ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2021
Do clinical and paraclinical findings have the power to predict critical conditions of injured patients after traumatic injury resuscitation? Using data mining artificial intelligence.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Advances in Patient Monitoring Systems for Prehospital and Resource-Limited Settings.The western journal of emergency medicine · 2026Pooled it
- Science fiction or clinical reality: a review of the applications of artificial intelligence along the continuum of trauma care.World journal of emergency surgery : WJES · 2023Review
- Artificial intelligence and machine learning for hemorrhagic trauma care.Military Medical Research · 2023Review
- Decision support by machine learning systems for acute management of severely injured patients: A systematic review.Frontiers in surgery · 2022Review
- Personalized Clinical Phenotyping through Systems Medicine and Artificial Intelligence.Journal of personalized medicine · 2021Review
- Review
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7 authors.
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Abstract
purposeThe triage and initial care of injured patients and a subsequent right level of care is paramount for an overall outcome after traumatic injury. Early recognition of patients is an important case of such decision-making with risk of worse prognosis. This article is to answer if clinical and paraclinical signs can predict the critical conditions of injured patients after traumatic injury resuscitation.
methodsThe study included 1107 trauma patients, 16 years and older. The patients were trauma victims of Levels I and II triage and admitted to the Rajaee (Emtiaz) Trauma Hospital, Shiraz, in 2014-2015. The cross-industry process for data mining methodology and modeling was used for assessing the best early clinical and paraclinical variables to predict the patients' prognosis. Five modeling methods including the support vector machine, K-nearest neighbor algorithms, Bagging and Adaboost, and the neural network were compared by some evaluation criteria.
resultsLearning algorithms can predict the deterioration of injured patients by monitoring the Bagging and SVM models with 99% accuracy. The most-fitted variables were Glasgow Coma Scale score, base deficit, and diastolic blood pressure especially after initial resuscitation in the algorithms for overall outcome predictions.
conclusionData mining could help in triage, initial treatment, and further decision-making for outcome measures in trauma patients. Clinical and paraclinical variables after resuscitation could predict short-term outcomes much better than variables on arrival. With artificial intelligence modeling system, diastolic blood pressure after resuscitation has a greater association with predicting early mortality rather than systolic blood pressure after resuscitation. Artificial intelligence monitoring may have a role in trauma care and should be further investigated.
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