Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach
<h3>Objectives</h3><p dir="ltr">We aimed to build a machine learning predictive model to predict the risk of prolonged mechanical ventilation (PMV) for patients with Traumatic Brain Injury (TBI).</p><h3>Methods</h3><p dir="ltr">This study...
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2020
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| _version_ | 1864513554026070016 |
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| author | Ahmad Abujaber (9100064) |
| author2 | Adam Fadlalla (9100067) Diala Gammoh (9100070) Husham Abdelrahman (768893) Monira Mollazehi (9100073) Ayman El-Menyar (440103) |
| author2_role | author author author author author |
| author_facet | Ahmad Abujaber (9100064) Adam Fadlalla (9100067) Diala Gammoh (9100070) Husham Abdelrahman (768893) Monira Mollazehi (9100073) Ayman El-Menyar (440103) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ahmad Abujaber (9100064) Adam Fadlalla (9100067) Diala Gammoh (9100070) Husham Abdelrahman (768893) Monira Mollazehi (9100073) Ayman El-Menyar (440103) |
| dc.date.none.fl_str_mv | 2020-07-08T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1371/journal.pone.0235231 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Using_trauma_registry_data_to_predict_prolonged_mechanical_ventilation_in_patients_with_traumatic_brain_injury_Machine_learning_approach/27924999 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Neurosciences Information and computing sciences Machine learning Traumatic brain injury Machine learning Tracheostomy Forecasting Ventilators Support vector machines Artificial intelligence Artificial neural networks |
| dc.title.none.fl_str_mv | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Objectives</h3><p dir="ltr">We aimed to build a machine learning predictive model to predict the risk of prolonged mechanical ventilation (PMV) for patients with Traumatic Brain Injury (TBI).</p><h3>Methods</h3><p dir="ltr">This study included TBI patients who were hospitalized in a level 1 trauma center between January 2014 and February 2019. Data were analyzed for all adult patients who received mechanical ventilation following TBI with abbreviated injury severity (AIS) score for the head region of ≥ 3. This study designed three sets of machine learning models: set A defined PMV to be greater than 7 days, set B (PMV > 10 days) and set C (PMV >14 days) to determine the optimal model for deployment. Patients’ demographics, injury characteristics and CT findings were used as predictors. Logistic regression (LR), Artificial neural networks (ANN) Support vector machines (SVM), Random Forest (RF) and C.5 Decision Tree (C.5 DT) were used to predict the PMV.</p><h3>Results</h3><p dir="ltr">The number of eligible patients that were included in the study were 674, 643 and 622 patients in sets A, B and C respectively. In set A, LR achieved the optimal performance with accuracy 0.75 and Area under the curve (AUC) 0.83. SVM achieved the optimal performance among other models in sets B with accuracy/AUC of 0.79/0.84 respectively. ANNs achieved the optimal performance in set C with accuracy/AUC of 0.76/0.72 respectively. Machine learning models in set B demonstrated more stable performance with higher prediction success and discrimination power.</p><h3>Conclusion</h3><p dir="ltr">This study not only provides evidence that machine learning methods outperform the traditional multivariate analytical methods, but also provides a perspective to reach a consensual definition of PMV.</p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0235231" target="_blank">https://dx.doi.org/10.1371/journal.pone.0235231</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_e8449335d465b5f3f933a8545be99ce9 |
| identifier_str_mv | 10.1371/journal.pone.0235231 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/27924999 |
| publishDate | 2020 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approachAhmad Abujaber (9100064)Adam Fadlalla (9100067)Diala Gammoh (9100070)Husham Abdelrahman (768893)Monira Mollazehi (9100073)Ayman El-Menyar (440103)Biomedical and clinical sciencesNeurosciencesInformation and computing sciencesMachine learningTraumatic brain injuryMachine learningTracheostomyForecastingVentilatorsSupport vector machinesArtificial intelligenceArtificial neural networks<h3>Objectives</h3><p dir="ltr">We aimed to build a machine learning predictive model to predict the risk of prolonged mechanical ventilation (PMV) for patients with Traumatic Brain Injury (TBI).</p><h3>Methods</h3><p dir="ltr">This study included TBI patients who were hospitalized in a level 1 trauma center between January 2014 and February 2019. Data were analyzed for all adult patients who received mechanical ventilation following TBI with abbreviated injury severity (AIS) score for the head region of ≥ 3. This study designed three sets of machine learning models: set A defined PMV to be greater than 7 days, set B (PMV > 10 days) and set C (PMV >14 days) to determine the optimal model for deployment. Patients’ demographics, injury characteristics and CT findings were used as predictors. Logistic regression (LR), Artificial neural networks (ANN) Support vector machines (SVM), Random Forest (RF) and C.5 Decision Tree (C.5 DT) were used to predict the PMV.</p><h3>Results</h3><p dir="ltr">The number of eligible patients that were included in the study were 674, 643 and 622 patients in sets A, B and C respectively. In set A, LR achieved the optimal performance with accuracy 0.75 and Area under the curve (AUC) 0.83. SVM achieved the optimal performance among other models in sets B with accuracy/AUC of 0.79/0.84 respectively. ANNs achieved the optimal performance in set C with accuracy/AUC of 0.76/0.72 respectively. Machine learning models in set B demonstrated more stable performance with higher prediction success and discrimination power.</p><h3>Conclusion</h3><p dir="ltr">This study not only provides evidence that machine learning methods outperform the traditional multivariate analytical methods, but also provides a perspective to reach a consensual definition of PMV.</p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0235231" target="_blank">https://dx.doi.org/10.1371/journal.pone.0235231</a></p>2020-07-08T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1371/journal.pone.0235231https://figshare.com/articles/journal_contribution/Using_trauma_registry_data_to_predict_prolonged_mechanical_ventilation_in_patients_with_traumatic_brain_injury_Machine_learning_approach/27924999CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/279249992020-07-08T03:00:00Z |
| spellingShingle | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach Ahmad Abujaber (9100064) Biomedical and clinical sciences Neurosciences Information and computing sciences Machine learning Traumatic brain injury Machine learning Tracheostomy Forecasting Ventilators Support vector machines Artificial intelligence Artificial neural networks |
| status_str | publishedVersion |
| title | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach |
| title_full | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach |
| title_fullStr | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach |
| title_full_unstemmed | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach |
| title_short | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach |
| title_sort | Using trauma registry data to predict prolonged mechanical ventilation in patients with traumatic brain injury: Machine learning approach |
| topic | Biomedical and clinical sciences Neurosciences Information and computing sciences Machine learning Traumatic brain injury Machine learning Tracheostomy Forecasting Ventilators Support vector machines Artificial intelligence Artificial neural networks |