Applicability of machine learning technique in the screening of patients with mild traumatic brain injury.

Journal: PloS one
Published Date:

Abstract

Even though the demand of head computed tomography (CT) in patients with mild traumatic brain injury (TBI) has progressively increased worldwide, only a small number of individuals have intracranial lesions that require neurosurgical intervention. As such, this study aims to evaluate the applicability of a machine learning (ML) technique in the screening of patients with mild TBI in the Regional University Hospital of Maringá, Paraná state, Brazil. This is an observational, descriptive, cross-sectional, and retrospective study using ML technique to develop a protocol that predicts which patients with an initial diagnosis of mild TBI should be recommended for a head CT. Among the tested models, he linear extreme gradient boosting was the best algorithm, with the highest sensitivity (0.70 ± 0.06). Our predictive model can assist in the screening of mild TBI patients, assisting health professionals to manage the resource utilization, and improve the quality and safety of patient care.

Authors

  • Miriam Leiko Terabe
    Postgraduate Program in Management, Technology and Innovation in Urgency and Emergency, State University of Maringa, Maringa, Parana, Brazil.
  • Miyoko Massago
    Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil.
  • Pedro Henrique Iora
    Department of Medicine, State University of Maringa, Maringa, Parana, Brazil.
  • Thiago Augusto Hernandes Rocha
    Duke Global Health Institute, Duke University Medical Center, Durham, North Carolina, United States of America.
  • João Vitor Perez de Souza
    Postgraduate Program in Biosciences and Physiopathology, State University of Maringa, Maringa, Parana, Brazil.
  • Lily Huo
    Duke Global Health Institute, Duke University Medical Center, Durham, North Carolina, United States of America.
  • Mamoru Massago
    Postgraduate Program in Computer Sciences, State University of Maringa, Maringa, Parana, Brazil.
  • Dalton Makoto Senda
    Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil.
  • Elisabete Mitiko Kobayashi
    Department of Medicine, State University of Maringa, Maringa, Parana, Brazil.
  • João Ricardo Vissoci
    Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil.
  • Catherine Ann Staton
    Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil.
  • Luciano de Andrade
    Department of Medicine, State University of Maringá, Maringá, Paraná, Brazil.. Electronic address: landrade@uem.br.