistic regression with stepwise variable selection has been used to build risk prediction models for ED chest pain patients. In this study, we aimed to investigate if machine learning dimensionality reduction methods can achieve superior performance than the stepwise approach in deriving risk stratification models. Methods: A retrospective analysis was conducted on the data of patients >20 years old who presented to the ED of Singapore General Hospital with chest pain between September 2010 and July 2015. Variables used included demographics, medical history, laboratory findings, heart rate variability (HRV), and HRnV parameters calculated from five to six-minute electrocardiograms (ECGs). The primary outcome was 30-day major adverse cardiac events (MACE), which included death, acute myocardial infarction, and revascularization. Candidate variables identified using univariable analysis were then used to generate the stepwise logistic regression model and eight machine learning dimensionality reduction prediction models. A separate set of models was derived by excluding troponin. Receiver operating characteristic (ROC) and calibration analysis was used to compare model performance.Results: 795 patients were included in the analysis, of which 247 (31%) met the primary outcome of 30-day MACE. Patients with MACE were older and more likely to be male. All eight dimensionality reduction methods marginally but non-significantly outperformed stepwise variable selection; The multidimensional scaling algorithm performed the best with an area under the curve (AUC) of 0.901. All HRnV-based models generated in this study outperformed several existing clinical scores in ROC analysis.Conclusions: HRnV-based models using stepwise logistic regression performed better than existing chest pain scores for predicting MACE, with only marginal improvements using machine learning dimensionality reduction. Moreover, traditional stepwise approach benefits from model transparency and interpretability; in comparison, machine learning dimensionality reduction models are black boxes, making them difficult to explain in clinical practice.

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