EuroSCORE II significantly underestimated mortality risk for Turkish cardiac patients, whereas additive and logistic EuroSCORE and STS risk calculators were well calibrated.

Abstract-In recent years, the problem of learning a real-valued function that induces a ranking over an instance space has gained importance in machine learning literature. Here, we propose a supervised algorithm that learns a ranking function, called ranking instances by maximizing the area under the ROC curve (RIMARC). Since the area under the ROC curve (AUC) is a widely accepted performance measure for evaluating the quality of ranking, the algorithm aims to maximize the AUC value directly. For a single categorical feature, we show the necessary and sufficient condition that any ranking function must satisfy to achieve the maximum AUC. We also sketch a method to discretize a continuous feature in a way to reach the maximum AUC as well. RIMARC uses a heuristic to extend this maximization to all features of a data set. The ranking function learned by the RIMARC algorithm is in a humanreadable form; therefore, it provides valuable information to domain experts for decision making. Performance of RIMARC is evaluated on many real-life data sets by using different state-of-the-art algorithms. Evaluations of the AUC metric show that RIMARC achieves significantly better performance compared to other similar methods.

The original EuroSCORE risk models overestimated mortality at all risk subgroups in Turkish population. Remodeling strategies for EuroSCORE or creation of a new model is warranted for future studies in Turkey.

Many machine learning algorithms require the features to be categorical. Hence, they require all numeric-valued data to be discretized into intervals. In this paper, we present a new discretization method based on the receiver operating characteristics (ROC) Curve (AUC) measure. Maximum area under ROC curve-based discretization (MAD) is a global, static and supervised discretization method. MAD uses the sorted order of the continuous values of a feature and discretizes the feature in such a way that the AUC based on that feature is to be maximized. The proposed method is compared with alternative discretization methods such as ChiMerge, Entropy-Minimum Description Length Principle (MDLP), Fixed Frequency Discretization (FFD), and Proportional Discretization (PD). FFD and PD have been recently proposed and are designed for Naïve Bayes learning. ChiMerge is a merging discretization method as the MAD method. Evaluations are performed in terms of M-Measure, an AUC-based metric for multi-class classification, and accuracy values obtained from Naïve Bayes and Aggregating One-Dependence Estimators (AODE) algorithms by using real-world datasets. Empirical results show that MAD is a strong candidate to be a good alternative to other discretization methods.

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