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August 1, 2015Measurement Science Review46 citationsOpen Access

Comparison of the Effects of Cross-validation Methods on Determining Performances of Classifiers Used in Diagnosing Congestive Heart Failure

YİYalçın İşlerANAli NarinMÖMahmut Özer

Key Result

Leave-one-out cross-validation yielded the highest average performance and lowest variance for diagnosing congestive heart failure, with the K-Nearest Neighbors classifier achieving 80.9% accuracy.

Structured PICO

P
Population
83 subjects (29 with congestive heart failure and 54 healthy controls) from the MIT/BIH database used to evaluate machine learning classifier performance.
I
Intervention
Machine learning classifiers (LDA, KNN, MLP, RBF, SVM) evaluated using k-fold (k=2,3,5,10) and leave-one-out cross-validation methods on heart rate variability data
O
Outcome
Classifier performance (Sensitivity, Specificity, Accuracy)surrogate

Increasing the number of data sections in cross-validation (e.g., leave-one-out) enhances average performance and decreases variability when evaluating classifiers for congestive heart failure diagnosis using heart rate variability.

Limitations

  • Gender information was not recorded for most of the patients in the CHF database
  • No feature selection method was used in the study
  • Relatively small number of records
  • Gender information not recorded for most patients in the chf2db database
  • No feature selection method was used
  • Higher number of records would give better comparable results

Abstract

Abstract Congestive heart failure (CHF) occurs when the heart is unable to provide sufficient pump action to maintain blood flow to meet the needs of the body. Early diagnosis is important since the mortality rate of the patients with CHF is very high. There are different validation methods to measure performances of classifier algorithms designed for this purpose. In this study, k-fold and leave-one-out cross-validation methods were tested for performance measures of five distinct classifiers in the diagnosis of the patients with CHF. Each algorithm was run 100 times and the average and the standard deviation of classifier performances were recorded. As a result, it was observed that average performance was enhanced and the variability of performances was decreased when the number of data sections used in the cross-validation method was increased.

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Cite This Study

İşler et al. (2015) studied Congestive Heart Failure (n=83). Leave-one-out cross-validation vs. k-fold cross-validation was evaluated on Classifier performance (accuracy, sensitivity, specificity). Leave-one-out cross-validation yielded the highest average performance and lowest variance for diagnosing congestive heart failure, with the K-Nearest Neighbors classifier achieving 80.9% accuracy.

synapsesocial.com/papers/6a902992fdb099d0d8dd7805https://doi.org/10.1515/msr-2015-0027
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