scholarly journals Machine Learning Applied to Clinical Laboratory Data in Spain for COVID-19 Outcome Prediction: Model Development and Validation (Preprint)

2020 ◽  
Author(s):  
Juan L Domínguez-Olmedo ◽  
Álvaro Gragera-Martínez ◽  
Jacinto Mata ◽  
Victoria Pachón Álvarez
Keyword(s):  
Machine Learning ◽  
Health Care ◽  
Human Resources ◽  
Clinical Laboratory ◽  
Severe Disease ◽  
Laboratory Data ◽  
Gradient Boosting ◽  
Lactate Dehydrogenase Activity ◽  
Short Period ◽  
Extreme Gradient Boosting

BACKGROUND The COVID-19 pandemic is probably the greatest health catastrophe of the modern era. Spain’s health care system has been exposed to uncontrollable numbers of patients over a short period, causing the system to collapse. Given that diagnosis is not immediate, and there is no effective treatment for COVID-19, other tools have had to be developed to identify patients at the risk of severe disease complications and thus optimize material and human resources in health care. There are no tools to identify patients who have a worse prognosis than others. OBJECTIVE This study aimed to process a sample of electronic health records of patients with COVID-19 in order to develop a machine learning model to predict the severity of infection and mortality from among clinical laboratory parameters. Early patient classification can help optimize material and human resources, and analysis of the most important features of the model could provide more detailed insights into the disease. METHODS After an initial performance evaluation based on a comparison with several other well-known methods, the extreme gradient boosting algorithm was selected as the predictive method for this study. In addition, Shapley Additive Explanations was used to analyze the importance of the features of the resulting model. RESULTS After data preprocessing, 1823 confirmed patients with COVID-19 and 32 predictor features were selected. On bootstrap validation, the extreme gradient boosting classifier yielded a value of 0.97 (95% CI 0.96-0.98) for the area under the receiver operator characteristic curve, 0.86 (95% CI 0.80-0.91) for the area under the precision-recall curve, 0.94 (95% CI 0.92-0.95) for accuracy, 0.77 (95% CI 0.72-0.83) for the F-score, 0.93 (95% CI 0.89-0.98) for sensitivity, and 0.91 (95% CI 0.86-0.96) for specificity. The 4 most relevant features for model prediction were lactate dehydrogenase activity, C-reactive protein levels, neutrophil counts, and urea levels. CONCLUSIONS Our predictive model yielded excellent results in the differentiating among patients who died of COVID-19, primarily from among laboratory parameter values. Analysis of the resulting model identified a set of features with the most significant impact on the prediction, thus relating them to a higher risk of mortality.

scholarly journals Machine Learning Applied to Clinical Laboratory Data in Spain for COVID-19 Outcome Prediction: Model Development and Validation

10.2196/26211 ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. e26211
Author(s):  
Juan L Domínguez-Olmedo ◽  
Álvaro Gragera-Martínez ◽  
Jacinto Mata ◽  
Victoria Pachón Álvarez
Keyword(s):  
Machine Learning ◽  
Health Care ◽  
Human Resources ◽  
Clinical Laboratory ◽  
Severe Disease ◽  
Laboratory Data ◽  
Gradient Boosting ◽  
Lactate Dehydrogenase Activity ◽  
Short Period ◽  
Extreme Gradient Boosting

Background The COVID-19 pandemic is probably the greatest health catastrophe of the modern era. Spain’s health care system has been exposed to uncontrollable numbers of patients over a short period, causing the system to collapse. Given that diagnosis is not immediate, and there is no effective treatment for COVID-19, other tools have had to be developed to identify patients at the risk of severe disease complications and thus optimize material and human resources in health care. There are no tools to identify patients who have a worse prognosis than others. Objective This study aimed to process a sample of electronic health records of patients with COVID-19 in order to develop a machine learning model to predict the severity of infection and mortality from among clinical laboratory parameters. Early patient classification can help optimize material and human resources, and analysis of the most important features of the model could provide more detailed insights into the disease. Methods After an initial performance evaluation based on a comparison with several other well-known methods, the extreme gradient boosting algorithm was selected as the predictive method for this study. In addition, Shapley Additive Explanations was used to analyze the importance of the features of the resulting model. Results After data preprocessing, 1823 confirmed patients with COVID-19 and 32 predictor features were selected. On bootstrap validation, the extreme gradient boosting classifier yielded a value of 0.97 (95% CI 0.96-0.98) for the area under the receiver operator characteristic curve, 0.86 (95% CI 0.80-0.91) for the area under the precision-recall curve, 0.94 (95% CI 0.92-0.95) for accuracy, 0.77 (95% CI 0.72-0.83) for the F-score, 0.93 (95% CI 0.89-0.98) for sensitivity, and 0.91 (95% CI 0.86-0.96) for specificity. The 4 most relevant features for model prediction were lactate dehydrogenase activity, C-reactive protein levels, neutrophil counts, and urea levels. Conclusions Our predictive model yielded excellent results in the differentiating among patients who died of COVID-19, primarily from among laboratory parameter values. Analysis of the resulting model identified a set of features with the most significant impact on the prediction, thus relating them to a higher risk of mortality.

scholarly journals Machine Learning in Prediction of Bladder Cancer on Clinical Laboratory Data

Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 203
Author(s):  
I-Jung Tsai ◽  
Wen-Chi Shen ◽  
Chia-Ling Lee ◽  
Horng-Dar Wang ◽  
Ching-Yu Lin
Keyword(s):  
Machine Learning ◽  
Bladder Cancer ◽  
Clinical Laboratory ◽  
Screening Method ◽  
Laboratory Data ◽  
Gradient Boosting ◽  
Support Vector ◽  
Urinary Cytology ◽  
Light Gradient ◽  
Extreme Gradient Boosting

Bladder cancer has been increasing globally. Urinary cytology is considered a major screening method for bladder cancer, but it has poor sensitivity. This study aimed to utilize clinical laboratory data and machine learning methods to build predictive models of bladder cancer. A total of 1336 patients with cystitis, bladder cancer, kidney cancer, uterus cancer, and prostate cancer were enrolled in this study. Two-step feature selection combined with WEKA and forward selection was performed. Furthermore, five machine learning models, including decision tree, random forest, support vector machine, extreme gradient boosting (XGBoost), and light gradient boosting machine (GBM) were applied. Features, including calcium, alkaline phosphatase (ALP), albumin, urine ketone, urine occult blood, creatinine, alanine aminotransferase (ALT), and diabetes were selected. The lightGBM model obtained an accuracy of 84.8% to 86.9%, a sensitivity 84% to 87.8%, a specificity of 82.9% to 86.7%, and an area under the curve (AUC) of 0.88 to 0.92 in discriminating bladder cancer from cystitis and other cancers. Our study provides a demonstration of utilizing clinical laboratory data to predict bladder cancer.

scholarly journals Enhancing Robustness of Machine Learning Integration With Routine Laboratory Blood Tests to Predict Inpatient Mortality After Intracerebral Hemorrhage

2022 ◽  
Vol 12 ◽  
Author(s):  
Wei Chen ◽  
Xiangkui Li ◽  
Lu Ma ◽  
Dong Li
Keyword(s):  
Machine Learning ◽  
Intracerebral Hemorrhage ◽  
Laboratory Tests ◽  
Model Building ◽  
Laboratory Data ◽  
Gradient Boosting ◽  
Routine Laboratory ◽  
Inpatient Mortality ◽  
Laboratory Parameters ◽  
Extreme Gradient Boosting

Objective: The accurate evaluation of outcomes at a personalized level in patients with intracerebral hemorrhage (ICH) is critical clinical implications. This study aims to evaluate how machine learning integrates with routine laboratory tests and electronic health records (EHRs) data to predict inpatient mortality after ICH.Methods: In this machine learning-based prognostic study, we included 1,835 consecutive patients with acute ICH between October 2010 and December 2018. The model building process incorporated five pre-implant ICH score variables (clinical features) and 13 out of 59 available routine laboratory parameters. We assessed model performance according to a range of learning metrics, such as the mean area under the receiver operating characteristic curve [AUROC]. We also used the Shapley additive explanation algorithm to explain the prediction model.Results: Machine learning models using laboratory data achieved AUROCs of 0.71–0.82 in a split-by-year development/testing scheme. The non-linear eXtreme Gradient Boosting model yielded the highest prediction accuracy. In the held-out validation set of development cohort, the predictive model using comprehensive clinical and laboratory parameters outperformed those using clinical alone in predicting in-hospital mortality (AUROC [95% bootstrap confidence interval], 0.899 [0.897–0.901] vs. 0.875 [0.872–0.877]; P <0.001), with over 81% accuracy, sensitivity, and specificity. We observed similar performance in the testing set.Conclusions: Machine learning integrated with routine laboratory tests and EHRs could significantly promote the accuracy of inpatient ICH mortality prediction. This multidimensional composite prediction strategy might become an intelligent assistive prediction for ICH risk reclassification and offer an example for precision medicine.

Predicting the inpatient hospital cost using a machine learning approach

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Suraj Kulkarni ◽  
Suhas Suresh Ambekar ◽  
Manoj Hudnurkar
Keyword(s):  
Machine Learning ◽  
Health Care ◽  
Random Forest ◽  
Insurance Companies ◽  
Hospital Charges ◽  
Categorical Variables ◽  
Gradient Boosting ◽  
Content Type ◽  
Total Cost ◽  
Extreme Gradient Boosting

Purpose Increasing health-care costs are a major concern, especially in the USA. The purpose of this paper is to predict the hospital charges of a patient before being admitted. This will help a patient who is getting admitted: “electively” can plan his/her finance. Also, this can be used as a tool by payers (insurance companies) to better forecast the amount that a patient might claim. Design/methodology/approach This research method involves secondary data collected from New York state’s patient discharges of 2017. A stratified sampling technique is used to sample the data from the population, feature engineering is done on categorical variables. Different regression techniques are being used to predict the target value “total charges.” Findings Total cost varies linearly with the length of stay. Among all the machine learning algorithms considered, namely, random forest, stochastic gradient descent (SGD) regressor, K nearest neighbors regressor, extreme gradient boosting regressor and gradient boosting regressor, random forest regressor had the best accuracy with R2 value 0.7753. “Age group” was the most important predictor among all the features. Practical implications This model can be helpful for patients who want to compare the cost at different hospitals and can plan their finances accordingly in case of “elective” admission. Insurance companies can predict how much a patient with a particular medical condition might claim by getting admitted to the hospital. Originality/value Health care can be a costly affair if not planned properly. This research gives patients and insurance companies a better prediction of the total cost that they might incur.

scholarly journals A Clinical Decision Web to Predict ICU Admission or Death for Patients Hospitalised with COVID-19 Using Machine Learning Algorithms

2021 ◽  
Vol 18 (16) ◽  
pp. 8677
Author(s):  
Rocío Aznar-Gimeno ◽  
Luis M. Esteban ◽  
Gorka Labata-Lezaun ◽  
Rafael del-Hoyo-Alonso ◽  
David Abadia-Gallego ◽  
...  
Keyword(s):  
Machine Learning ◽  
Decision Making ◽  
External Validation ◽  
Laboratory Data ◽  
Machine Learning Algorithms ◽  
Gradient Boosting ◽  
Study Cohort ◽  
Icu Admission ◽  
Extreme Gradient Boosting ◽  
User Friendly

The purpose of the study was to build a predictive model for estimating the risk of ICU admission or mortality among patients hospitalized with COVID-19 and provide a user-friendly tool to assist clinicians in the decision-making process. The study cohort comprised 3623 patients with confirmed COVID-19 who were hospitalized in the SALUD hospital network of Aragon (Spain), which includes 23 hospitals, between February 2020 and January 2021, a period that includes several pandemic waves. Up to 165 variables were analysed, including demographics, comorbidity, chronic drugs, vital signs, and laboratory data. To build the predictive models, different techniques and machine learning (ML) algorithms were explored: multilayer perceptron, random forest, and extreme gradient boosting (XGBoost). A reduction dimensionality procedure was used to minimize the features to 20, ensuring feasible use of the tool in practice. Our model was validated both internally and externally. We also assessed its calibration and provide an analysis of the optimal cut-off points depending on the metric to be optimized. The best performing algorithm was XGBoost. The final model achieved good discrimination for the external validation set (AUC = 0.821, 95% CI 0.787–0.854) and accurate calibration (slope = 1, intercept = −0.12). A cut-off of 0.4 provides a sensitivity and specificity of 0.71 and 0.78, respectively. In conclusion, we built a risk prediction model from a large amount of data from several pandemic waves, which had good calibration and discrimination ability. We also created a user-friendly web application that can aid rapid decision-making in clinical practice.

Predicting Undesired Treatment Outcome in Mental Healthcare: Machine Learning Study (Preprint)

2019 ◽  
Author(s):  
Kasper Van Mens ◽  
Joran Lokkerbol ◽  
Richard Janssen ◽  
Robert de Lange ◽  
Bea Tiemens
Keyword(s):  
Machine Learning ◽  
Treatment Outcome ◽  
Mental Health Treatment ◽  
Mental Healthcare ◽  
Machine Learning Algorithms ◽  
Gradient Boosting ◽  
Trade Off ◽  
Trade Offs ◽  
Outcome Monitoring ◽  
Extreme Gradient Boosting

BACKGROUND It remains a challenge to predict which treatment will work for which patient in mental healthcare. OBJECTIVE In this study we compare machine algorithms to predict during treatment which patients will not benefit from brief mental health treatment and present trade-offs that must be considered before an algorithm can be used in clinical practice. METHODS Using an anonymized dataset containing routine outcome monitoring data from a mental healthcare organization in the Netherlands (n = 2,655), we applied three machine learning algorithms to predict treatment outcome. The algorithms were internally validated with cross-validation on a training sample (n = 1,860) and externally validated on an unseen test sample (n = 795). RESULTS The performance of the three algorithms did not significantly differ on the test set. With a default classification cut-off at 0.5 predicted probability, the extreme gradient boosting algorithm showed the highest positive predictive value (ppv) of 0.71(0.61 – 0.77) with a sensitivity of 0.35 (0.29 – 0.41) and area under the curve of 0.78. A trade-off can be made between ppv and sensitivity by choosing different cut-off probabilities. With a cut-off at 0.63, the ppv increased to 0.87 and the sensitivity dropped to 0.17. With a cut-off of at 0.38, the ppv decreased to 0.61 and the sensitivity increased to 0.57. CONCLUSIONS Machine learning can be used to predict treatment outcomes based on routine monitoring data.This allows practitioners to choose their own trade-off between being selective and more certain versus inclusive and less certain.

scholarly journals Evaluation of Three Different Machine Learning Methods for Object-Based Artificial Terrace Mapping—A Case Study of the Loess Plateau, China

2021 ◽  
Vol 13 (5) ◽  
pp. 1021
Author(s):  
Hu Ding ◽  
Jiaming Na ◽  
Shangjing Jiang ◽  
Jie Zhu ◽  
Kai Liu ◽  
...  
Keyword(s):  
Machine Learning ◽  
Random Forest ◽  
Loess Plateau ◽  
Water Conservation ◽  
Nearest Neighbor ◽  
Gradient Boosting ◽  
K Nearest Neighbor ◽  
The Loess Plateau ◽  
Object Based ◽  
Extreme Gradient Boosting

Artificial terraces are of great importance for agricultural production and soil and water conservation. Automatic high-accuracy mapping of artificial terraces is the basis of monitoring and related studies. Previous research achieved artificial terrace mapping based on high-resolution digital elevation models (DEMs) or imagery. As a result of the importance of the contextual information for terrace mapping, object-based image analysis (OBIA) combined with machine learning (ML) technologies are widely used. However, the selection of an appropriate classifier is of great importance for the terrace mapping task. In this study, the performance of an integrated framework using OBIA and ML for terrace mapping was tested. A catchment, Zhifanggou, in the Loess Plateau, China, was used as the study area. First, optimized image segmentation was conducted. Then, features from the DEMs and imagery were extracted, and the correlations between the features were analyzed and ranked for classification. Finally, three different commonly-used ML classifiers, namely, extreme gradient boosting (XGBoost), random forest (RF), and k-nearest neighbor (KNN), were used for terrace mapping. The comparison with the ground truth, as delineated by field survey, indicated that random forest performed best, with a 95.60% overall accuracy (followed by 94.16% and 92.33% for XGBoost and KNN, respectively). The influence of class imbalance and feature selection is discussed. This work provides a credible framework for mapping artificial terraces.

scholarly journals A Machine Learning Method for Predicting Vegetation Indices in China

2021 ◽  
Vol 13 (6) ◽  
pp. 1147
Author(s):  
Xiangqian Li ◽  
Wenping Yuan ◽  
Wenjie Dong
Keyword(s):  
Machine Learning ◽  
Growing Season ◽  
Crop Growth ◽  
Spatiotemporal Distribution ◽  
Coefficient Of Determination ◽  
Gradient Boosting ◽  
Severe Drought ◽  
Vegetation Growth ◽  
Extreme Gradient Boosting ◽  
Boosting Method

To forecast the terrestrial carbon cycle and monitor food security, vegetation growth must be accurately predicted; however, current process-based ecosystem and crop-growth models are limited in their effectiveness. This study developed a machine learning model using the extreme gradient boosting method to predict vegetation growth throughout the growing season in China from 2001 to 2018. The model used satellite-derived vegetation data for the first month of each growing season, CO2 concentration, and several meteorological factors as data sources for the explanatory variables. Results showed that the model could reproduce the spatiotemporal distribution of vegetation growth as represented by the satellite-derived normalized difference vegetation index (NDVI). The predictive error for the growing season NDVI was less than 5% for more than 98% of vegetated areas in China; the model represented seasonal variations in NDVI well. The coefficient of determination (R2) between the monthly observed and predicted NDVI was 0.83, and more than 69% of vegetated areas had an R2 > 0.8. The effectiveness of the model was examined for a severe drought year (2009), and results showed that the model could reproduce the spatiotemporal distribution of NDVI even under extreme conditions. This model provides an alternative method for predicting vegetation growth and has great potential for monitoring vegetation dynamics and crop growth.

scholarly journals Machine learning models to identify low adherence to influenza vaccination among Korean adults with cardiovascular disease

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Moojung Kim ◽  
Young Jae Kim ◽  
Sung Jin Park ◽  
Kwang Gi Kim ◽  
Pyung Chun Oh ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cardiovascular Disease ◽  
Influenza Vaccination ◽  
Machine Learning Techniques ◽  
Gradient Boosting ◽  
Support Vector ◽  
Age Group ◽  
Learning Models ◽  
Extreme Gradient Boosting ◽  
Machine Learning Models

Abstract Background Annual influenza vaccination is an important public health measure to prevent influenza infections and is strongly recommended for cardiovascular disease (CVD) patients, especially in the current coronavirus disease 2019 (COVID-19) pandemic. The aim of this study is to develop a machine learning model to identify Korean adult CVD patients with low adherence to influenza vaccination Methods Adults with CVD (n = 815) from a nationally representative dataset of the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V) were analyzed. Among these adults, 500 (61.4%) had answered "yes" to whether they had received seasonal influenza vaccinations in the past 12 months. The classification process was performed using the logistic regression (LR), random forest (RF), support vector machine (SVM), and extreme gradient boosting (XGB) machine learning techniques. Because the Ministry of Health and Welfare in Korea offers free influenza immunization for the elderly, separate models were developed for the < 65 and ≥ 65 age groups. Results The accuracy of machine learning models using 16 variables as predictors of low influenza vaccination adherence was compared; for the ≥ 65 age group, XGB (84.7%) and RF (84.7%) have the best accuracies, followed by LR (82.7%) and SVM (77.6%). For the < 65 age group, SVM has the best accuracy (68.4%), followed by RF (64.9%), LR (63.2%), and XGB (61.4%). Conclusions The machine leaning models show comparable performance in classifying adult CVD patients with low adherence to influenza vaccination.

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.

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