Intraoperative Hypotension Prediction Model Based on Systematic Feature Engineering and Machine Learning

Arterial hypotension is associated with incidence of postoperative complications, such as myocardial infarction or acute kidney injury. Little research has been conducted for the real-time prediction of hypotension, even though many studies have been performed to investigate the factors which affect...

Full description

Bibliographic Details
Main Authors: Subin Lee, Misoon Lee, Sang-Hyun Kim, Jiyoung Woo
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/22/9/3108
_version_ 1797502978982150144
author Subin Lee
Misoon Lee
Sang-Hyun Kim
Jiyoung Woo
author_facet Subin Lee
Misoon Lee
Sang-Hyun Kim
Jiyoung Woo
author_sort Subin Lee
collection DOAJ
description Arterial hypotension is associated with incidence of postoperative complications, such as myocardial infarction or acute kidney injury. Little research has been conducted for the real-time prediction of hypotension, even though many studies have been performed to investigate the factors which affect hypotension events. This forecasting problem is quite challenging compared to diagnosis that detects high-risk patients at current. The forecasting problem that specifies when events occur is more challenging than the forecasting problem that does not specify the event time. In this work, we challenge the forecasting problem in 5 min advance. For that, we aim to build a systematic feature engineering method that is applicable regardless of vital sign species, as well as a machine learning model based on these features for real-time predictions 5 min before hypotension. The proposed feature extraction model includes statistical analysis, peak analysis, change analysis, and frequency analysis. After applying feature engineering on invasive blood pressure (IBP), we build a random forest model to differentiate a hypotension event from other normal samples. Our model yields an accuracy of 0.974, a precision of 0.904, and a recall of 0.511 for predicting hypotensive events.
first_indexed 2024-03-10T03:43:55Z
format Article
id doaj.art-69f18e0717c040fbbbc07eea0845da4a
institution Directory Open Access Journal
issn 1424-8220
language English
last_indexed 2024-03-10T03:43:55Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Sensors
spelling doaj.art-69f18e0717c040fbbbc07eea0845da4a2023-11-23T09:13:35ZengMDPI AGSensors1424-82202022-04-01229310810.3390/s22093108Intraoperative Hypotension Prediction Model Based on Systematic Feature Engineering and Machine LearningSubin Lee0Misoon Lee1Sang-Hyun Kim2Jiyoung Woo3Bigdata Engineering Department, SCH Media Labs, Soonchunhyang University, Asan 31538, KoreaDepartment of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, KoreaDepartment of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, KoreaBigdata Engineering Department, SCH Media Labs, Soonchunhyang University, Asan 31538, KoreaArterial hypotension is associated with incidence of postoperative complications, such as myocardial infarction or acute kidney injury. Little research has been conducted for the real-time prediction of hypotension, even though many studies have been performed to investigate the factors which affect hypotension events. This forecasting problem is quite challenging compared to diagnosis that detects high-risk patients at current. The forecasting problem that specifies when events occur is more challenging than the forecasting problem that does not specify the event time. In this work, we challenge the forecasting problem in 5 min advance. For that, we aim to build a systematic feature engineering method that is applicable regardless of vital sign species, as well as a machine learning model based on these features for real-time predictions 5 min before hypotension. The proposed feature extraction model includes statistical analysis, peak analysis, change analysis, and frequency analysis. After applying feature engineering on invasive blood pressure (IBP), we build a random forest model to differentiate a hypotension event from other normal samples. Our model yields an accuracy of 0.974, a precision of 0.904, and a recall of 0.511 for predicting hypotensive events.https://www.mdpi.com/1424-8220/22/9/3108machine learningvital signinvasive blood pressurefeature engineeringhypotensionarterial hypotension
spellingShingle Subin Lee
Misoon Lee
Sang-Hyun Kim
Jiyoung Woo
Intraoperative Hypotension Prediction Model Based on Systematic Feature Engineering and Machine Learning
Sensors
machine learning
vital sign
invasive blood pressure
feature engineering
hypotension
arterial hypotension
title Intraoperative Hypotension Prediction Model Based on Systematic Feature Engineering and Machine Learning
title_full Intraoperative Hypotension Prediction Model Based on Systematic Feature Engineering and Machine Learning
title_fullStr Intraoperative Hypotension Prediction Model Based on Systematic Feature Engineering and Machine Learning
title_full_unstemmed Intraoperative Hypotension Prediction Model Based on Systematic Feature Engineering and Machine Learning
title_short Intraoperative Hypotension Prediction Model Based on Systematic Feature Engineering and Machine Learning
title_sort intraoperative hypotension prediction model based on systematic feature engineering and machine learning
topic machine learning
vital sign
invasive blood pressure
feature engineering
hypotension
arterial hypotension
url https://www.mdpi.com/1424-8220/22/9/3108
work_keys_str_mv AT subinlee intraoperativehypotensionpredictionmodelbasedonsystematicfeatureengineeringandmachinelearning
AT misoonlee intraoperativehypotensionpredictionmodelbasedonsystematicfeatureengineeringandmachinelearning
AT sanghyunkim intraoperativehypotensionpredictionmodelbasedonsystematicfeatureengineeringandmachinelearning
AT jiyoungwoo intraoperativehypotensionpredictionmodelbasedonsystematicfeatureengineeringandmachinelearning