The early warning system detects early and responds quickly to emergencies in high-risk patients, such as cardiac arrest in hospitalized patients. However, traditional early warning systems have the problem of frequent false alarms due to low positive predictive value and sensitivity. We conducted early prediction research on cardiac arrest using time-series data such as biosignal and laboratory data. To derive the data attributes that affect the occurrence of cardiac arrest, we performed a correlation analysis between the occurrence of cardiac arrest and the biosignal data and laboratory data. To improve the positive predictive value and sensitivity of early cardiac arrest prediction, we evaluated the performance according to the length of the time series of measured biosignal data, laboratory data, and patient data range. We propose a machine learning and deep learning algorithm: the decision tree, random forest, logistic regression, long short-term memory (LSTM), gated recurrent unit (GRU) model, and the LSTM–GRU hybrid model. We evaluated cardiac arrest prediction models. In the case of our proposed LSTM model, the positive predictive value was 85.92% and the sensitivity was 89.70%.
Medication misidentification poses a significant risk to patient safety, particularly for elderly individuals managing complex prescriptions. To address this, we developed a deep learning-based system for real-time medication recognition on mobile devices. Through a comparative analysis of convolutional neural networks, ResNet101 was selected for its superior performance, achieving 98.51% accuracy on a dataset from the Korea Pharmaceutical Information Center. The system employs advanced preprocessing techniques, including image augmentation and normalization, to ensure robustness across diverse conditions. Heatmap-based visualizations enhance model interpretability, fostering trust in their decisions. Deployed as a user-friendly mobile application, the system prioritizes accessibility for elderly users, offering a practical solution to reduce medication errors. This research demonstrates the potential of AI-driven mobile health applications to improve pharmaceutical safety and patient outcomes.
The prognosis of patients with acute pesticide poisoning depends on their acute respiratory condition. Here, we propose machine learning models to predict acute respiratory failure in patients with acute pesticide poisoning using a decision tree, logistic regression, and random forests, support vector machine, adaptive boosting, gradient boosting, multi-layer boosting, recurrent neural network, long short-term memory, and gated recurrent gate. We collected medical records of patients with acute pesticide poisoning at the Soonchunhyang University Cheonan Hospital from 1 January 2016 to 31 December 2020. We applied the k-Nearest Neighbor Imputer algorithm, MissForest Impuer and average imputation method to handle the problems of missing values and outliers in electronic medical records. In addition, we used the min–max scaling method for feature scaling. Using the most recent medical research, p-values, tree-based feature selection, and recursive feature reduction, we selected 17 out of 81 features. We applied a sliding window of 3 h to every patient’s medical record within 24 h. As the prevalence of acute respiratory failure in our dataset was 8%, we employed oversampling. We assessed the performance of our models in predicting acute respiratory failure. The proposed long short-term memory demonstrated a positive predictive value of 98.42%, a sensitivity of 97.91%, and an F1 score of 0.9816.
Background: Accurate prognostic prediction is crucial for managing Idiopathic Sudden Sensorineural Hearing Loss (ISSHL). Previous studies developing ISSHL prognosis models often overlooked individual variability in hearing damage by relying on fixed frequency domains. This study aims to develop models predicting ISSHL prognosis one month after treatment, focusing on patient-specific hearing impairments. Methods: Patient-Personalized Seigel’s Criteria (PPSC) were developed considering patient-specific hearing impairment related to ISSHL criteria. We performed a statistical test to assess the shift in the recovery assessment when applying PPSC. The utilized dataset of 581 patients comprised demographic information, health records, laboratory testing, onset and treatment, and hearing levels. To reduce the model’s reliance on hearing level features, we used only the averages of hearing levels of the impaired frequencies. Then, model development, evaluation, and interpretation proceeded. Results: The chi-square test (p-value: 0.106) indicated that the shift in recovery assessment is not statistically significant. The soft-voting ensemble model was most effective, achieving an Area Under the Receiver Operating Characteristic Curve (AUROC) of 0.864 (95% CI: 0.801–0.927), with model interpretation based on the SHapley Additive exPlanations value. Conclusions: With PPSC, providing a hearing assessment comparable to traditional Seigel’s criteria, the developed models successfully predicted ISSHL recovery one month post-treatment by considering patient-specific impairments.
Background: Chronic otitis media affects approximately 2% of the global population, causing significant hearing loss and diminishing the quality of life. However, there is a lack of studies focusing on outcome prediction for otitis media patients undergoing canal-wall-down mastoidectomy. Methods: This study proposes a recovery prediction model for chronic otitis media patients undergoing canal-wall-down mastoidectomy, utilizing data from 298 patients treated at Korea University Ansan Hospital between March 2007 and August 2020. Various machine learning techniques, including logistic regression, decision tree, random forest, support vector machine (SVM), extreme gradient boosting (XGBoost), and light gradient boosting machine (light GBM), were employed. Results: The light GBM model achieved a predictive value (PPV) of 0.6945, the decision tree algorithm showed a sensitivity of 0.7574 and an F1 score of 0.6751, and the light GBM algorithm demonstrated the highest AUC-ROC values of 0.7749 for each model. XGBoost had the most efficient PR-AUC curve, with a value of 0.7196. Conclusions: This study presents the first predictive model for chronic otitis media patients undergoing canal-wall-down mastoidectomy. The findings underscore the potential of machine learning techniques in predicting hearing recovery outcomes in this population, offering valuable insights for personalized treatment strategies and improving patient care.