Towards personalized intensive care decision support using a Bayesian network: A multicenter glycemic control study

Benchmarking; Decision support systems; Hospital data processing; Intensive care units; Patient treatment; Trees (mathematics); Blood glucose measurements; Classification precision; Discretization algorithms; Discretizations; Glycemic control; Performance prediction; Structure-learning; Variable sel...

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Main Authors: Abu-Samah A., Razak N.N.A., Suhaimi F.M., Jamaludin U.K., Chase J.G.
Other Authors: 56719596600
Format: Article
Published: Institute of Electronics Engineers of Korea 2023
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spelling my.uniten.dspace-249942023-05-29T15:30:02Z Towards personalized intensive care decision support using a Bayesian network: A multicenter glycemic control study Abu-Samah A. Razak N.N.A. Suhaimi F.M. Jamaludin U.K. Chase J.G. 56719596600 37059587300 36247893200 55330889600 35570524900 Benchmarking; Decision support systems; Hospital data processing; Intensive care units; Patient treatment; Trees (mathematics); Blood glucose measurements; Classification precision; Discretization algorithms; Discretizations; Glycemic control; Performance prediction; Structure-learning; Variable selection; Bayesian networks Personalized treatment in glycemic control (GC) is a visibly promising research area that requires improved mechanisms providing patient-specific procedures to enable complicated decision support. Available per-patient data must be more than written records, and be fully integrated in this personalization process. This article presents a process for relating the intensive care unit patients' demographic and admission data to their GC performance. With this objective, a probabilistic Bayesian network was chosen to provide more personalized decisions. As a case study, average daily blood glucose measurements were chosen as the interest target node in order to weigh GC that provides a reduced nursing workload. To test the idea, data from 482 patients, with nine variables from four Malaysian intensive care units with different controls were exploited. The identified steps crucial in building a dependable model are variable selection, continuous state discretization, and unsupervised structure learning. Using a multi-target node evaluation, a network with 80% mean overall classification precision was obtained with a normalized equal distance discretization algorithm and a maximum weight spanning tree technique. Meanwhile, the interest target node scored 90.39% precision. The results from this study, which are complemented with an evaluation of missing data, are proposed as a benchmark for using Bayesian networks in this type of application. � 2019 Institute of Electronics and Information Engineers. All rights reserved. Final 2023-05-29T07:30:01Z 2023-05-29T07:30:01Z 2019 Article 10.5573/IEIESPC.2019.8.3.202 2-s2.0-85068541334 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068541334&doi=10.5573%2fIEIESPC.2019.8.3.202&partnerID=40&md5=9626ff963dbb29ecf9f895252e07d14d https://irepository.uniten.edu.my/handle/123456789/24994 8 3 202 209 All Open Access, Green Institute of Electronics Engineers of Korea Scopus
institution Universiti Tenaga Nasional
building UNITEN Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Tenaga Nasional
content_source UNITEN Institutional Repository
url_provider http://dspace.uniten.edu.my/
description Benchmarking; Decision support systems; Hospital data processing; Intensive care units; Patient treatment; Trees (mathematics); Blood glucose measurements; Classification precision; Discretization algorithms; Discretizations; Glycemic control; Performance prediction; Structure-learning; Variable selection; Bayesian networks
author2 56719596600
author_facet 56719596600
Abu-Samah A.
Razak N.N.A.
Suhaimi F.M.
Jamaludin U.K.
Chase J.G.
format Article
author Abu-Samah A.
Razak N.N.A.
Suhaimi F.M.
Jamaludin U.K.
Chase J.G.
spellingShingle Abu-Samah A.
Razak N.N.A.
Suhaimi F.M.
Jamaludin U.K.
Chase J.G.
Towards personalized intensive care decision support using a Bayesian network: A multicenter glycemic control study
author_sort Abu-Samah A.
title Towards personalized intensive care decision support using a Bayesian network: A multicenter glycemic control study
title_short Towards personalized intensive care decision support using a Bayesian network: A multicenter glycemic control study
title_full Towards personalized intensive care decision support using a Bayesian network: A multicenter glycemic control study
title_fullStr Towards personalized intensive care decision support using a Bayesian network: A multicenter glycemic control study
title_full_unstemmed Towards personalized intensive care decision support using a Bayesian network: A multicenter glycemic control study
title_sort towards personalized intensive care decision support using a bayesian network: a multicenter glycemic control study
publisher Institute of Electronics Engineers of Korea
publishDate 2023
_version_ 1806426074766114816
score 13.188404