» Articles » PMID: 39345257

Machine Learning for Identifying Risk of Death in Patients with Severe Fever with Thrombocytopenia Syndrome

Overview
Journal Front Microbiol
Specialty Microbiology
Date 2024 Sep 30
PMID 39345257
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Severe fever with thrombocytopenia syndrome (SFTS) has attracted attention due to the rising incidence and high severity and mortality rates. This study aims to construct a machine learning (ML) model to identify SFTS patients at high risk of death early in hospital admission, and to provide early intensive intervention with a view to reducing the risk of death.

Methods: Data of patients hospitalized for SFTS in two hospitals were collected as training and validation sets, respectively, and six ML methods were used to construct the models using the screened variables as features. The performance of the models was comprehensively evaluated and the best model was selected for interpretation and development of an online web calculator for application.

Results: A total of 483 participants were enrolled in the study and 96 (19.88%) patients died due to SFTS. After a comprehensive evaluation, the XGBoost-based model performs best: the AUC scores for the training and validation sets are 0.962 and 0.997.

Conclusion: Using ML can be a good way to identify high risk individuals in SFTS patients. We can use this model to identify patients at high risk of death early in their admission and manage them intensively at an early stage.

References
1.
Guu T, Zheng W, Tao Y . Bunyavirus: structure and replication. Adv Exp Med Biol. 2012; 726:245-66. DOI: 10.1007/978-1-4614-0980-9_11. View

2.
Xu B, Liu L, Huang X, Ma H, Zhang Y, Du Y . Metagenomic analysis of fever, thrombocytopenia and leukopenia syndrome (FTLS) in Henan Province, China: discovery of a new bunyavirus. PLoS Pathog. 2011; 7(11):e1002369. PMC: 3219706. DOI: 10.1371/journal.ppat.1002369. View

3.
Yang K, Chen J, Chen Z, Zheng Y . Risk Factors for Death in Patients with Severe Fever with Thrombocytopenia Syndrome. Am J Trop Med Hyg. 2023; 109(1):94-100. PMC: 10324000. DOI: 10.4269/ajtmh.22-0667. View

4.
Chicco D, Jurman G . The advantages of the Matthews correlation coefficient (MCC) over F1 score and accuracy in binary classification evaluation. BMC Genomics. 2020; 21(1):6. PMC: 6941312. DOI: 10.1186/s12864-019-6413-7. View

5.
Zu Z, Hu Y, Zheng X, Chen C, Zhao Y, Jin Y . A ten-year assessment of the epidemiological features and fatal risk factors of hospitalised severe fever with thrombocytopenia syndrome in Eastern China. Epidemiol Infect. 2022; 150:e131. PMC: 9306006. DOI: 10.1017/S0950268822001108. View