Machine learning application for prediction of surgical site infection after posterior cervical surgery

© 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd..

Surgical site infection (SSI) is one of the most common complications of posterior cervical surgery. It is difficult to diagnose in the early stage and may lead to severe consequences such as wound dehiscence and central nervous system infection. This retrospective study included patients who underwent posterior cervical surgery at The Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University from September 2018 to June 2022. We employed several machine learning methods, such as the gradient boosting (GB), random forests (RF), artificial neural network (ANN) and other popular machine learning models. To minimize the variability introduced by random splitting, the results underwent 10-fold cross-validation repeated 10 times. Five measurements were averaged across 10 repetitions with 10-fold cross-validation, the RF model achieved the highest AUROC (0.9916), specificity (0.9890) and precision (0.9759). The GB model achieved the highest sensitivity (0.9535) and the KNN achieved the highest sensitivity (0.9958). The application of machine learning techniques facilitated the development of a precise model for predicting SSI after posterior cervical surgery. This dynamic model can be served as a valuable tool for clinicians and patients to assess SSI risk and prevent it in clinical practice.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

International wound journal - 21(2024), 4 vom: 21. März, Seite e14607

Sprache:

Englisch

Beteiligte Personen:

Lu, Keyu [VerfasserIn]
Tu, Yiting [VerfasserIn]
Su, Shenkai [VerfasserIn]
Ding, Jian [VerfasserIn]
Hou, Xianghua [VerfasserIn]
Dong, Chengji [VerfasserIn]
Jin, Haiming [VerfasserIn]
Gao, Weiyang [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Machine learning
Posterior cervical surgery
Prediction model
Surgical site infection

Anmerkungen:

Date Completed 26.03.2024

Date Revised 27.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/iwj.14607

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366460765