Machine Learning Accurately Predicts Need for Critical Care Support in Patients Admitted to Hospital for Community-Acquired Pneumonia.

Journal: Critical care explorations
Published Date:

Abstract

OBJECTIVES: Hospitalized community-acquired pneumonia (CAP) patients are admitted for ventilation, vasopressors, and renal replacement therapy (RRT). This study aimed to develop a machine learning (ML) model that predicts the need for such interventions and compare its accuracy to that of logistic regression (LR).

Authors

  • George S Chen
    University of British Columbia, Vancouver, BC, Canada.
  • Terry Lee
    CIHR Canadian HIV Trials Network, Vancouver, British Columbia, Canada.
  • Jennifer L Y Tsang
    Critical Care Medicine, Niagara Health Knowledge Institute, St Catharines, ON, Canada.
  • Alexandra Binnie
    60407William Osler Health System, Brampton, ON, Canada.
  • Anne McCarthy
    Infectious Disease, Ottawa Research Institute, University of Ottawa, Ottawa, ON, Canada.
  • Juthaporn Cowan
    Inflammation and Chronic Disease Program, The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
  • Patrick Archambault
    Department of Family and Emergency Medicine, Université Laval; Québec, QC, Canada; Research Chair in Emergency Medicine Laval University-CHAU Hôtel-Dieu de Lévis Hospital; Lévis City, QC, Canada.
  • François Lellouche
    Centre de Recherche de l'Institut, Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.
  • Alexis F Turgeon
    CHU de Québec-Université Laval Research Center, Population Health and Optimal Health Practices Unit, Trauma- Emergency- Critical Care Medicine, Québec City, QC, Canada.
  • Jennifer Yoon
    Critical Care Medicine, Humber River Hospital, Toronto, ON, Canada.
  • Francois Lamontagne
    Université de Sherbrooke, Quebec, Canada.
  • Allison McGeer
    Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada.
  • Josh Douglas
    Critical Care Medicine, Lion's Gate Hospital, North Vancouver, BC, Canada.
  • Peter Daley
    Infectious Disease, Memorial University of Newfoundland, St. John's, NL, Canada.
  • Robert Fowler
    Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
  • David M Maslove
    Department of Critical Care Medicine, Queen's University and Kingston Health Sciences Centre, Kingston, ON, Canada.
  • Brent W Winston
    Departments of Critical Care Medicine, Medicine and Biochemistry and Molecular Biology, Foothills Medical Centre, University of Calgary, Calgary, AB, Canada.
  • Todd C Lee
    McGill University Health Centre (MUHC), Montreal, Canada.
  • Karen C Tran
    Division of General Internal Medicine, Vancouver General Hospital, Vancouver, BC, Canada.
  • Matthew P Cheng
    Division of Infectious Disease, McGill University, Montreal, QC, Canada.
  • Donald C Vinh
    Department of Medicine, McGill University Health Centre, Montreal, QC, Canada.
  • John H Boyd
    Centre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
  • Keith R Walley
    Centre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
  • Joel Singer
    Centre for Advancing Health Outcomes, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
  • John C Marshall
    Keenan Research Centre for Biomedical Science, St. Michael's Hospital, University of Toronto, Critical Care Medicine, 30 Bond Street, Toronto, ON, M5G 1W8, Canada.
  • James A Russell