An Artificial Neural Network Model for Predicting Successful Extubation in Intensive Care Units

doi:10.3390/jcm7090240

Chia Nan University of Pharmacy & Science Institutional Repository > 智慧生活學院 > 醫務管理系(所) > 期刊論文 > Item 310902800/32247

jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://ir.cnu.edu.tw/handle/310902800/32247

標題:	An Artificial Neural Network Model for Predicting Successful Extubation in Intensive Care Units
作者:	Hsieh, Meng-Hsuen Hsieh, Meng-Ju Chen, Chin-Ming Hsieh, Chia-Chang Chao, Chien-Ming Lai, Chih-Cheng
貢獻者:	Univ Calif Berkeley, Dept Elect Engn & Comp Sci Poznan Univ Med Sci, Dept Med Chia Nan Univ Pharm & Sci, Dept Recreat & Hlth Care Management Chi Mei Med Ctr, Dept Intens Care Med China Med Univ, Childrens Hosp, Dept Pediat Chi Mei Med Ctr, Dept Intens Care Med
關鍵字:	predictor successful extubation artificial neural network
日期:	2018-09
上傳時間:	2019-11-15 15:46:42 (UTC+8)
出版者:	MDPI
摘要:	Background: Successful weaning from mechanical ventilation is important for patients in intensive care units (ICUs). The aim was to construct neural networks to predict successful extubation in ventilated patients in ICUs. Methods: Data from 1 December 2009 through 31 December 2011 of 3602 patients with planned extubation in Chi-Mei Medical Center's ICUs was used to train and test an artificial neural network (ANN). The input was 37 clinical risk factors, and the output was a failed extubation prediction. Results: One hundred eighty-five patients (5.1%) had a failed extubation. Multivariate analyses revealed that failure was positively associated with therapeutic intervention scoring system (TISS) scores (odds ratio [OR]: 1.814; 95% Confidence Interval [CI]: 1.283-2.563), chronic hemodialysis (OR: 12.264; 95% CI: 8.556-17.580), rapid shallow breathing (RSI) (OR: 2.003; 95% CI: 1.378-2.910), and pre-extubation heart rate (OR: 1.705; 95% CI: 1.173-2.480), but negatively associated with pre-extubation PaO2/FiO(2) (OR: 0.529; 95%: 0.370-0.750) and maximum expiratory pressure (MEP) (OR: 0.610; 95% CI: 0.413-0.899). A multilayer perceptron ANN model with 19 neurons in a hidden layer was developed. The overall performance of this model was F-1: 0.867, precision: 0.939, and recall: 0.822. The area under the receiver operating characteristic curve (AUC) was 0.85, which is better than any one of the following predictors: TISS: 0.58 (95% CI: 0.54-0.62; p < 0.001); 0.58 (95% CI: 0.53-0.62; p < 0.001); and RSI: 0.54 (95% CI: 0.49-0.58; p = 0.097). Conclusions: The ANN performed well when predicting failed extubation, and it will help predict successful planned extubation.
link:	http://dx.doi.org/10.3390/jcm7090240
關聯:	Catalysts, v.7, n.9, 240
显示于类别:	[醫務管理系(所)] 期刊論文

文件中的档案:

档案	描述	大小	格式	浏览次数
10.3390-jcm7090240.pdf		993Kb	Adobe PDF	296	检视/开启
index.html		0Kb	HTML	1359	检视/开启

在CNU IR中所有的数据项都受到原著作权保护.

TAIR相关文章

数据加载中.....