A novel mathematical model to predict prognosis of burnt patients based on logistic regression and s

来源 :2013年全军烧伤外科学术年会 | 被引量 : 0次 | 上传用户:mai2621329
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
  Introduction and aims: Predicting survival among victims of major burns trauma remains challenging, but can be useful to plan surgical management or palliation.The aims of this study were to retrospectively analyze burns patients to develop a mathematical model of predicting mortality based on admission characteristics.Materials and Methods: Data on all the burn patients presenting to Institute of Burn Research, Southwest Hospital, Third Military Medical University from January of 1999to December of 2008 were extracted from the departmental registry.Univariate associations with mortality were identified and independent associations were derived from multivariate logistic regression analysis.Using variables independently and significantly associated with mortality, a mathematical model to predict mortality was developed using the support vector machine (SVM) model.The predicting ability of this model was evaluated and verified.Results: There were 6220 cases included in this study with an overall mortality at hospital discharge of 1.8%.Variables at presentation independently associated with mortality were gender, age, total burn area, full thickness burn area, combination of inhalation injury, shock, period before admission, involvement of the head, face, neck and perineum, multiple injury, and injury mechanism(explosion or electricity).The sensitivity and specificity of logistic model were 99.75% and 85.84% respectively, with an area under the receiver operating curve of 0.989 (95% CI: 0.979-1.000; p<0.01).The model correctly classified 99.50% of cases.The subsequently developed SVM model correctly classified nearly 100%of test cases, which could not only predict adult group but also pediatric group, with pretty high robustness (92%-100%).Conclusions: It is possible to accurately predict mortality post burns injury using variables recorded at hospital presentation.These models need to be validated both internally and externally.In high volume burns centers, predictive models may be used clinically for forward planning of surgery or effective palliation.
其他文献
本文简要介绍了福建省闽北地质大队的发展概况,通过内外部环境的良好互动,优势组合,去实现地勘经济的持续发展。针对闽北队面临的困境,根据实际情况,从地质矿业和施工业两方面提出
采用混合式教学的方式开展高职院校的体育课程,能够保证在有限的课时内获得最好的教学效果.同时,大大的减轻了老师授课的负担.尤其对于体育科目的学习来说,混合式教学方法可
山东地矿局在实施境外矿产资源勘查与开发的过程中,重视有的放矢地制定和优化“走出去”总体战略工作,结合自身实际,走出了独具特色的道路,坚定不移抓优质矿权,争取申报一批,储备一
会议
地质勘探单位要想实现可持续发展,必须根据经济社会发展的形势和需要,结合各自特点和比较优势,不断深化改革推动产业结构调整和整合,巩固提升优势产业,向多元化规模发展,提高经济运
在国家出台地址勘探单位分类改革的政策环境下,安徽省地矿局313地质队在找矿机制、找矿方法、探矿设备研发、人才队伍建设等方面,进行了大胆的探索和实践,利用区位优势,实现找矿
无线电寻呼机是目前比较先进的袖珍通信工具,人们只要随身携带它,在一定范围内,无论走到哪里,无线电寻呼中心都能在几秒钟内找到他。早先面世的无线电寻呼机是以字符代码表
中职语文课堂教学在随改革不断深入,现如今已有成效,但仍存在许多问题.如何提高中职语文课堂教学的有效性,已经成为课堂教学中重点关注的问题.本文通过分析中职语文课堂教学
本文回顾了浙江省第一地址大队成立以来在品牌建设和施工方面取得的成就,通过采取探矿权奖励办法,有效激发了技术人员的积极性,顺应经济发展趋势,加快转变发展方式,推进产业转型升
The 1992 International Conference on Lasers and Opto-electronics,Beijing(ICLOE’92 Beijing)will be held at the 21st Century Hotel,Beijing on October16-18,1992.
人才是促进企业发展最重要的因素,为此出现了许多人才培养方式,而企业新型学徒制就是近年来逐步发展起来的一种新型人才培养模式,这种培养方式不仅符合现代企业发展需求,而且