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Prediction on lengths of stay in the postanesthesia care unit following general anesthesia: preliminary study of the neural network and logistic regression modelling

Authors
 Won Oak Kim  ;  Hae Keum Kil  ;  Jung Wan Kang  ;  Hong Ro Park 
Citation
 Journal of Korean Medical Science, Vol.15(1) : 25-30, 2000 
Journal Title
 Journal of Korean Medical Science 
ISSN
 1011-8934 
Issue Date
2000
MeSH
Adult ; Anesthesia Recovery Period* ; Anesthesia, General/methods* ; Female ; Humans ; Length of Stay* ; Logistic Models* ; Male ; Neural Networks (Computer)* ; Postoperative Care ; Predictive Value of Tests ; Recovery Room* ; Retrospective Studies
Keywords
Recovery Room ; postoperative care ; neural network(computer)
Abstract
The length of stay in the postanesthesia care unit (PACU) following general anesthesia in adults is an important issue. A model, which can predict the results of PACU stays, could improve the utilization of PACU and operating room resources through a more efficient arrangement. The purpose of study was to compare the performance of neural network to logistic regression analysis using clinical sets of data from adult patients undergoing general anesthesia. An artificial neural network was trained with 409 clinical sets using backward error propagation and validated through independent testing of 183 records. Twenty-two inputs were used to find determinants and to predict categorical values. Logistic regression analysis was performed to provide a comparison. The neural network correctly predicted in 81.4% of situations and identified discriminating variables (intubated state, sex, neuromuscular blocker and intraoperative use of opioid), whereas the figure was 65.0% in logistic regression analysis. We concluded that the neural network could provide a useful predictive model for the optimization of limited resources. The neural network is a new alternative classifying method for developing a predictive paradigm, and it has a higher classifying performance compared to the logistic regression model.
Files in This Item:
T200002707.pdf Download
DOI
10.3346/jkms.2000.15.1.25
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kil, Hae Keum(길혜금)
Kim, Won Oak(김원옥)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171711
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