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Sci Rep ; 12(1): 328, 2022 01 10.
Artículo en Inglés | MEDLINE | ID: covidwho-1616999

RESUMEN

Emerging infectious diseases (EIDs), including the latest COVID-19 pandemic, have emerged and raised global public health crises in recent decades. Without existing protective immunity, an EID may spread rapidly and cause mass casualties in a very short time. Therefore, it is imperative to identify cases with risk of disease progression for the optimized allocation of medical resources in case medical facilities are overwhelmed with a flood of patients. This study has aimed to cope with this challenge from the aspect of preventive medicine by exploiting machine learning technologies. The study has been based on 83,227 hospital admissions with influenza-like illness and we analysed the risk effects of 19 comorbidities along with age and gender for severe illness or mortality risk. The experimental results revealed that the decision rules derived from the machine learning based prediction models can provide valuable guidelines for the healthcare policy makers to develop an effective vaccination strategy. Furthermore, in case the healthcare facilities are overwhelmed by patients with EID, which frequently occurred in the recent COVID-19 pandemic, the frontline physicians can incorporate the proposed prediction models to triage patients suffering minor symptoms without laboratory tests, which may become scarce during an EID disaster. In conclusion, our study has demonstrated an effective approach to exploit machine learning technologies to cope with the challenges faced during the outbreak of an EID.


Asunto(s)
COVID-19/epidemiología , Enfermedades Transmisibles Emergentes/epidemiología , Hospitalización/estadística & datos numéricos , Aprendizaje Automático , Medicina Preventiva/estadística & datos numéricos , Salud Pública/estadística & datos numéricos , COVID-19/prevención & control , COVID-19/virología , Enfermedades Transmisibles Emergentes/prevención & control , Mortalidad Hospitalaria , Humanos , Clasificación Internacional de Enfermedades , Modelos Logísticos , Modelos Teóricos , Pandemias/prevención & control , Medicina Preventiva/métodos , Salud Pública/métodos , Factores de Riesgo , SARS-CoV-2/fisiología , Índice de Severidad de la Enfermedad
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