Machine learning model predicts the occurrence of acute kidney injury after open surgery for abdominal aortic aneurysm repair / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
; (12): 213-220, 2023.
Article
in En
| WPRIM
| ID: wpr-971388
Responsible library:
WPRO
ABSTRACT
OBJECTIVES@#Abdominal aortic aneurysm is a pathological condition in which the abdominal aorta is dilated beyond 3.0 cm. The surgical options include open surgical repair (OSR) and endovascular aneurysm repair (EVAR). Prediction of acute kidney injury (AKI) after OSR is helpful for decision-making during the postoperative phase. To find a more efficient method for making a prediction, this study aims to perform tests on the efficacy of different machine learning models.@*METHODS@#Perioperative data of 80 OSR patients were retrospectively collected from January 2009 to December 2021 at Xiangya Hospital, Central South University. The vascular surgeon performed the surgical operation. Four commonly used machine learning classification models (logistic regression, linear kernel support vector machine, Gaussian kernel support vector machine, and random forest) were chosen to predict AKI. The efficacy of the models was validated by five-fold cross-validation.@*RESULTS@#AKI was identified in 33 patients. Five-fold cross-validation showed that among the 4 classification models, random forest was the most precise model for predicting AKI, with an area under the curve of 0.90±0.12.@*CONCLUSIONS@#Machine learning models can precisely predict AKI during early stages after surgery, which allows vascular surgeons to address complications earlier and may help improve the clinical outcomes of OSR.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Postoperative Complications
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Retrospective Studies
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Risk Factors
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Treatment Outcome
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Aortic Aneurysm, Abdominal
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Blood Vessel Prosthesis Implantation
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Acute Kidney Injury
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Endovascular Procedures
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Machine Learning
Limits:
Humans
Language:
En
Journal:
Journal of Central South University(Medical Sciences)
Year:
2023
Type:
Article