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Development and Validation of a Prognostic Risk Score System for COVID-19 Inpatients:A Multi-Center Retrospective Study in China
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作者 Ye Yuan Chuan Sun +24 位作者 Xiuchuan Tang Cheng Cheng Laurent Mombaerts Maolin Wang Tao Hu Chenyu Sun Yuqi Guo Xiuting Li Hui Xu Tongxin Ren Yang Xiao Yaru Xiao Hongling Zhu Honghan Wu Kezhi Li Chuming Chen Yingxia Liu Zhichao Liang Zhiguo Cao Hai-Tao Zhang Ioannis Ch.Paschaldis Quanying Liu Jorge Goncalves Qiang Zhong Li Yan 《Engineering》 SCIE EI 2022年第1期116-121,共6页
Coronavirus disease 2019(COVID-19)has become a worldwide pandemic.Hospitalized patients of COVID-19 suffer from a high mortality rate,motivating the development of convenient and practical methods that allow clinician... Coronavirus disease 2019(COVID-19)has become a worldwide pandemic.Hospitalized patients of COVID-19 suffer from a high mortality rate,motivating the development of convenient and practical methods that allow clinicians to promptly identify high-risk patients.Here,we have developed a risk score using clinical data from 1479 inpatients admitted to Tongji Hospital,Wuhan,China(development cohort)and externally validated with data from two other centers:141 inpatients from Jinyintan Hospital,Wuhan,China(validation cohort 1)and 432 inpatients from The Third People’s Hospital of Shenzhen,Shenzhen,China(validation cohort 2).The risk score is based on three biomarkers that are readily available in routine blood samples and can easily be translated into a probability of death.The risk score can predict the mortality of individual patients more than 12 d in advance with more than 90%accuracy across all cohorts.Moreover,the Kaplan-Meier score shows that patients can be clearly differentiated upon admission as low,intermediate,or high risk,with an area under the curve(AUC)score of 0.9551.In summary,a simple risk score has been validated to predict death in patients infected with severe acute respiratory syndrome coronavirus 2(SARS-CoV-2);it has also been validated in independent cohorts. 展开更多
关键词 COVID-19 Risk score Mortality risk prediction
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贝叶斯网络模型在体检结果分析中的应用 被引量:3
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作者 王思聪 石超珺 +6 位作者 滕斌 乔鲁燕 李赞华 王镜涵 曾庆嘉 秦亚星 冯珊 《中国卫生统计》 CSCD 北大核心 2020年第6期832-834,839,共4页
目的探讨贝叶斯网络在医务人员健康状况分析中的应用,为医务人员健康管理提供方向和思路。方法通过半朴素贝叶斯(TAN)构建年龄、性别、部门(临床/非临床)等基本信息之间的连接,以此为基础建立贝叶斯网络表示各体检指标间的关联关系。结... 目的探讨贝叶斯网络在医务人员健康状况分析中的应用,为医务人员健康管理提供方向和思路。方法通过半朴素贝叶斯(TAN)构建年龄、性别、部门(临床/非临床)等基本信息之间的连接,以此为基础建立贝叶斯网络表示各体检指标间的关联关系。结果在2014-2017年某三甲医院医务人员体检数据上,贝叶斯网络以年龄、性别、肝脏为3个中心结点,建立起与其他体检指标的关联。以中心结点肝脏为条件的分组异常检出率统计及贝叶斯网络推断结果同时显示:该院医务人员肝脏与甲状腺、胆囊、肾脏、体重指标之间的关联性差异有统计学意义。结论贝叶斯网络对于建立医务人员体检管理体系具有可参考价值。 展开更多
关键词 贝叶斯网络 半朴素贝叶斯 关联性分析 医务人员 体检结果
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Atrial fibrillation:the current epidemic 被引量:9
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作者 Carlos A Morillo Amitava Banerjee +2 位作者 Pablo Perel David Wood Xavier Jouven 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第3期195-203,共9页
Atrial fibrillation(AF)is the most common arrhythmia diagnosed in clinical practice.The consequences of AF have been clearly estab-lished in multiple large observational cohort studies and include increased stroke and... Atrial fibrillation(AF)is the most common arrhythmia diagnosed in clinical practice.The consequences of AF have been clearly estab-lished in multiple large observational cohort studies and include increased stroke and systemic embolism rates if no oral anticoagulation is prescribed,with increased morbidity and mortality.With the worldwide aging of the population characterized by a large influx of"baby boomers"with or without risk factors for developing AF,an epidemic is forecasted within the next 10 to 20 years.Although not all studies support this evidence,it is clear that AF is on the rise and a significant amount of health resources are invested in detecting and managing AF This review focuses on the worldwide burden of AF and reviews global health strategies focused on improving detection,prevention and risk stratification of AF,recently recommended by the World Heart Federation. 展开更多
关键词 Aging ANTICOAGULATION Atrial fibrillation Heart failure HYPERTENSION STROKE
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A Bibliographic Dataset of Health Artiffcial Intelligence Research
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作者 Xuanyu Shi Daoxin Yin +5 位作者 Yongmei Bai Wenjing Zhao Xin Guo Huage Sun Dongliang Cui Jian Du 《Health Data Science》 2024年第1期326-340,共15页
Objective:The aim of this study is to construct a curated bibliographic dataset for a landscape analysis on Health Artiffcial Intelligence(HAI)research.Data Source:We integrated HAI-related bibliographic records,inclu... Objective:The aim of this study is to construct a curated bibliographic dataset for a landscape analysis on Health Artiffcial Intelligence(HAI)research.Data Source:We integrated HAI-related bibliographic records,including publications,open research datasets,patents,research grants,and clinical trials from Medline and Dimensions.Methods:Searching:Relevant documents were identiffed using Medical Subject Headings(MeSH)and Field of Research(FoR)indexed by 2 bibliographic databases,Medline and Dimensions.Extracting:MeSH terms annotated from the aforementioned bibliographic databases served as the primary information for our processing.For document records lacking MeSH terms,we reextracted them using the Medical Text Indexer(MTI).Mapping:In order to enhance interoperability,HAI multi-documents were organized using a mapping system incorporating MeSH,FoR,The International Classiffcation of Diseases(ICD-10),and Systematized Nomenclature of Medicine Clinical Terms(SNOMED CT).Integrating:All documents were curated based on a pre-deffned ontology of health problems and AI technologies from the MeSH hierarchy.Results:We collected 96,332 HAI documents(publications:75,820,open research datasets:638,patents:11,226,grants:6,113,and clinical trials:2,535)during 2009 to 2021.On average,75.12%of the documents were tagged with at least one label related to either health problems or AI technologies(with 92.9%of publications tagged).Summary:This study presents a comprehensive pipeline for processing and curating HAI bibliographic documents following the FAIR(Findable,Accessible,Interoperable,Reusable)standard,offering a valuable multidimensional collection for the community.This dataset serves as a crucial resource for horizontally scanning the funding,research,clinical assessments,and innovations within the HAI ffeld. 展开更多
关键词 offering mentioned LANDSCAPE
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针对患者利益的机器学习和人工智能研究:在透明性、可重复性、伦理和有效性等方面的20个关键问题 被引量:12
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作者 Sebastian Vollmer Bilal A Mateen +18 位作者 Gergo Bohner Franz J Kirdly Rayid Ghani Pall Jonsson Sarah Cumbers Adrian Jonas Katherine S L McAllister Puja Myles David Granger Mark Birse Richard Branson Karel G M Moons Gary S Collins John P A Chris Holmes Harry Hemingwayp 李峰(译) 徐磊(校) 赵邑(校) 《英国医学杂志中文版》 2020年第9期522-533,共12页
机器学习(ML)、人工智能(AI)和其他现代统计方法正为利用先前尚未开发且极速增长的数据资源提供新的机会,以期让患者获益。尽管目前正在进行许多有前景的研究,特别是在图像方面,但就文献整体而言还缺乏透明度、对可重复性清晰的阐述、... 机器学习(ML)、人工智能(AI)和其他现代统计方法正为利用先前尚未开发且极速增长的数据资源提供新的机会,以期让患者获益。尽管目前正在进行许多有前景的研究,特别是在图像方面,但就文献整体而言还缺乏透明度、对可重复性清晰的阐述、对潜在伦理问题的探究,以及对有效性的明确验证。这些问题的存在有许多原因,其中最重要的一点(为此我们提供了初步解决方案)就是当前缺乏针对ML和AI的最佳实践指南。我们认为从事研究的跨学科团队和应用ML/AI影响健康的项目,将因解决有关透明度、可重复性、伦理和有效性(TREE)的一系列问题而受益。这里提出的20个关键问题为研究团队提供了一个研究设计、实施和报告框架;帮助编辑和同行评审专家评估文献的贡献;让患者、临床医生和政策制定者评估新发现可能会给患者带来的获益。 展开更多
关键词 人工智能研究 机器学习 同行评审 数据资源 缺乏透明度 可重复性 透明性 跨学科团队
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周末入院病死率高——是否延长至7天服务?
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作者 Nick Freemantle Daniel Ray +5 位作者 David McNuhy David Rosser Simon Bennett Bruce E Keogh Domenico Pagano 赵英希 《英国医学杂志中文版》 2016年第1期13-17,共5页
现代化、高效的医疗保健体系不仅应该防止患者因可治疗的原因过早死亡,改善慢性疾病患者的生活质量,帮助急症患者康复,保证治疗的安全性,同时,还应该尽可能为患者提供良好的医疗照护,因此周末医疗照护减少会对以上各方面产生负面... 现代化、高效的医疗保健体系不仅应该防止患者因可治疗的原因过早死亡,改善慢性疾病患者的生活质量,帮助急症患者康复,保证治疗的安全性,同时,还应该尽可能为患者提供良好的医疗照护,因此周末医疗照护减少会对以上各方面产生负面影响。不过,整周的服务组织与额外病死率之间的关系很难通过随机对照试验进行研究,所以医疗服务设计是基于观察得到的证据。 展开更多
关键词 病死率 医疗保健体系 患者 医疗卫生行业
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