Predicting treatment outcomes in traumatic brain injury (TBI) patients is challenging worldwide. The present study aimed to achieve the most accurate machine learning (ML) algorithms to predict the outcomes of TBI treatment by evaluating demographic features, laboratory data, imaging indices, and clinical features. We used data from 3347 patients admitted to a tertiary trauma centre in Iran from 2016 to 2021. After the exclusion of incomplete data, 1653 patients remained. We used ML algorithms such as random forest (RF) and decision tree (DT) with ten-fold cross-validation to develop the best prediction model. Our findings reveal that among different variables included in this study, the motor component of the Glasgow coma scale, the condition of pupils, and the condition of cisterns were the most reliable features for predicting in-hospital mortality, while the patients’ age takes the place of cisterns condition when considering the long-term survival of TBI patients. Also, we found that the RF algorithm is the best model to predict the short-term mortality of TBI patients. However, the generalized linear model (GLM) algorithm showed the best performance (with an accuracy rate of 82.03 ± 2.34) in predicting the long-term survival of patients. Our results showed that using appropriate markers and with further development, ML has the potential to predict TBI patients’ survival in the short- and long-term.
This study aimed to investigate the association between regional body fat distribution and the prevalence of Diabetes mellitus (DM) in adult populations using machine learning. We applied machine learning methods to data from a cohort study to analyze the relationship between fat in different body areas and diabetes. All measurement was done by "Tanita Segmental Body Composition Analyzer BC-418 MA Tanita Corp, Japan". The correlation between the used parameters and DM was measured using some machine learning algorithms i.e. SVM, SGD, KNN, MLP, Adaboost and EDINet. A total of 4661 participants were included. The top features that reported higher importance in classification models were age, fat mass, and percentages in legs, arms, and trunk area. Fat-free mass in the legs, arm, and trunk area was reversely associated with diabetes. Our proposed method significantly outperformed the others. It has the best performances in Accuracy, Precision, Recall-0, Recall-1, and F1-score, which were 93.57, 93.67, 96.11, 74.55 and 93.62, respectively. Our machine learning models showed that regional body fat could have specific impacts on diabetes based on the location of the fat accumulation. The most predictor values of diabetes were age, fat mass, and percentages in arms, legs, and trunk area. Further studies on different ages, gender, ethnic groups, and races are recommended.
We used machine learning methods to investigate if body composition indices predict hypertension. Data from a cohort study was used, and 4663 records were included (2156 were male, 1099 with hypertension, with the age range of 35–70 years old). Body composition analysis was done using bioelectrical impedance analysis (BIA); weight, basal metabolic rate, total and regional fat percentage (FATP), and total and regional fat-free mass (FFM) were measured. We used machine learning methods such as Support Vector Classifier, Decision Tree, Stochastic Gradient Descend Classifier, Logistic Regression, Gaussian Naïve Bayes, K-Nearest Neighbor, Multi-Layer Perceptron, Random Forest, Gradient Boosting, Histogram-based Gradient Boosting, Bagging, Extra Tree, Ada Boost, Voting, and Stacking to classify the investigated cases and find the most relevant features to hypertension. FATP, AFFM, BMR, FFM, TRFFM, AFATP, LFATP, and older age were the top features in hypertension prediction. Arm FFM, basal metabolic rate, total FFM, Trunk FFM, leg FFM, and male gender were inversely associated with hypertension, but total FATP, arm FATP, leg FATP, older age, trunk FATP, and female gender were directly associated with hypertension. AutoMLP, stacking and voting methods had the best performance for hypertension prediction achieving an accuracy rate of 90%, 84% and 83%, respectively. By using machine learning methods, we found that BIA-derived body composition indices predict hypertension with acceptable accuracy.
Introduction: We used machine learning methods to investigate if body composition indices predict hypertension. Methods: Data from a cohort study was used, and 4663 records were included (2156 were male, 1099 with hypertension, with the age range of 35-70 years old). Body composition analysis was done using bioelectrical impedance analysis (BIA); weight, basal metabolic rate, total and regional fat percentage (FATP), and total and regional fat-free mass (FFM) were measured. We used machine learning methods such as Support Vector Classifier, Decision Tree, Stochastic Gradient Descend Classifier, Logistic Regression, Gaussian Naïve Bayes, K-Nearest Neighbor, Multi-Layer Perceptron, Random Forest, Gradient Boosting, Histogram-based Gradient Boosting, Bagging, Extra Tree, Ada Boost, Voting and Stacking to classify the investigated cases and find the most relevant features to hypertension. Results: FATP, AFFM, BMR, FFM, TRFFM, AFATP, LFATP, and older age were the top features in hypertension prediction. Arm FFM, basal metabolic rate, total FFM, Trunk FFM, leg FFM, and male gender were inversely associated with hypertension, but total FATP, arm FATP, leg FATP, older age, trunk FATP, and female gender were directly associated with hypertension. Ensemble methods such as voting and stacking had the best performance for hypertension prediction. Stacking showed an accuracy rate of 79%. Conclusion: By using machine learning methods, we found that BIA-derived body composition indices predict hypertension with an acceptable accuracy.
Predicting treatment outcomes in traumatic brain injury (TBI) patients is challenging worldwide. The present study aimed to achieve the most accurate machine learning algorithms to predict the outcomes of TBI treatment by evaluating demographic features, laboratory data, imaging indices, and clinical features. We used data from 3347 patients admitted to a tertiary trauma centre in Iran from 2016 to 2021. After the exclusion of incomplete data, 1653 patients remained. We used machine learning algorithms such as Random Forest (RF) and Decision Tree (DT) with ten-fold cross-validation to develop the best prediction model. Our findings reveal that among different variables included in this study, the motor component of the Glasgow Coma Scale, condition of pupils, and condition of cisterns were the most reliable features for predicting in-hospital mortality, while the patients’ age takes the place of cisterns condition when considering the long-term survival of TBI patients. Also, we found that the RF algorithm is the best model to predict the short-term mortality of TBI patients. However, the generalized linear model (GLM) algorithm had the best performance (with an accuracy rate of 82.03 ± 2.34) in predicting the long-term survival of patients. Our results showed that using appropriate markers, and machine learning algorithms can provide a reliable prediction of TBI patients’ survival in the short- and long-term with reliable and easily accessible features of patients.
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