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Predicting Superaverage Length of Stay in COPD Patients with Hypercapnic Respiratory Failure Using Machine Learning

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机构: [1]Xuzhou Med Univ, Peoples Hosp Yancheng 1, Dept Pulm & Crit Care Med, Yancheng Clin Coll, Yancheng 224006, Jiangsu, Peoples R China [2]Kunming Med Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med 3, Kuming 650000, Yunnan, Peoples R China [3]Nanjing Med Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Nanjing 210029, Jiangsu, Peoples R China [4]Xi An Jiao Tong Univ, Affiliated Hosp 2, Dept Resp & Crit Care Med, Xian 710004, Shanxi, Peoples R China
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关键词: chronic obstructive pulmonary disease COPD hypercapnic respiratory failure HRF superaverage length of stay machine learning Catboost model

摘要:
Objective: The purpose of this study was to develop and validate machine learning models that can predict superaverage length of stay in hypercapnic-type respiratory failure and to compare the performance of each model. Furthermore, screen and select the optimal individualized risk assessment model. This model is capable of predicting in advance whether an inpatient's length of stay will exceed the average duration, thereby enhancing its clinical application and utility. Methods: The study included 568 COPD patients with hypercapnic respiratory failure, 426 inpatients from the Department of Respiratory and Critical Care Medicine of Yancheng First People's Hospital in the modeling group and 142 inpatients from the Department of Respiratory and Critical Care Medicine of Jiangsu Provincial People's Hospital in the external validation group. Ten machine learning algorithms were used to develop and validate a model for predicting superaverage length of stay, and the best model was evaluated and selected. Results: We screened 83 candidate variables using the Boruta algorithm and identified 9 potentially important variables, including: cerebrovascular disease, white blood cell count, hematocrit, D-dimer, activated partial thromboplastin time, fibrin degradation products, partial pressure of carbon dioxide, reduced hemoglobin, and oxyhemoglobin. Cerebrovascular disease, hematocrit, activated partial thromboplastin time, partial pressure of carbon dioxide, reduced hemoglobin and oxyhemoglobin were independent risk factors for superaverage length of stay in COPD patients with hypercapnic respiratory failure. The Catboost model is the optimal model on both the modeling dataset and the external validation set. The interactive web calculator was developed using the Shiny framework, leveraging a predictive model based on Catboost. Conclusion: The Catboost model has the most advantages and can be used for clinical evaluation and patient monitoring.

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大类 | 3 区 医学
小类 | 3 区 免疫学
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Q2 IMMUNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2024版] 出版当年五年平均 出版前一年[2023版]

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第一作者机构: [1]Xuzhou Med Univ, Peoples Hosp Yancheng 1, Dept Pulm & Crit Care Med, Yancheng Clin Coll, Yancheng 224006, Jiangsu, Peoples R China
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通讯机构: [1]Xuzhou Med Univ, Peoples Hosp Yancheng 1, Dept Pulm & Crit Care Med, Yancheng Clin Coll, Yancheng 224006, Jiangsu, Peoples R China [4]Xi An Jiao Tong Univ, Affiliated Hosp 2, Dept Resp & Crit Care Med, Xian 710004, Shanxi, Peoples R China
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