Machine Learning and Medical Data: Predicting ICU Mortality and Re-admission Risks

Intensive care units (ICUs) are divisions where critically ill patients are treated by medical experts. The unmet and vital need for automated clinical decision-making mechanisms is critical to maneuvering the large influx of patients. This became more apparent after the COVID-19 pandemic. Existing...

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Main Authors: Runia Roy, Ulya Bayram
Format: Article
Language:English
Published: Çanakkale Onsekiz Mart University 2024-12-01
Series:Journal of Advanced Research in Natural and Applied Sciences
Subjects:
Online Access:https://dergipark.org.tr/en/download/article-file/4148361
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author Runia Roy
Ulya Bayram
author_facet Runia Roy
Ulya Bayram
author_sort Runia Roy
collection DOAJ
description Intensive care units (ICUs) are divisions where critically ill patients are treated by medical experts. The unmet and vital need for automated clinical decision-making mechanisms is critical to maneuvering the large influx of patients. This became more apparent after the COVID-19 pandemic. Existing studies focus on determining the probability of patients dying in the ICUs and prioritizing patients in dire need. Only a few studies have calculated the patient's probability of returning to the ICUs after discharge. These studies reduce the problem into a binary task of predicting mortality or re-admission only. However, this is unrealistic since both outcomes are highly possible for each patient. In this interdisciplinary study, two main contributions are proposed for the automated clinical decision-making state-of-the-art: (1) using the real-life data collected from thousands of ICU patients by healthcare professionals, three possibilities (recovery, mortality, and returning to the intensive care unit within 30 days) are predicted for patients in intensive care instead of just one possibility. (2) A novel feature extraction approach is proposed by the biomedical expert in our team. Four machine learning algorithms are applied to the finalized feature set to understand the difference between the binary and the multi-class classification problems. Obtained results reach 78% success, proving the possibility of developing better clinical decision-making mechanisms for ICUs.
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spelling doaj-art-a30fe01cff15475daab13f74be6d4d662025-02-05T18:13:02ZengÇanakkale Onsekiz Mart UniversityJournal of Advanced Research in Natural and Applied Sciences2757-51952024-12-0110481983210.28979/jarnas.1533962453Machine Learning and Medical Data: Predicting ICU Mortality and Re-admission RisksRunia Roy0https://orcid.org/0000-0002-4013-7939Ulya Bayram1https://orcid.org/0000-0002-8150-4053Neural Stem Cell Instituteçanakkale onsekiz mart üniversitesiIntensive care units (ICUs) are divisions where critically ill patients are treated by medical experts. The unmet and vital need for automated clinical decision-making mechanisms is critical to maneuvering the large influx of patients. This became more apparent after the COVID-19 pandemic. Existing studies focus on determining the probability of patients dying in the ICUs and prioritizing patients in dire need. Only a few studies have calculated the patient's probability of returning to the ICUs after discharge. These studies reduce the problem into a binary task of predicting mortality or re-admission only. However, this is unrealistic since both outcomes are highly possible for each patient. In this interdisciplinary study, two main contributions are proposed for the automated clinical decision-making state-of-the-art: (1) using the real-life data collected from thousands of ICU patients by healthcare professionals, three possibilities (recovery, mortality, and returning to the intensive care unit within 30 days) are predicted for patients in intensive care instead of just one possibility. (2) A novel feature extraction approach is proposed by the biomedical expert in our team. Four machine learning algorithms are applied to the finalized feature set to understand the difference between the binary and the multi-class classification problems. Obtained results reach 78% success, proving the possibility of developing better clinical decision-making mechanisms for ICUs.https://dergipark.org.tr/en/download/article-file/4148361clinical decision makingmachine learningintensive care unitsmortality predictionre-admission prediction
spellingShingle Runia Roy
Ulya Bayram
Machine Learning and Medical Data: Predicting ICU Mortality and Re-admission Risks
Journal of Advanced Research in Natural and Applied Sciences
clinical decision making
machine learning
intensive care units
mortality prediction
re-admission prediction
title Machine Learning and Medical Data: Predicting ICU Mortality and Re-admission Risks
title_full Machine Learning and Medical Data: Predicting ICU Mortality and Re-admission Risks
title_fullStr Machine Learning and Medical Data: Predicting ICU Mortality and Re-admission Risks
title_full_unstemmed Machine Learning and Medical Data: Predicting ICU Mortality and Re-admission Risks
title_short Machine Learning and Medical Data: Predicting ICU Mortality and Re-admission Risks
title_sort machine learning and medical data predicting icu mortality and re admission risks
topic clinical decision making
machine learning
intensive care units
mortality prediction
re-admission prediction
url https://dergipark.org.tr/en/download/article-file/4148361
work_keys_str_mv AT runiaroy machinelearningandmedicaldatapredictingicumortalityandreadmissionrisks
AT ulyabayram machinelearningandmedicaldatapredictingicumortalityandreadmissionrisks