Citation

Schetinin V, Jakaite L, Krzanowski W. Artif. Intell. Med. 2018; 84: 139-145.

Affiliation

University of Exeter, United Kingdom.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.artmed.2017.12.003

PMID

29275896

Abstract

Health care practitioners analyse possible risks of misleading decisions and need to estimate and quantify uncertainty in predictions. We have examined the "gold" standard of screening a patient's conditions for predicting survival probability, based on logistic regression modelling, which is used in trauma care for clinical purposes and quality audit. This methodology is based on theoretical assumptions about data and uncertainties. Models induced within such an approach have exposed a number of problems, providing unexplained fluctuation of predicted survival and low accuracy of estimating uncertainty intervals within which predictions are made. Bayesian method, which in theory is capable of providing accurate predictions and uncertainty estimates, has been adopted in our study using Decision Tree models. Our approach has been tested on a large set of patients registered in the US National Trauma Data Bank and has outperformed the standard method in terms of prediction accuracy, thereby providing practitioners with accurate estimates of the predictive posterior densities of interest that are required for making risk-aware decisions.

Copyright © 2017 Elsevier B.V. All rights reserved.

Language: en

Keywords

Bayesian method; Decision Tree; Injury severity scoring; Predictive posterior distribution