Using Predicting Analytics to Determine Discharge Status and Mortality in Sepsis and Septic Shock Patients based on Surgery and Medical Procedures

  • Sakulrat Khunsoongnoen หลักสูตรวิทยาศาสตรมหาบัณฑิต สาขาการจัดการเทคโนโลยีสารสนเทศ คณะวิศวกรรมศาสตร์ มหาวิทยาลัยมหิดล
  • Sotarat Thammaboosadee ผู้ช่วยศาสตราจารย์ สาขาเทคโนโลยีการจัดการระบบสารสนเทศ คณะวิศวกรรมศาสตร์ มหาวิทยาลัยมหิดล
  • Somkiat Wattanasirichaigoon ศาสตราจารย์ นพ. สาขาเทคโนโลยีการจัดการระบบสารสนเทศ คณะวิศวกรรมศาสตร์ มหาวิทยาลัยมหิดล
Keywords: Sepsis, Septic shock, Data mining

Abstract

Sepsis and Septic shock are the major health problems that affect the mortality rates of patients in Global, including Thailand, proven by 62-74 patients increase every year. Ratchaburi Hospital, one of the largest government hospital in the Central region of Thailand, has sepsis and septic shock patients approximately 1,339 cases per year. This research proposes the data mining application to build the prediction model for survival and discharge status of sepsis and septic shock patients. The study is scoped to the sepsis and septic shock patient information obtained from Ratchaburi hospital during 2012-2016. Five prediction methods, which are Naive Bayes, Logistic Regression, Deep learning, Decision tree and Gradient Boosted Trees, were experimented and compared for finding the highest performance and most appropriate model. The results showed that although the Gradient Boosted Trees is the highest performance, the Decision Tree is the most appropriate model due to its interpretability and easy-to-communicate to the medical personnel. Moreover, its performance is slightly different between Gradient Boosted Trees. Finally, the produced decision rules could facilitate and support the decision making for medical personnel.   

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Published
2019-06-14
Section
บทความวิจัย