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001-es BibID:	BIBFORM104832
Első szerző:	Gravesteijn, Benjamin Yaël
Cím:	Machine learning algorithms performed no better than regression models for prognostication in traumatic brain injury / Benjamin Y. Gravesteijn, Daan Nieboer, Ari Ercole, Hester F. Lingsma, David Nelson, Ben van Calster, Ewout W. Steyerberg, CENTER-TBI collaborators
Dátum:	2020
ISSN:	0895-4356
Megjegyzések:	Objective We aimed to explore the added value of common machine learning (ML) algorithms for prediction of outcome for moderate and severe traumatic brain injury. Study Design and Setting We performed logistic regression (LR), lasso regression, and ridge regression with key baseline predictors in the IMPACT-II database (15 studies, n = 11,022). ML algorithms included support vector machines, random forests, gradient boosting machines, and artificial neural networks and were trained using the same predictors. To assess generalizability of predictions, we performed internal, internal-external, and external validation on the recent CENTER-TBI study (patients with Glasgow Coma Scale <13, n = 1,554). Both calibration (calibration slope/intercept) and discrimination (area under the curve) was quantified. Results In the IMPACT-II database, 3,332/11,022 (30%) died and 5,233(48%) had unfavorable outcome (Glasgow Outcome Scale less than 4). In the CENTER-TBI study, 348/1,554(29%) died and 651(54%) had unfavorable outcome. Discrimination and calibration varied widely between the studies and less so between the studied algorithms. The mean area under the curve was 0.82 for mortality and 0.77 for unfavorable outcomes in the CENTER-TBI study. Conclusion ML algorithms may not outperform traditional regression approaches in a low-dimensional setting for outcome prediction after moderate or severe traumatic brain injury. Similar to regression-based prediction models, ML algorithms should be rigorously validated to ensure applicability to new populations.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Machine learning Prognosis Traumatic brain injury Prediction Data science Cohort study
Megjelenés:	Journal Of Clinical Epidemiology. - 122 (2020), p. 95-107. -
További szerzők:	Nieboer, Daan Ercole, Ari Lingsma, Hester Nelson, David Calster, Ben van Steyerberg, Ewout W. Sándor János (1966-) (orvos-epidemiológus) CENTER-TBI collaborators
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