The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in Taiwan

The aim of our study is to explore the medical outcomes among patients in the respiratory care center (RCC) and related factors. A cross-sectional study was performed at a regional hospital in central Taiwan from January 2018 to December 2018. The sample consisted of 236 patients who received RCC me...

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Main Authors: Hsi-Chieh Lee, Ju-Hsia Liu, Ching-Sung Ho
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/6/2566
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author Hsi-Chieh Lee
Ju-Hsia Liu
Ching-Sung Ho
author_facet Hsi-Chieh Lee
Ju-Hsia Liu
Ching-Sung Ho
author_sort Hsi-Chieh Lee
collection DOAJ
description The aim of our study is to explore the medical outcomes among patients in the respiratory care center (RCC) and related factors. A cross-sectional study was performed at a regional hospital in central Taiwan from January 2018 to December 2018. The sample consisted of 236 patients who received RCC medical services. The chi-square test, multiple ordinal logistic regression analyses, and C4.5 decision tree algorithm were performed. The risk factors for medical outcomes in critical or deceased patients were obesity (BMI ≥ 27.0) (OR = 2.426, 95% C.I. = 1.106–5.318, <i>p</i> = 0.027), being imported from home (OR = 2.104, 95% C.I. = 1.106–3.523, <i>p</i> = 0.005), and with the Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 25 (OR = 2.640, 95% C.I. = 1.283–5.433, <i>p</i> = 0.008). The results of the C4.5 algorithm showed a precision of 79.80%, a recall of 78.80%, an F-measure of 78.20%, a receiver operating characteristic curve (ROC) area of 89.20%, and a precision-recall curve (PRC) area of 81.70%. It is important to design effective intervention strategies for patients who are obese and with high APACHE II scores and propose timely treatments for the patients’ onset of disease at home. Moreover, by using the C4.5 algorithm, data can be interpreted in terms of decision trees to aid the understanding of the medical outcomes of the RCC patients.
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spelling doaj.art-ed86d2cffe5143b9ba451d0f0c287e962023-11-21T10:19:53ZengMDPI AGApplied Sciences2076-34172021-03-01116256610.3390/app11062566The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in TaiwanHsi-Chieh Lee0Ju-Hsia Liu1Ching-Sung Ho2Department of Computer Science and Information Engineering, National Quemoy University, 1 University RD, Jinning Township, Kinmen 89250, TaiwanDepartment of Nursing, Jen-Ai Hospital, Taichung 41256, TaiwanDepartment of Long Term Care, National Quemoy University, 1 University RD, Jinning Township, Kinmen 89250, TaiwanThe aim of our study is to explore the medical outcomes among patients in the respiratory care center (RCC) and related factors. A cross-sectional study was performed at a regional hospital in central Taiwan from January 2018 to December 2018. The sample consisted of 236 patients who received RCC medical services. The chi-square test, multiple ordinal logistic regression analyses, and C4.5 decision tree algorithm were performed. The risk factors for medical outcomes in critical or deceased patients were obesity (BMI ≥ 27.0) (OR = 2.426, 95% C.I. = 1.106–5.318, <i>p</i> = 0.027), being imported from home (OR = 2.104, 95% C.I. = 1.106–3.523, <i>p</i> = 0.005), and with the Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 25 (OR = 2.640, 95% C.I. = 1.283–5.433, <i>p</i> = 0.008). The results of the C4.5 algorithm showed a precision of 79.80%, a recall of 78.80%, an F-measure of 78.20%, a receiver operating characteristic curve (ROC) area of 89.20%, and a precision-recall curve (PRC) area of 81.70%. It is important to design effective intervention strategies for patients who are obese and with high APACHE II scores and propose timely treatments for the patients’ onset of disease at home. Moreover, by using the C4.5 algorithm, data can be interpreted in terms of decision trees to aid the understanding of the medical outcomes of the RCC patients.https://www.mdpi.com/2076-3417/11/6/2566respiratory care centermachine learningdata miningC4.5 algorithmBMIAPACHE II scores
spellingShingle Hsi-Chieh Lee
Ju-Hsia Liu
Ching-Sung Ho
The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in Taiwan
Applied Sciences
respiratory care center
machine learning
data mining
C4.5 algorithm
BMI
APACHE II scores
title The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in Taiwan
title_full The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in Taiwan
title_fullStr The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in Taiwan
title_full_unstemmed The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in Taiwan
title_short The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in Taiwan
title_sort medical outcomes distribution and the interpretation of clinical data based on c4 5 algorithm for the rcc patients in taiwan
topic respiratory care center
machine learning
data mining
C4.5 algorithm
BMI
APACHE II scores
url https://www.mdpi.com/2076-3417/11/6/2566
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