A data mining-based cross-industry process for predicting major bleeding in mechanical circulatory support

Autor: Felix, Susanne E A, Bagheri, Ayoub, Ramjankhan, Faiz R, Spruit, Marco R, Oberski, Daniel, De Jonge, Nicolaas, Van Laake, Linda W, Suyker, Willem J L, Asselbergs, Folkert W, Leerstoel Oberski, Methodology and statistics for the behavioural and social sciences, Sub Natural Language Processing
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: European Heart Journal-Digital Health, 2(4), 635
ISSN: 2634-3916
DOI: 10.1093/ehjdh/ztab082
Popis: AimsOver a third of patients, treated with mechanical circulatory support (MCS) for end-stage heart failure, experience major bleeding. Currently, the prediction of a major bleeding in the near future is difficult because of many contributing factors. Predictive analytics using data mining could help calculating the risk of bleeding; however, its application is generally reserved for experienced researchers on this subject. We propose an easily applicable data mining tool to predict major bleeding in MCS patients.Methods and resultsAll data of electronic health records of MCS patients in the University Medical Centre Utrecht were included. Based on the cross-industry standard process for data mining (CRISP-DM) methodology, an application named Auto-Crisp was developed. Auto-Crisp was used to evaluate the predictive models for a major bleeding in the next 3, 7, and 30 days after the first 30 days post-operatively following MCS implantation. The performance of the predictive models is investigated by the area under the curve (AUC) evaluation measure. In 25.6% of 273 patients, a total of 142 major bleedings occurred during a median follow-up period of 542 [interquartile range (IQR) 205–1044] days. The best predictive models assessed by Auto-Crisp had AUC values of 0.792, 0.788, and 0.776 for bleedings in the next 3, 7, and 30 days, respectively.ConclusionThe Auto-Crisp-based predictive model created in this study had an acceptable performance to predict major bleeding in MCS patients in the near future. However, further validation of the application is needed to evaluate Auto-Crisp in other research projects.
Databáze: OpenAIRE