scholarly journals Machine Learning for Mortality Prediction in Pediatric Myocarditis

2021 ◽  
Vol 9 ◽  
Author(s):  
Fu-Sheng Chou ◽  
Laxmi V. Ghimire
Keyword(s):  
Machine Learning ◽  
Linear Regression ◽  
Regression Model ◽  
Current Knowledge ◽  
External Validation ◽  
Model Development ◽  
Kidney Injury ◽  
High Specificity ◽  
Mortality Prediction ◽  
Linear Regression Models

Background: Pediatric myocarditis is a rare disease. The etiologies are multiple. Mortality associated with the disease is 5–8%. Prognostic factors were identified with the use of national hospitalization databases. Applying these identified risk factors for mortality prediction has not been reported.Methods: We used the Kids' Inpatient Database for this project. We manually curated fourteen variables as predictors of mortality based on the current knowledge of the disease, and compared performance of mortality prediction between linear regression models and a machine learning (ML) model. For ML, the random forest algorithm was chosen because of the categorical nature of the variables. Based on variable importance scores, a reduced model was also developed for comparison.Results: We identified 4,144 patients from the database for randomization into the primary (for model development) and testing (for external validation) datasets. We found that the conventional logistic regression model had low sensitivity (~50%) despite high specificity (>95%) or overall accuracy. On the other hand, the ML model struck a good balance between sensitivity (89.9%) and specificity (85.8%). The reduced ML model with top five variables (mechanical ventilation, cardiac arrest, ECMO, acute kidney injury, ventricular fibrillation) were sufficient to approximate the prediction performance of the full model.Conclusions: The ML algorithm performs superiorly when compared to the linear regression model for mortality prediction in pediatric myocarditis in this retrospective dataset. Prospective studies are warranted to further validate the applicability of our model in clinical settings.

scholarly journals Electrocardiogram-based mortality prediction in patients with COVID-19 using machine learning

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
H Bleijendaal ◽  
RR Van Der Leur ◽  
K Taha ◽  
T Mast ◽  
JMIH Gho ◽  
...  
Keyword(s):  
Machine Learning ◽  
Logistic Regression ◽  
The Netherlands ◽  
Hospital Mortality ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Prediction Models ◽  
External Validation ◽  
Mortality Prediction ◽  
Receiver Operating Curve

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): The Netherlands Organisation for Health Research and Development (ZonMw) University of Amsterdam Research Priority Area Medical Integromics OnBehalf CAPACITY-COVID19 Registry Background The electrocardiogram (ECG) is an easy to assess, widely available and inexpensive tool that is frequently used during the work-up of hospitalized COVID-19 patients. So far, no study has been conducted to evaluate if ECG-based machine learning models are able to predict all-cause in-hospital mortality in COVID-19 patients. Purpose With this study, we aim to evaluate the value of using the ECG to predict in-hospital all-cause mortality of COVID-19 patients by analyzing the ECG at hospital admission, comparing a logistic regression based approach and a DNN based approach. Secondly, we aim to identify specific ECG features associated with mortality in patients diagnosed with COVID-19.  Methods and results We studied 882 patients admitted with COVID-19 across seven hospitals in the Netherlands. Raw-format 12-lead ECGs recorded after admission (<72 hours) were collected, manually assessed, and annotated using pre-defined ECG features. Using data from five out of seven centers (n = 634), two mortality prediction models were developed: (a) a logistic regression model using manually annotated ECG features, and (b) a pre-trained deep neural network (DNN) using the raw ECG waveforms. Data from two other centers (n = 248) were used for external validation. Performance of both prediction models was similar, with a mean area under the receiver operating curve of 0.69 [95%CI 0.55–0.82] for the logistic regression model and 0.71 [95%CI 0.59–0.81] for the DNN in the external validation cohort. After adjustment for age and sex, ventricular rate (OR 1.13 [95% CI 1.01–1.27] per 10 ms increase), right bundle branch block (3.26 [95% CI 1.15–9.50]), ST-depression (2.78 [95% CI 1.03–7.70]) and low QRS voltages (3.09 [95% CI 1.02-9.38]) remained as significant predictors for mortality. Conclusion This study shows that ECG-based prediction models at admission may be a valuable addition to the initial risk stratification in admitted COVID-19 patients. The DNN model showed similar performance to the logistic regression that needs time-consuming manual annotation. Several ECG features associated with mortality were identified. Figure 1:  Overview of methods, using and example case: (left) logistic regression and (right) deep learning. This specific case had a high probability of in-hospital mortality (above the threshold of 30%). Follow-up of this case showed that the patient had died during admission. Abstract Figure. Overview of ML methods used

scholarly journals Application of Machine Learning Techniques to Predict Mechanical Properties for Polyamide 2200 (PA12) in Additive Manufacturing

2019 ◽  
Author(s):  
Ivanna Baturynska
Keyword(s):  
Machine Learning ◽  
Mechanical Properties ◽  
Additive Manufacturing ◽  
Linear Regression ◽  
Prediction Accuracy ◽  
Regression Models ◽  
Tensile Modulus ◽  
Machine Learning Techniques ◽  
Linear Regression Models ◽  
Elongation At Break

Additive manufacturing (AM) is an attractive technology for manufacturing industry due to flexibility in design and functionality, but inconsistency in quality is one of the major limitations that does not allow utilizing this technology for production of end-use parts. Prediction of mechanical properties can be one of the possible ways to improve the repeatability of the results. The part placement, part orientation, and STL model properties (number of mesh triangles, surface, and volume) are used to predict tensile modulus, nominal stress and elongation at break for polyamide 2200 (also known as PA12). EOS P395 polymer powder bed fusion system was used to fabricate 217 specimens in two identical builds (434 specimens in total). Prediction is performed for XYZ, XZY, ZYX, and Angle orientations separately, and all orientations together. The different non-linear models based on machine learning methods have higher prediction accuracy compared with linear regression models. Linear regression models have prediction accuracy higher than 80% only for Tensile Modulus and Elongation at break in Angle orientation. Since orientation-based modeling has low prediction accuracy due to a small number of data points and lack of information about material properties, these models need to be improved in the future based on additional experimental work.

Estimation in Dynamic Linear Regression Models with Infinite Variance Errors

1993 ◽  
Vol 9 (4) ◽  
pp. 570-588 ◽  
Author(s):  
Keith Knight
Keyword(s):  
Asymptotic Behavior ◽  
Linear Regression ◽  
Regression Model ◽  
Linear Regression Model ◽  
Regression Models ◽  
Infinite Variance ◽  
Linear Regression Models ◽  
Asymptotically Normal ◽  
Second Moments ◽  
True Values

This paper considers the asymptotic behavior of M-estimates in a dynamic linear regression model where the errors have infinite second moments but the exogenous regressors satisfy the standard assumptions. It is shown that under certain conditions, the estimates of the parameters corresponding to the exogenous regressors are asymptotically normal and converge to the true values at the standard n−½ rate.

scholarly journals Machine Learning Algorithms to Predict Recurrence within 10 Years after Breast Cancer Surgery: A Prospective Cohort Study

Cancers ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3817
Author(s):  
Shi-Jer Lou ◽  
Ming-Feng Hou ◽  
Hong-Tai Chang ◽  
Chong-Chi Chiu ◽  
Hao-Hsien Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Machine Learning ◽  
Learning Algorithms ◽  
External Validation ◽  
Model Development ◽  
Cancer Surgery ◽  
Machine Learning Algorithms ◽  
Breast Cancer Surgery ◽  
Training Dataset

No studies have discussed machine learning algorithms to predict recurrence within 10 years after breast cancer surgery. This study purposed to compare the accuracy of forecasting models to predict recurrence within 10 years after breast cancer surgery and to identify significant predictors of recurrence. Registry data for breast cancer surgery patients were allocated to a training dataset (n = 798) for model development, a testing dataset (n = 171) for internal validation, and a validating dataset (n = 171) for external validation. Global sensitivity analysis was then performed to evaluate the significance of the selected predictors. Demographic characteristics, clinical characteristics, quality of care, and preoperative quality of life were significantly associated with recurrence within 10 years after breast cancer surgery (p < 0.05). Artificial neural networks had the highest prediction performance indices. Additionally, the surgeon volume was the best predictor of recurrence within 10 years after breast cancer surgery, followed by hospital volume and tumor stage. Accurate recurrence within 10 years prediction by machine learning algorithms may improve precision in managing patients after breast cancer surgery and improve understanding of risk factors for recurrence within 10 years after breast cancer surgery.

scholarly journals Application of Machine Learning Techniques to Predict the Mechanical Properties of Polyamide 2200 (PA12) in Additive Manufacturing

2019 ◽  
Vol 9 (6) ◽  
pp. 1060
Author(s):  
Ivanna Baturynska
Keyword(s):  
Machine Learning ◽  
Mechanical Properties ◽  
Additive Manufacturing ◽  
Linear Regression ◽  
Prediction Accuracy ◽  
Regression Models ◽  
Tensile Modulus ◽  
Machine Learning Techniques ◽  
Linear Regression Models ◽  
Elongation At Break

Additive manufacturing (AM) is an attractive technology for the manufacturing industry due to flexibility in its design and functionality, but inconsistency in quality is one of the major limitations preventing utilizing this technology for the production of end-use parts. The prediction of mechanical properties can be one of the possible ways to improve the repeatability of results. The part placement, part orientation, and STL model properties (number of mesh triangles, surface, and volume) are used to predict tensile modulus, nominal stress, and elongation at break for polyamide 2200 (also known as PA12). An EOS P395 polymer powder bed fusion system was used to fabricate 217 specimens in two identical builds (434 specimens in total). Prediction is performed for XYZ, XZY, ZYX, and Angle orientations separately, and all orientations together. The different non-linear models based on machine learning methods have higher prediction accuracy compared with linear regression models. Linear regression models only have prediction accuracy higher than 80% for Tensile Modulus and Elongation at break in Angle orientation. Since orientation-based modeling has low prediction accuracy due to a small number of data points and lack of information about the material properties, these models need to be improved in the future based on additional experimental work.

scholarly journals Brazilian Articles in Top-Tier Dental Journals and Influence of International Collaboration on Citation Rates

2019 ◽  
Vol 30 (4) ◽  
pp. 307-316 ◽  
Author(s):  
Ana Paula R Gonçalves ◽  
Bruna L Porto ◽  
Bruna Rodolfo ◽  
Clovis M Faggion Jr ◽  
Bernardo A. Agostini ◽  
...  
Keyword(s):  
Linear Regression ◽  
Regression Model ◽  
International Collaboration ◽  
Linear Regression Model ◽  
Regression Models ◽  
Dental Materials ◽  
Original Research ◽  
Linear Regression Models ◽  
Article Type ◽  
Multilevel Linear Regression

Abstract This study investigated the presence of co-authorship from Brazil in articles published in top-tier dental journals and analyzed the influence of international collaboration, article type (original research or review), and funding on citation rates. Articles published between 2015 and 2017 in 38 selected journals from 14 dental subareas were screened in Scopus. Bibliographic information, citation counts, and funding details were recorded for all articles (N=15619). Collaboration with other top-10 publishing countries in dentistry was registered. Annual citations averages (ACA) were calculated. A linear regression model assessed differences in ACA between subareas. Multilevel linear regression models evaluated the influence of article type, funding, and presence of international collaboration in ACA. Brazil was a frequent co-author of articles published in the period (top 3: USA=25.5%; Brazil=13.8%; Germany=9.2%) and the country with most publications in two subareas. The subjects with the biggest share of Brazil are Operative Dentistry/Cariology, Dental Materials, and Endodontics. Brazil was second in total citations, but fifth in citation averages per article. From the total of 2155 articles co-authored by Brazil, 74.8% had no co-authorship from other top-10 publishing countries. USA (17.8%), Italy (4.2%), and UK (3.2%) were the main co-author countries, but the main collaboration country varied between subjects. Implantology and Dental Materials were the subjects with most international co-authorship. Review articles and articles with international collaboration were associated with increased citation rates, whereas the presence of study funding did not influence the citations.

scholarly journals Analysis of SF-6D Health State Utility Scores: Is Beta Regression Appropriate?

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 525
Author(s):  
Samer A Kharroubi
Keyword(s):  
Linear Regression ◽  
Regression Model ◽  
Random Effects ◽  
Regression Models ◽  
Mean Squared Error ◽  
Health State Utility ◽  
Beta Regression ◽  
Health State ◽  
Linear Regression Models ◽  
Utility Scores

Background: Typically, modeling of health-related quality of life data is often troublesome since its distribution is positively or negatively skewed, spikes at zero or one, bounded and heteroscedasticity. Objectives: In the present paper, we aim to investigate whether Bayesian beta regression is appropriate for analyzing the SF-6D health state utility scores and respondent characteristics. Methods: A sample of 126 Lebanese members from the American University of Beirut valued 49 health states defined by the SF-6D using the standard gamble technique. Three different models were fitted for SF-6D via Bayesian Markov chain Monte Carlo (MCMC) simulation methods. These comprised a beta regression, random effects and random effects with covariates. Results from applying the three Bayesian beta regression models were reported and compared based on their predictive ability to previously used linear regression models, using mean prediction error (MPE), root mean squared error (RMSE) and deviance information criterion (DIC). Results: For the three different approaches, the beta regression model was found to perform better than the normal regression model under all criteria used. The beta regression with random effects model performs best, with MPE (0.084), RMSE (0.058) and DIC (−1621). Compared to the traditionally linear regression model, the beta regression provided better predictions of observed values in the entire learning sample and in an out-of-sample validation. Conclusions: Beta regression provides a flexible approach to modeling health state values. It also accounted for the boundedness and heteroscedasticity of the SF-6D index scores. Further research is encouraged.

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