A new method for identifying the acute respiratory distress syndrome disease based on noninvasive physiological parameters

PLoS One. 2020 Feb 5;15(2):e0226962. doi: 10.1371/journal.pone.0226962. eCollection 2020.

Abstract

Early diagnosis and prevention play a crucial role in the treatment of patients with ARDS. The definition of ARDS requires an arterial blood gas to define the ratio of partial pressure of arterial oxygen to fraction of inspired oxygen (PaO2/FiO2 ratio). However, many patients with ARDS do not have a blood gas measured, which may result in under-diagnosis of the condition. Using data from MIMIC-III Database, we propose an algorithm based on patient non-invasive physiological parameters to estimate P/F levels to aid in the diagnosis of ARDS disease. The machine learning algorithm was combined with the filter feature selection method to study the correlation of various noninvasive parameters from patients to identify the ARDS disease. Cross-validation techniques are used to verify the performance of algorithms for different feature subsets. XGBoost using the optimal feature subset had the best performance of ARDS identification with the sensitivity of 84.03%, the specificity of 87.75% and the AUC of 0.9128. For the four machine learning algorithms, reducing a certain number of features, AUC can still above 0.8. Compared to Rice Linear Model, this method has the advantages of high reliability and continually monitoring the development of patients with ARDS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Algorithms
  • Area Under Curve
  • Databases as Topic
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Theoretical
  • Patient Selection
  • ROC Curve
  • Respiratory Distress Syndrome / diagnosis*
  • Respiratory Distress Syndrome / physiopathology*

Grants and funding

This study was supported by the National Key Research and Development Program of China (Grant Number: 2017YFC0806402) and Tianjin Science and Technology Program (Grant Number: 18ZXJMTG00060). The work was also funded in part by logistics scientific research foundation program at the Military Medical Innovation Project (Grant Number: 16CXZ034). The National Key Research and Development Program of China (Grant Number:2017YFC0806406).