Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis Patients

Background. Acute kidney injury (AKI) has long been recognized as a common and important complication of acute pancreatitis (AP). In the study, machine learning (ML) techniques were used to establish predictive models for AKI in AP patients during hospitalization. This is a retrospective review of p...

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Main Authors: Cheng Qu, Lin Gao, Xian-qiang Yu, Mei Wei, Guo-quan Fang, Jianing He, Long-xiang Cao, Lu Ke, Zhi-hui Tong, Wei-qin Li
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/3431290
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author Cheng Qu
Lin Gao
Xian-qiang Yu
Mei Wei
Guo-quan Fang
Jianing He
Long-xiang Cao
Lu Ke
Zhi-hui Tong
Wei-qin Li
author_facet Cheng Qu
Lin Gao
Xian-qiang Yu
Mei Wei
Guo-quan Fang
Jianing He
Long-xiang Cao
Lu Ke
Zhi-hui Tong
Wei-qin Li
author_sort Cheng Qu
collection DOAJ
description Background. Acute kidney injury (AKI) has long been recognized as a common and important complication of acute pancreatitis (AP). In the study, machine learning (ML) techniques were used to establish predictive models for AKI in AP patients during hospitalization. This is a retrospective review of prospectively collected data of AP patients admitted within one week after the onset of abdominal pain to our department from January 2014 to January 2019. Eighty patients developed AKI after admission (AKI group) and 254 patients did not (non-AKI group) in the hospital. With the provision of additional information such as demographic characteristics or laboratory data, support vector machine (SVM), random forest (RF), classification and regression tree (CART), and extreme gradient boosting (XGBoost) were used to build models of AKI prediction and compared to the predictive performance of the classic model using logistic regression (LR). XGBoost performed best in predicting AKI with an AUC of 91.93% among the machine learning models. The AUC of logistic regression analysis was 87.28%. Present findings suggest that compared to the classical logistic regression model, machine learning models using features that can be easily obtained at admission had a better performance in predicting AKI in the AP patients.
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publishDate 2020-01-01
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series Gastroenterology Research and Practice
spelling doaj-art-bac693fe9571415fa857a2d769b79ad92025-02-03T01:20:09ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/34312903431290Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis PatientsCheng Qu0Lin Gao1Xian-qiang Yu2Mei Wei3Guo-quan Fang4Jianing He5Long-xiang Cao6Lu Ke7Zhi-hui Tong8Wei-qin Li9Surgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Clinical Medical College of Southeast University, Nanjing, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, ChinaElectrical Engineering School of Southeast University, ChinaInstitute for Hospital Management of Tsinghua University, Shenzhen, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, ChinaBackground. Acute kidney injury (AKI) has long been recognized as a common and important complication of acute pancreatitis (AP). In the study, machine learning (ML) techniques were used to establish predictive models for AKI in AP patients during hospitalization. This is a retrospective review of prospectively collected data of AP patients admitted within one week after the onset of abdominal pain to our department from January 2014 to January 2019. Eighty patients developed AKI after admission (AKI group) and 254 patients did not (non-AKI group) in the hospital. With the provision of additional information such as demographic characteristics or laboratory data, support vector machine (SVM), random forest (RF), classification and regression tree (CART), and extreme gradient boosting (XGBoost) were used to build models of AKI prediction and compared to the predictive performance of the classic model using logistic regression (LR). XGBoost performed best in predicting AKI with an AUC of 91.93% among the machine learning models. The AUC of logistic regression analysis was 87.28%. Present findings suggest that compared to the classical logistic regression model, machine learning models using features that can be easily obtained at admission had a better performance in predicting AKI in the AP patients.http://dx.doi.org/10.1155/2020/3431290
spellingShingle Cheng Qu
Lin Gao
Xian-qiang Yu
Mei Wei
Guo-quan Fang
Jianing He
Long-xiang Cao
Lu Ke
Zhi-hui Tong
Wei-qin Li
Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis Patients
Gastroenterology Research and Practice
title Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis Patients
title_full Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis Patients
title_fullStr Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis Patients
title_full_unstemmed Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis Patients
title_short Machine Learning Models of Acute Kidney Injury Prediction in Acute Pancreatitis Patients
title_sort machine learning models of acute kidney injury prediction in acute pancreatitis patients
url http://dx.doi.org/10.1155/2020/3431290
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