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Consultation system for determining the patients' readiness for weaning from long-term mechanical ventilation.

机译:用于确定患者是否准备长期机械通气的咨询系统。

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摘要

Determining the readiness of the patient for weaning from long-term mechanical ventilation with high degree of accuracy is a prerequisite for successful weaning attempt. A computer system for the determination of the moment for beginning the weaning process is proposed and realized as a program package WeaningMV. It is designed on the basis of four classification methods: stepwise discriminant analysis, stepwise logistic regression; intuitionistic fuzzy Voronoi diagrams and non-pulmonary weaning index, applied to 17 features (variables). The system is designed and preliminary tested on 151 patients with features in two classes "not ready for weaning" and "ready for weaning" and it has a high degree for sensitivity (0.99) and specificity (0.89). After the application of the system in the everyday physician's practice a set of 72 patients has been examined. For that set the sensitivity is 0.92 and the specificity 0.88. The system consults the medical team on the basis of objective processing of the information contained in the data and is suitable for use in the clinical practice as well as in the training of the respective specialists.
机译:确定患者准备好以长期的高度机械通气进行断奶的准备情况是成功断奶尝试的先决条件。提出了用于确定开始断奶过程的时刻的计算机系统,并将其实现为程序包WeaningMV。它是基于四种分类方法设计的:逐步判别分析,逐步逻辑回归;直观的模糊Voronoi图和非肺断奶指数,应用于17个特征(变量)。该系统针对151名患者进行了设计和初步测试,具有“未准备断奶”和“准备断奶”两类功能,并且具有很高的敏感性(0.99)和特异性(0.89)。在日常医生的实践中应用该系统后,已经检查了72名患者。对于该组,灵敏度为0.92,特异性为0.88。该系统根据对数据中包含的信息的客观处理来咨询医疗团队,适用于临床实践以及各个专家的培训。

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