Objective: Identifying patients at high risk of mortality is crucial for emergency physicians to allocate hospital resources effectively, particularly in regions with limited medical services. This need becomes even more pressing during global health crises that lead to significant morbidity and mortality. This study aimed to present the usability deep neural decision forest and deep neural decision tree to predict mortality among Coronavirus disease 2019 (COVID-19) patients. To this end, We used patient data encompassing Coronavirus disease 2019 diagnosis, demographics, health indicators, and occupational risk factors to analyze disease severity and outcomes. The dataset was partitioned using a stratified sampling method, ensuring that 80% was allocated for training and 20% for testing. Nine machine learning and deep learning methods were employed to build predictive models. The models were evaluated across all stages to determine their effectiveness in predicting patient outcomes. Results: Among the models, the deep neural decision forest consistently outperformed others. Results indicated that using only clinical data yielded an accuracy of 80% by deep neural decision forest, demonstrating it as a reliable predictor of patient mortality. Moreover, the results suggest that clinical data alone may be the most accurate diagnostic tool for predicting mortality.
翻译:目的:识别高死亡风险患者对于急诊医师有效分配医疗资源至关重要,在医疗服务有限的地区尤为如此。这一需求在全球健康危机导致显著发病率和死亡率时变得更加紧迫。本研究旨在探讨深度神经决策森林和深度神经决策树在预测2019冠状病毒病(COVID-19)患者死亡率方面的应用价值。为此,我们整合了涵盖COVID-19诊断、人口统计学特征、健康指标及职业风险因素的患者数据,以分析疾病严重程度与临床结局。采用分层抽样方法划分数据集,确保80%用于训练、20%用于测试。研究运用九种机器学习与深度学习方法构建预测模型,并在各阶段评估模型预测患者结局的有效性。结果:在所有模型中,深度神经决策森林 consistently 表现最优。结果表明,仅使用临床数据时,深度神经决策森林的预测准确率达到80%,证明其可作为患者死亡率的可靠预测工具。此外,研究提示仅凭临床数据可能是预测死亡率最准确的诊断依据。