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. 2019 Aug 21:264:462-466.
doi: 10.3233/SHTI190264.

Stratified Mortality Prediction of Patients with Acute Kidney Injury in Critical Care

Affiliations

Stratified Mortality Prediction of Patients with Acute Kidney Injury in Critical Care

Zhenxing Xu et al. Stud Health Technol Inform. .

Abstract

Acute Kidney Injury (AKI) is the most common cause of organ dysfunction in critically ill adults and prior studies have shown AKI is associated with a significant increase of the mortality risk. Early prediction of the mortality risk for AKI patients can help clinical decision makers better understand the patient condition in time and take appropriate actions. However, AKI is a heterogeneous disease and its cause is complex, which makes such predictions a challenging task. In this paper, we investigate machine learning models for predicting the mortality risk of AKI patients who are stratified according to their AKI stages. With this setup we demonstrate the stratified mortality prediction performance of patients with AKI is better than the results obtained on the mixed population.

Keywords: Acute Kidney Injury; Critical Care; Forecasting.

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Figures

Figure 1 -
Figure 1 -
An illustration of mortality prediction for patients with AKI in different stages. PP: Prediction Point; OW: Observation Window; PW: Prediction Window
Figure 2 -
Figure 2 -
The AUC of different methods with 24–144 hours of data observation window in terms of different AKI stages

References

    1. Makris K and Spanou L, Acute kidney injury: Definition, pathophysiology and clinical phenotypes, The Clinical Biochemist Reviews 37 (2016) 85–98. - PMC - PubMed
    1. Doyle JF and Forni LG, Acute kidney injury: Short-term and long-term effects, Critical Care 20 (2016) 188. - PMC - PubMed
    1. Luo M, Yang Y, Xu J, et al., A new scoring model for the prediction of mortality in patients with acute kidney injury, Scientific Reports 7 (2017) 7862. - PMC - PubMed
    1. Skarupskiené I, Adukauskiené D, Kuzminskiené J, et al., Mortality prediction in patients with acute kidney injury requiring renal repalcement therapy after cardiac surgery, Medicina (Kaunas, Lithuania) 53 (2017) 217–223. - PubMed
    1. Demirjian S, Chertow GM, Zhang JH, et al., Model to predict mortality in critically ill adults with acute kidney injury, Clin J Am Soc Nephrol 6 (2011) 2114–2120. - PMC - PubMed

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