Journals / Balkan Journal of Electrical and Computer Engineering / 2021 / Cilt: 9 - Sayı: 2

Monitoring Medical Interventions for Multidimensional Evaluation of Changes in Patient Test Results with Principal Component Analysis

Pages
178–186
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Experimental analysis results indicate that PCA was able to capture patient progression in terms of variances.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Medical doctors of today are challenged with increasingly large volumes of high-dimensional, heterogeneous, and unstructured data from various sources that pose significant challenges for manual analysis.
📊
Key Findings & Data:Permutation tests for the validity and stability of the model exhibit an acceptable significance level with a p-value of 0.001.
💡
Conclusion & Impact:Experimental analysis results indicate that PCA was able to capture patient progression in terms of variances.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Medical doctors of today are challenged with increasingly large volumes of high-dimensional, heterogeneous, and unstructured data from various sources that pose significant challenges for manual analysis. However, this unstructured data is mainly vital for decision making but there exists a shortage of intelligent tools to extract the hidden knowledge. Given these facts, the application of machine learning methods in healthcare is a growing phenomenon. This paper explores machine learning approaches for interpreting large quantities of continuously acquired, multivariate patient-based medical laboratory data, in intensive care unit (ICU) settings. The research hypothesizes that principal component analysis (PCA) can be able to capture the changes in the outcomes after a medical intervention. We adopted PCA as the main method, to observe and capture the daily changes for intensive care unit patients. The approach will be able to inform the physicians, which laboratory tests are exhibiting variances after an intervention, and their associated epiphenomenon. This can be used as a clue to make decisions on which treatment or diagnosis to apply further. Experimental analysis results indicate that PCA was able to capture patient progression in terms of variances. Permutation tests for the validity and stability of the model exhibit an acceptable significance level with a p-value of 0.001. Results showed that the approach provides promising results for interpreting large quantities of patient data for establishing a cause-effect relationship from medical interventions and be used as an early warning system. The study retrospectively demonstrated the capability of PCA to monitor and provide an alert to the clinicians about the patient's changing conditions, thereby providing opportunities for timely interventions. If coupled with other machine learning models, the approach can also be able to support clinical decision making and enable effective patienttailored care for better health outcomes.

🔖

Cite This Article

AKTAŞ, Ö., ŞIŞMAN, A. R., YIMER, M. A., SEVINÇ, S., YILDIRIM, O., YAŞAR, E. (2022). Monitoring Medical Interventions for Multidimensional Evaluation of Changes in Patient Test Results with Principal Component Analysis. Balkan Journal of Electrical and Computer Engineering, Cilt: 9 - Sayı: 2, 178–186. https://ajindex.com/articles/460411

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. W. Widanagamaachchi, Y. Livnat, P.-T. Bremer, S. Duvall and V. Pascucci, "Interactive Visualization and Exploration of Patient Progression in a Hospital Setting," AMIA Annual Symposium Proceeding, vol. v2017, pp. 1773-1782, 2017
  2. C.-F. Wang, J. Li, K.-L. Ma, C.-W. Huang and Y.-C. Li, "A Visual Analysis Approach to Cohort Study of Electronic Patient Records," in IEEE International Conference on Bioinformatics and Biomedicine, Belfast, UK, 2014
  3. C. Mathukia, W. Fan, K. Vadyak, C. Biege and M. Krishnamurthy, "Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital," Journal of Community Hospital Internal Medicine Perspectives, vol. 5, no. 2, 2015
  4. G. B. Smith, D. R. Prytherch, P. Meredith, P. E. Schmidt and P. I. Featherstoned, "The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission and death," Elsevier Resuscitation, vol. 84, no. 4, pp. 465-470, 2013
  5. D. R. Prythercha, G. B. Smith, P. E. Schmidt and P. I. Featherstone, "ViEWS—Towards a national early warning score for detecting adult inpatient deterioration," Elsevier Resuscitation, vol. 81, no. 8, p. 932– 937, 2010
  6. C. Ye, O. Wang, M. Liu, L. Zheng, M. Xia, S. Hao, B. Jin, H. Jin, C. Zhu, C. J. Huang, P. Gao, G. Ellrodt, D. Brennan, F. Stearns, K. G. Sylvester, E. Widen, D. B. McElhinney and X. Ling, "A Real-Time Early Warning System for Monitoring Inpatient Mortality Risk: Prospective Study Using Electronic Medical Record Data," Journal of Medical Internet Research, vol. 21, no. 7, 2019
  7. X. Cai, O. Perez-Concha, E. Coiera, F. Martin-Sanchez, R. Day, D. Roffe and B. Gallego, "Real-time prediction of mortality, readmission, and length of stay using electronic health record data," Journal of Amarican Medical Information Association, vol. 23, no. 3, pp. 553-561, 2016
  8. F. Babić, M. Vadovský, M. Muchová, J. Paralić and L. Majnarić, "Simple Understandable Analysis of Medical Data to Support the Diagnostic Process," in IEEE 15th International Symposium on Applied Machine Intelligence and Informatics, Slovakia, 2017
  9. H. Mohamadlou, A. Lynn-Palevsky, C. Barton, U. Chettipally, L. Shieh, J. Calvert, N. R. Saber and R. Das, "Prediction of Acute Kidney Injury With a Machine Learning Algorithm Using Electronic Health Record Data," Canadian Journal of Kidney Health, vol. 5, pp. 1-9, 2018. 10] I. Babaoğlu, O. Fındık and M. Bayrak, "E