Mortality risk is a major concern to patients have just been discharged from the intensive care unit (ICU). Many studies have been directed to construct machine learning models to predict such risk. Although these models are highly accurate, they are less amenable to interpretation and clinicians are typically unable to gain further insights into the patients' health conditions and the underlying factors that influence their mortality risk. In this paper, we use patients' profiles extracted from the MIMIC-III clinical database to construct risk calculators based on different machine learning techniques such as logistic regression, decision trees, random forests and multilayer perceptrons. We perform an extensive benchmarking study that compares the most salient features as predicted by various methods. We observe a high degree of agreement across the considered machine learning methods; in particular, the cardiac surgery recovery unit, age, and blood urea nitrogen levels are commonly predicted to be the most salient features for determining patients' mortality risks. Our work has the potential for clinicians to interpret risk predictions.
翻译:死亡率风险是病人刚刚从特护单位(ICU)解脱出来的一个主要问题。许多研究都旨在建立机器学习模型来预测这种风险。虽然这些模型非常精确,但是他们不太容易接受口译,临床医生通常无法深入了解病人的健康状况和影响其死亡风险的基本因素。在本文中,我们利用从MIMIC-III临床数据库提取的病人概况来根据各种机器学习技术,例如后勤回归、决策树、随机森林和多层透视器,建立风险计算器。我们进行了广泛的基准研究,比较了各种方法预测的最突出的特征。我们观察到,在经过考虑的机器学习方法中,特别是心脏手术恢复单元、年龄和血液尿素氮含量通常被预测为确定病人死亡风险的最显著特征。我们的工作有可能让临床医生解释风险预测。