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Application of machine learning risk prediction mathematical model in the diagnosis of Escherichia coli infection in patients with septic shock by cardiovascular color doppler ultrasound

机译:机器学习风险预测数学模型在心血管彩色多普勒超声中渗透休克患者大肠杆菌感染诊断中的应用

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this study was to explore the diagnosis of septic shock patients with Escherichia coli (E. coli) infection based on cardiovascular color Doppler ultrasound (CCDUS) images under the machine learning risk prediction mathematical model (risk prediction model). 120 septic shock patients with Escherichia coli (E. coli) infection, admitted to xxx hospital were selected as research subjects, and they were randomly divided into experimental group and control group, including 76 males and 44 females, with an average age of (45.47?±?11.35) years old. The prediction model, random forest mathematical model (RF model), and feature combination were trained and applied in the CCDUS. The error rate, F1-score, and area under the curve (AUC) were compared. It was found that the prediction effect of the risk prediction model was better (P?
机译:本研究是根据机器学习风险预测数学模型(风险预测模型)的心血管颜色多普勒超声(CCDU)图像探讨患有大肠杆菌(大肠杆菌)感染的脓毒症休克患者的诊断。 120例脓毒症患者患有大肠杆菌(大肠杆菌)感染的患者被选中为XXX医院被选为研究受试者,并随机分为实验组和对照组,其中包括76名男性和44名女性,平均年龄(45.47 ?±11.35)岁。预测模型,随机林数学模型(RF模型)和特征组合训练并应用于CCDU。比较了曲线(AUC)下的错误率,F1分和区域。结果发现风险预测模型的预测效果更好(P?<?0.05)。基于风险预测模型绘制接收器操作特征曲线(ROC),发现AUC为0.924,最佳截止值为0.247。预测死亡结果与实际结果之间的一致性测试显示,kappa?=?0.824,高于0.75。患者的致病微生物主要是32例(53.33%)的革兰氏阳性细菌(GPB)。有19例致病细菌是大肠杆菌,11例(57.9%)在重症监护室(ICU)中获得。患者死亡率为41.67%。最后,急性生理学和慢性健康II(APACH II)评分和患者的D-二聚体被取代为物流回归模型。风险预测模型的效果优于RF模型和特征组合;基于风险预测模型的测量结果具有良好的一致性; D-DIMER和APACH II得分是脓毒症休克死亡的独立因素。

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