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A data mining approach for optimization of acute inflammation therapy

机译:优化急性炎症治疗的数据挖掘方法

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Acute inflammation is a medical condition which occurs over seconds, minutes or hours and is characterized as a systemic inflammatory response to an infection. Delaying treatment by only one hour decreases patient chance of survival by about 7%. Therefore, there is a critical need for tools that can aid therapy optimization for this potentially fatal condition. Towards this objective we developed a data driven approach for therapy optimization where a predictive model for patients' behavior is learned directly from historical data. As such, the predictive model is incorporated into a model predictive control optimization algorithm to find optimal therapy, which will lead the patient to a healthy state. To save on the cost of clinical trials and potential failure, we evaluated our model on a population of virtual patients capable of emulating the inflammatory response. Patients are treated with two drugs for which dosage and timing are critical for the outcome of the treatment. Our results show significant improvement in percentage of healthy outcomes comparing to previously proposed methods for acute inflammation treatment found in literature and in clinical practice. In particular, application of our method rescued 88% of patients that would otherwise die within 168 hours due to septic or aseptic state. In contrast, the best method from literature rescued only 73% of patients.
机译:急性炎症是数秒,数分钟或数小时内发生的医学疾病,其特征是对感染的全身性炎症反应。仅将治疗延迟一小时可将患者的生存机会降低约7%。因此,迫切需要能够帮助针对这种潜在致命疾病进行治疗优化的工具。为了实现这一目标,我们开发了一种数据驱动的疗法优化方法,可从历史数据中直接学习患者行为的预测模型。这样,将预测模型合并到模型预测控制优化算法中以找到最佳疗法,这将使患者进入健康状态。为了节省临床试验和潜在失败的成本,我们在能够模拟炎症反应的虚拟患者群体上评估了我们的模型。用两种药物治疗患者,其剂量和时机对治疗结果至关重要。我们的结果表明,与先前在文献和临床实践中发现的急性炎症治疗方法相比,健康结果百分比显着提高。特别是,我们方法的应用挽救了88%的患者,这些患者否则会在168小时内由于败血症或无菌状态而死亡。相反,文献中的最佳方法仅挽救了73%的患者。

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