Using Machine Learning to Identify Change in Surgical Decision Making in Current Use of Damage Control Laparotomy.

Journal: Journal of the American College of Surgeons
PMID:

Abstract

BACKGROUND: In an earlier study, we reported the successful reduction in the use of damage control laparotomy (DCL); however, no change in the relative frequencies of specific indications was observed. In this study, we aimed to use machine learning to help identify the changes in surgical decision making that occurred.

Authors

  • John A Harvin
    Department of Surgery, University of Texas McGovern Medical School, Houston, TX; Center for Translational Injury Research, University of Texas McGovern Medical School, Houston, TX. Electronic address: john.harvin@uth.tmc.edu.
  • Charles E Green
    Department of Pediatrics, University of Texas McGovern Medical School, Houston, TX; Center for Clinical Research and Evidence Based Medicine, University of Texas McGovern Medical School, Houston, TX.
  • Claudia Pedroza
    Department of Pediatrics, University of Texas McGovern Medical School, Houston, TX; Center for Clinical Research and Evidence Based Medicine, University of Texas McGovern Medical School, Houston, TX.
  • Jon E Tyson
    Department of Pediatrics, University of Texas McGovern Medical School, Houston, TX; Center for Clinical Research and Evidence Based Medicine, University of Texas McGovern Medical School, Houston, TX.
  • Laura J Moore
    Department of Surgery, University of Texas McGovern Medical School, Houston, TX; Center for Translational Injury Research, University of Texas McGovern Medical School, Houston, TX.
  • Charles E Wade
    Center for Translational Injury Research, Division of Acute Care Surgery, Department of Surgery, Medical School, University of Texas Health Science Center at Houston, Houston, Texas, United States of America.
  • John B Holcomb
    Center for Translational Injury Research, Division of Acute Care Surgery, Department of Surgery, Medical School, University of Texas Health Science Center at Houston, Houston, Texas, United States of America.
  • Lillian S Kao
    Department of Surgery, University of Texas McGovern Medical School, Houston, TX; Center for Clinical Research and Evidence Based Medicine, University of Texas McGovern Medical School, Houston, TX.