Development of a prediction model for hypotension after induction of anesthesia using machine learning
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kang, Ah Reum | - |
dc.contributor.author | Lee, Jihyun | - |
dc.contributor.author | Jung, Woohyun | - |
dc.contributor.author | Lee, Misoon | - |
dc.contributor.author | Park, Sun Young | - |
dc.contributor.author | Woo, Jiyoung | - |
dc.contributor.author | Kim, Sang Hyun | - |
dc.date.accessioned | 2021-08-11T08:36:24Z | - |
dc.date.available | 2021-08-11T08:36:24Z | - |
dc.date.issued | 2020-04-16 | - |
dc.identifier.issn | 1932-6203 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/2908 | - |
dc.description.abstract | Arterial hypotension during the early phase of anesthesia can lead to adverse outcomes such as a prolonged postoperative stay or even death. Predicting hypotension during anesthesia induction is complicated by its diverse causes. We investigated the feasibility of developing a machine-learning model to predict postinduction hypotension. Naive Bayes, logistic regression, random forest, and artificial neural network models were trained to predict postinduction hypotension, occurring between tracheal intubation and incision, using data for the period from between the start of anesthesia induction and immediately before tracheal intubation obtained from an anesthesia monitor, a drug administration infusion pump, an anesthesia machine, and from patients' demographics, together with preexisting disease information from electronic health records. Among 222 patients, 126 developed postinduction hypotension. The random-forest model showed the best performance, with an area under the receiver operating characteristic curve of 0.842 (95% confidence interval [CI]: 0.736-0.948). This was higher than that for the Naive Bayes (0.778; 95% CI: 0.65-0.898), logistic regression (0.756; 95% CI: 0.630-0.881), and artificial-neural-network (0.760; 95% CI: 0.640-0.880) models. The most important features affecting the accuracy of machine-learning prediction were a patient's lowest systolic blood pressure, lowest mean blood pressure, and mean systolic blood pressure before tracheal intubation. We found that machine-learning models using data obtained from various anesthesia machines between the start of anesthesia induction and immediately before tracheal intubation can predict hypotension occurring during the period between tracheal intubation and incision. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Public Library of Science | - |
dc.title | Development of a prediction model for hypotension after induction of anesthesia using machine learning | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1371/journal.pone.0231172 | - |
dc.identifier.scopusid | 2-s2.0-85083505804 | - |
dc.identifier.wosid | 000536011400029 | - |
dc.identifier.bibliographicCitation | PLoS ONE, v.15, no.4 | - |
dc.citation.title | PLoS ONE | - |
dc.citation.volume | 15 | - |
dc.citation.number | 4 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Science & Technology - Other Topics | - |
dc.relation.journalWebOfScienceCategory | Multidisciplinary Sciences | - |
dc.subject.keywordPlus | INTRAOPERATIVE HYPOTENSION | - |
dc.subject.keywordAuthor | Development of a prediction model forhypotension after induction of anesthesiausing machine learning | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(31538) 22, Soonchunhyang-ro, Asan-si, Chungcheongnam-do, Republic of Korea+82-41-530-1114
COPYRIGHT 2021 by SOONCHUNHYANG 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.