Key result
A random forest machine learning model predicted postoperative major cardiac events in patients with end stage renal disease undergoing surgery with an F1 score of 0.797.
Why the study?
Patients with end stage renal disease have a higher risk of mortality, prompting the development of a model to predict postoperative major cardiac events after any surgery.
Can a machine learning model accurately predict postoperative major cardiac events in ESRD patients undergoing surgery?
Can a machine learning model accurately predict postoperative major cardiac events in ESRD patients undergoing surgery?
A random forest machine learning model can predict postoperative major cardiac events in ESRD patients with good accuracy, potentially aiding physicians in perioperative management.
End stage renal disease (ESRD) is the last stage of chronic kidney disease that requires dialysis or a kidney transplant to survive. Many studies reported a higher risk of mortality in ESRD patients compared with patients without ESRD. In this paper, we develop a model to predict postoperative complications, major cardiac event, for patients who underwent any type of surgery. We compare several widely-used machine learning models through experiments with our collected data yellow of size 3220, and achieved F1 score of 0.797 with the random forest model. Based on experimental results, we found that features related to operation (e.g., anesthesia time, operation time, crystal, and colloid) have the biggest impact on model performance, and also found the best combination of features. We believe that this study will allow physicians to provide more appropriate therapy to the ESRD patients by providing information on potential postoperative complications.
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Jeong et al. (2021) studied End stage renal disease (ESRD) (n=3,220). Machine learning models (Random Forest) vs. Other machine learning models was evaluated on Prediction of postoperative complications (major cardiac event) (F1 score 0.797). A random forest machine learning model predicted postoperative major cardiac events in patients with end stage renal disease undergoing surgery with an F1 score of 0.797.
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