基于机器学习算法构建术后谵妄风险预测模型的研究进展

高升润, 李芸, 李雨衡, 王艳庆, 高成杰

武警医学 ›› 2024, Vol. 35 ›› Issue (2) : 181-184.

PDF(923 KB)
PDF(923 KB)
武警医学 ›› 2024, Vol. 35 ›› Issue (2) : 181-184.
综述

基于机器学习算法构建术后谵妄风险预测模型的研究进展

  • 高升润1, 李芸2, 李雨衡1, 王艳庆1, 高成杰1
作者信息 +

Research progress in constructing postoperative delirium risk prediction model based on machine learning algorithm

  • GAO Shengrun, LI Yun, LI Yuheng, et al 
Author information +
文章历史 +

摘要

术后谵妄(POD)是老年患者术后常见的严重并发症,表现为注意力及认知功能急性障碍,可导致住院时间延长、死亡率增高,并且增加个人与社会的经济负担。术前早期预测POD有助于减少或逆转其发生,对改善患者预后及减轻社会负担具有重要意义。近年来机器学习的深度发展促使更加高效可靠的POD预测模型不断发展完善,极大提高了POD风险的预防及临床诊疗水平,笔者对基于机器学习构建术后谵妄预测风险模型进展作一综述。

关键词

机器学习 / 谵妄 / 术后谵妄 / 预测模型

引用本文

导出引用
高升润, 李芸, 李雨衡, 王艳庆, 高成杰. 基于机器学习算法构建术后谵妄风险预测模型的研究进展[J]. 武警医学. 2024, 35(2): 181-184
GAO Shengrun, LI Yun, LI Yuheng, et al . Research progress in constructing postoperative delirium risk prediction model based on machine learning algorithm[J]. Medical Journal of the Chinese People Armed Police Forces. 2024, 35(2): 181-184
中图分类号: R614   

参考文献

[1] Shaji P,McCabe C.A narrative review of preventive measures for postoperative delirium in older adults[J].Br J Nurs,2021,30(6):367-373.
[2] Duning T, Ilting R K, Beckhuis M, et al. Postoperative delirium-treatment and prevention[J].Curr Opin Anaesthesiol,2021,34(1):27-32.
[3] 廖华龙,曾小茜,李华凤,等.机器学习在疾病预测中的应用[J].生物医学工程研究,2021,40(2):203-209.
[4] Choi R Y,Coyner A S,Kalpathy-Cramer J,et al.Introduction to machine learning, neural networks,and deep learning[J].Transl Vis Sci Technol,2020,9(2):14.
[5] 路 薇,孙东旭,高景宏,等.面向精准医疗的大数据分析与建模关键技术综述[J].中国医院管理,2021,41(5):19-25.
[6] 贾玉龙,周 洁,陈 颖,等.临床预测模型的综合评价体系研究[J].中国卫生统计,2019,36(5):728-730,734.
[7] 谷鸿秋,周支瑞,章仲恒,等.临床预测模型:基本概念、应用场景及研究思路[J].中国循证心血管医学杂志,2018,10(12):1454-1456.
[8] Hua Y,Chen S,Xiong X,et al.Risk factors for postoperative delirium in elderly urological patients:a meta-analysis[J].Medicine (Baltimore),2022,101(38):e30696.
[9] Zhang M,Zhang X,Gao L,et al.Incidence, predictors and health outcomes of delirium in very old hospitalized patients: a prospective cohort study[J].BMC Geriatr,2022,22(1):262.
[10] 田 甜,景 慧,付 佳.恶性肿瘤患者谵妄发生风险的预测模型研究[J].实用医学杂志,2021,37(20):2641-2646.
[11] Arita A,Takahashi H,Ogino T,et al.Grip strength as a predictor of postoperative delirium in patients with colorectal cancers[J].Ann Gastroenterol Surg, 2021,6(2):265-272.
[12] Onuma H,InoseH,Yoshii T,et al.Preoperative risk factors for delirium in patients aged≥75 years undergoing spinal surgery:a retrospective study[J].J Int Med Res,2020,48(10):30.
[13] Reisinger M,Reininghaus E Z,Biasi J,et al.Delirium-associated medication in people at risk:a systematic update review,meta-analyses,andgrade-profiles[J].Acta Psychiatr Scand,2023,147(1):16-42.
[14] 王琦琦,于石成,亓 晓,等.Logistic族回归及其应用[J].中华预防医学杂志,2019,53(9):955-960.
[15] 王玉伟,李 慧.构建及验证基于Logistic回归的Stanford A型主动脉夹层术后谵妄风险预测模型效果[J].临床研究,2023,31(2):7-11.
[16] 陶立元,张 华,赵一鸣.列线图的制作要点及其应用[J].中华儿科杂志,2017,55(5):323.
[17] 李 繁,黎仕焕,谢 爽.老年患者肺癌根治术后谵妄的危险因素及列线图预测模型的建立[J].临床麻醉学杂志,2022,38(10):1013-1019.
[18] Li B,Ju J,Zhao J,et al.A nomogram to predict delirium after hip replacement in elderly patients with femoral neck fractures[J].Orthop Surg,2022,14(12):3195-3200.
[19] Chen J,Ji X,Xing H.Risk factors and a nomogram model for postoperative delirium in elderly gastric cancer patients after laparoscopic gastrectomy[J].World J Surg Oncol,2022,20(1):319.
[20] Malloy E J,Spiegelman D,Eisen E A.Comparing measures of model selection for penalized splines in Cox models[J].Comput Stat Data Anal,2009,53(7):2605-2616.
[21] 黄宛冰,张玉芬,吴前胜,等.基于Cox回归的Stanford B型主动脉夹层术后谵妄预测模型的构建[J].护理学杂志,2023,38(3):27-31.
[22] 汪靖翔.决策树算法的原理研究和实际应用[J].电脑编程技巧与维护,2022(8):54-56,72.
[23] 廖华龙,曾小茜,李华凤,等.机器学习在疾病预测中的应用[J].生物医学工程研究,2021,40(2):203-209.
[24] Liu Y,Shen W,Tian Z.Usingmachine learning algorithms to predict high-risk factors for postoperative delirium in elderly patients[J].Clin Interv Aging,2023,18:157-168.
[25] Röhr V,Blankertz B,Radtke F M,et al.Machine-learning model predicting postoperative delirium in older patients using intraoperative frontal electroencephalographic signatures[J].Front Aging Neurosci,2022,14:911088.
[26] Bishara A,Chiu C,Whitlock E L,et al.Postoperative delirium prediction using machine learning models and preoperative electronic health record data[J].BMC Anesthesiol,2022,22(1):8.
[27] Jung J W,Hwang S,Ko S,et al.A machine-learning model to predict postoperative delirium following knee arthroplasty using electronic health records[J].BMC Psychiatry,2022, 22(1):436.
[28] Wang Y,Lei L,Ji M,et al.Predicting postoperative delirium after microvascular decompression surgery with machine learning[J].J Clin Anesth,2020, 66:109.
[29] Hu X Y,Liu H,Zhao X,et al.Automated machine learning-based model predicts postoperative delirium using readily extractable perioperative collected electronic data[J].CNS Neurosci Ther,2022,28(4):608-618.
[30] Moon K J,Son C S,Lee J H,et al.The development of a web-based app employing machine learning for delirium prevention in long-term care facilities in South Korea[J].BMC Med Inform Decis Mak,2022,22(1):220.

基金

山东省自然科学基金青年项目(ZR2021QH031)

PDF(923 KB)

Accesses

Citation

Detail

段落导航
相关文章

/