Machine learning can accurately predict pre-admission baseline hemoglobin and creatinine in intensive care patients

Patients admitted to the intensive care unit frequently have anemia and impaired renal function, but often lack historical blood results to contextualize the acuteness of these findings. Using data available within two hours of ICU admission, we developed machine learning models that accurately (AUC...

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Bibliographic Details
Main Authors: Dauvin, Antonin, Donado, Carolina, Bachtiger, Patrik, Huang, Ke-Chun, Sauer, Christopher Martin, Ramazotti, Daniele, Bonvini, Matteo, Celi, Leo Anthony G., Douglas, Molly J.
Other Authors: Massachusetts Institute of Technology. Institute for Medical Engineering & Science
Format: Article
Published: Springer Science+Business Media 2020
Online Access:https://hdl.handle.net/1721.1/123503
Description
Summary:Patients admitted to the intensive care unit frequently have anemia and impaired renal function, but often lack historical blood results to contextualize the acuteness of these findings. Using data available within two hours of ICU admission, we developed machine learning models that accurately (AUC 0.86–0.89) classify an individual patient’s baseline hemoglobin and creatinine levels. Compared to assuming the baseline to be the same as the admission lab value, machine learning performed significantly better at classifying acute kidney injury regardless of initial creatinine value, and significantly better at predicting baseline hemoglobin value in patients with admission hemoglobin of <10 g/dl. Keywords: Acute kidney injury; Anaemia; Chronic kidney disease; Computational models; Data integration