Using Machine Learning to Integrate Socio-Behavioral Factors in Predicting Cardiovascular-Related Mortality Risk.

Journal: Studies in health technology and informatics
Published Date:

Abstract

Cardiovascular disease is prevalent and associated with significant mortality rate. Robust lifetime risk stratification for cardiovascular disease is important for effective prevention, early diagnoses, targeted intervention, and improved prognosis. Health disparities, manifested as socio-behavioral factors, are believed to have multiple effects throughout life with great complexity. Multiple studies investigated lifetime cardiovascular-related mortality risk prediction focusing on subjects' pathophysiology and intervention profiles. In this study, we applied machine learning algorithms and focused on integrating socio-behavioral factors to pathophysiology and intervention profiles to predict cardiovascular-related mortality risk. Our results showed that multiple machine learning algorithms can predict risk with reasonable accuracy, using mixed types of features. Particularly, socio-behavioral factors contributed significantly to the improved accuracy of mortality risk prediction. Feature analysis identified the odds ratio of socio-behavioral factors for cardiovascular-related mortality and offered potential insights on how they impact subjects' long-term outcomes. Our results call for further investigation of this important topic.

Authors

  • Hanyin Wang
    From the Department of Preventive Medicine (H.W., T.S., M.R.H, J.X.M, J.S.N, Y.L.), Department of Neurological Surgery (E.J.H.), and Department of Neurology (A.M.N.), Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center (A.Z., L.B.), Maggiore Hospital, Bologna, Italy; Department of Biomedical and Neuromotor Sciences (DIBINEM) (S.G.), Alma Mater Studiorum-University of Bologna, Bologna, Italy.
  • Yikuan Li
    Department of EECS, Northwestern University, Chicago, IL, U.S.A.
  • Hongyan Ning
    Feinberg School of Medicine, Northwestern University, Chicago, IL, U.S.A.
  • John Wilkins
    Feinberg School of Medicine, Northwestern University, Chicago, IL, U.S.A.
  • Donald Lloyd-Jones
    Feinberg School of Medicine, Northwestern University, Chicago, IL, U.S.A.
  • Yuan Luo
    Department of Preventive Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.