Predicting outcomes of continuous renal replacement therapy using body composition monitoring: a deep-learning approach
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Yoo, Kyung Don | - |
dc.contributor.author | Noh, Junhyug | - |
dc.contributor.author | Bae, Wonho | - |
dc.contributor.author | An, Jung Nam | - |
dc.contributor.author | Oh, Hyung Jung | - |
dc.contributor.author | Rhee, Harin | - |
dc.contributor.author | Seong, Eun Young | - |
dc.contributor.author | Baek, Seon Ha | - |
dc.contributor.author | Ahn, Shin Young | - |
dc.contributor.author | Cho, Jang-Hee | - |
dc.contributor.author | Kim, Dong Ki | - |
dc.contributor.author | Ryu, Dong-Ryeol | - |
dc.contributor.author | Kim, Sejoong | - |
dc.contributor.author | Lim, Chun Soo | - |
dc.contributor.author | Lee, Jung Pyo | - |
dc.contributor.author | Kim, Sung Gyun | - |
dc.contributor.author | Ko, Gang Jee | - |
dc.contributor.author | Park, Jung Tak | - |
dc.contributor.author | Chang, Tae Ik | - |
dc.contributor.author | Chung, Sungjin | - |
dc.contributor.author | Lee, Jung Pyo | - |
dc.contributor.author | Lee, Sang Ho | - |
dc.contributor.author | Choi, Bum Soon | - |
dc.contributor.author | Jeon, Jin Seok | - |
dc.contributor.author | Song, Sangheon | - |
dc.contributor.author | Choi, Dae Eun | - |
dc.contributor.author | Jung, Woo Kyung | - |
dc.date.accessioned | 2023-08-28T00:42:30Z | - |
dc.date.available | 2023-08-28T00:42:30Z | - |
dc.date.created | 2023-08-25 | - |
dc.date.issued | 2023-03 | - |
dc.identifier.issn | 2045-2322 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/88896 | - |
dc.description.abstract | Fluid balance is a critical prognostic factor for patients with severe acute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT). This study evaluated whether repeated fluid balance monitoring could improve prognosis in this clinical population. This was a multicenter retrospective study that included 784 patients (mean age, 67.8 years; males, 66.4%) with severe AKI requiring CRRT during 2017-2019 who were treated in eight tertiary hospitals in Korea. Sequential changes in total body water were compared between patients who died (event group) and those who survived (control group) using mixed-effects linear regression analyses. The performance of various machine learning methods, including recurrent neural networks, was compared to that of existing prognostic clinical scores. After adjusting for confounding factors, a marginal benefit of fluid balance was identified for the control group compared to that for the event group (p = 0.074). The deep-learning model using a recurrent neural network with an autoencoder and including fluid balance monitoring provided the best differentiation between the groups (area under the curve, 0.793) compared to 0.604 and 0.606 for SOFA and APACHE II scores, respectively. Our prognostic, deep-learning model underlines the importance of fluid balance monitoring for prognosis assessment among patients receiving CRRT. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | NATURE PORTFOLIO | - |
dc.relation.isPartOf | SCIENTIFIC REPORTS | - |
dc.title | Predicting outcomes of continuous renal replacement therapy using body composition monitoring: a deep-learning approach | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 001023921200056 | - |
dc.identifier.doi | 10.1038/s41598-023-30074-4 | - |
dc.identifier.bibliographicCitation | SCIENTIFIC REPORTS, v.13, no.1 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.scopusid | 2-s2.0-85150670089 | - |
dc.citation.title | SCIENTIFIC REPORTS | - |
dc.citation.volume | 13 | - |
dc.citation.number | 1 | - |
dc.contributor.affiliatedAuthor | Jung, Woo Kyung | - |
dc.type.docType | Article | - |
dc.subject.keywordPlus | ACUTE KIDNEY INJURY | - |
dc.subject.keywordPlus | BIOELECTRICAL-IMPEDANCE ANALYSIS | - |
dc.subject.keywordPlus | FLUID MANAGEMENT | - |
dc.subject.keywordPlus | CRITICALLY-ILL | - |
dc.subject.keywordPlus | DIALYSIS PATIENTS | - |
dc.subject.keywordPlus | SEVERITY | - |
dc.subject.keywordPlus | EPIDEMIOLOGY | - |
dc.subject.keywordPlus | SPECTROSCOPY | - |
dc.subject.keywordPlus | RECOVERY | - |
dc.subject.keywordPlus | BALANCE | - |
dc.relation.journalResearchArea | Science & Technology - Other Topics | - |
dc.relation.journalWebOfScienceCategory | Multidisciplinary Sciences | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.