Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis

Management of acute gastrointestinal bleeding necessitates the identification of the source of bleed. The source of bleeding which is clear in patients presenting with hematemesis, is unclear in the absence of it. Logistic regression, decision tree, naïve Bayes, LogitBoost and KNN models were...

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Main Authors: Nazziwa Aisha, Adam, Mohd Bakri, Shohaimi, Shamarina
Format: Article
Language:English
English
Published: Basic Research Journal 2013
Online Access:http://psasir.upm.edu.my/id/eprint/30232/1/Classification%20models%20for%20predicting%20the%20source%20of%20gastrointestinal%20bleeding%20in%20the%20absence%20of%20hematemesis.pdf
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author Nazziwa Aisha,
Adam, Mohd Bakri
Shohaimi, Shamarina
author_facet Nazziwa Aisha,
Adam, Mohd Bakri
Shohaimi, Shamarina
author_sort Nazziwa Aisha,
collection UPM
description Management of acute gastrointestinal bleeding necessitates the identification of the source of bleed. The source of bleeding which is clear in patients presenting with hematemesis, is unclear in the absence of it. Logistic regression, decision tree, naïve Bayes, LogitBoost and KNN models were constructed from non endoscopic data of 325 patients admitted via the emergence department (ED) for GIB without hematemesis. The performance of the models in predicting the source of bleeding into upper gastrointestinal bleeding or lower gastrointestinal bleeding was compared. Overall the models demonstrate good performance with regards to sensitivity specificity, PPV, NPV and classification accuracy on the simulated data. On the GIB data, the naive Bayes model performed best with a prediction accuracy and sensitivity of 86%, specificity of 85% and area under curve of 92%. Classification models can help to predict the source of gastrointestinal bleeding for patients presenting without hematemesis and may generally be useful in decision support in the ED. The models should be explored further for clinical relevance in other settings.
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spelling upm.eprints-302322015-12-07T08:36:39Z http://psasir.upm.edu.my/id/eprint/30232/ Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis Nazziwa Aisha, Adam, Mohd Bakri Shohaimi, Shamarina Management of acute gastrointestinal bleeding necessitates the identification of the source of bleed. The source of bleeding which is clear in patients presenting with hematemesis, is unclear in the absence of it. Logistic regression, decision tree, naïve Bayes, LogitBoost and KNN models were constructed from non endoscopic data of 325 patients admitted via the emergence department (ED) for GIB without hematemesis. The performance of the models in predicting the source of bleeding into upper gastrointestinal bleeding or lower gastrointestinal bleeding was compared. Overall the models demonstrate good performance with regards to sensitivity specificity, PPV, NPV and classification accuracy on the simulated data. On the GIB data, the naive Bayes model performed best with a prediction accuracy and sensitivity of 86%, specificity of 85% and area under curve of 92%. Classification models can help to predict the source of gastrointestinal bleeding for patients presenting without hematemesis and may generally be useful in decision support in the ED. The models should be explored further for clinical relevance in other settings. Basic Research Journal 2013 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/30232/1/Classification%20models%20for%20predicting%20the%20source%20of%20gastrointestinal%20bleeding%20in%20the%20absence%20of%20hematemesis.pdf Nazziwa Aisha, and Adam, Mohd Bakri and Shohaimi, Shamarina (2013) Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis. Basic Research Journal of Medicine and Clinical Sciences, 2 (4-7). pp. 75-79. ISSN 2315-6864 http://www.basicresearchjournals.org/medicine/content/April-July%2013.html English
spellingShingle Nazziwa Aisha,
Adam, Mohd Bakri
Shohaimi, Shamarina
Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis
title Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis
title_full Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis
title_fullStr Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis
title_full_unstemmed Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis
title_short Classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis
title_sort classification models for predicting the source of gastrointestinal bleeding in the absence of hematemesis
url http://psasir.upm.edu.my/id/eprint/30232/1/Classification%20models%20for%20predicting%20the%20source%20of%20gastrointestinal%20bleeding%20in%20the%20absence%20of%20hematemesis.pdf
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