[1]殷小焦,王健翔,高 云.基于机器学习算法构建脑卒中患者机械取栓术后肺部感染风险预测模型[J].介入放射学杂志,2025,34(06):574-578.[doi:10.3969/j.issn.1008-794X.2025.06.003]
　YIN Xiaojiao,WANG Jianxiang,GAO Yun.Kunming Municipal First People's Hospital(Affiliated Ganmei Hospital of Kunming Medical University),et al.Machine-learning algorithm-based construction of a risk prediction model for pulmonary infection in stroke patients after mechanical thrombectomy[J].J Intervent Med,2025,34(06):574-578.[doi:10.3969/j.issn.1008-794X.2025.06.003]
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基于机器学习算法构建脑卒中患者机械取栓术后肺部感染风险预测模型()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年06
页码:
574-578
栏目:
神经介入
出版日期:
2025-06-25

文章信息/Info

Title:
Machine-learning algorithm-based construction of a risk prediction model for pulmonary infection in stroke patients after mechanical thrombectomy
文章编号:
1008-794X(2025)-006-0574-05
作者:
殷小焦;  王健翔;  高 云
650000 云南昆明 昆明市第一人民医院(昆明医科大学附属甘美医院)
Author(s):
YIN Xiaojiao; WANG Jianxiang; GAO Yun.Kunming Municipal First People's Hospital(Affiliated Ganmei Hospital of Kunming Medical University); Kunming; Yunnan Province 650000; China
关键词:
血管内治疗;  脑卒中;  肺炎;  机器学习
分类号:
R743.33
DOI:
10.3969/j.issn.1008-794X.2025.06.003
文献标志码:
A
摘要:
目的 评估急性大血管闭塞型脑卒中患者机械取栓术后肺炎的风险因素并构建风险预测模型。方法 纳入昆明市延安医院和昆明市第一人民医院接受急性缺血性脑卒中取栓治疗的患者388例,2019年1月至2023年12月入院患者315例作为建模组,2024年1月至2024年9月入院患者73例作为外部验证组。收集人口统计学以及入院24 h的临床诊疗数据,分析机械取栓术后肺部感染的风险因素。采用7种机器学习算法构建大血管闭塞型脑卒中患者机械取栓术后肺部感染预测模型,以准确性、召回率、精确率、F1指数和受试者工作特征曲线下面积评价模型性能。结果 梯度提升分类器在建模组和验证组中准确率、召回率、精确率、F1指数和AUC值综合表现都较优。结论 基于机器学习有利于早期识别脑卒中机械取栓术后患者肺部感染及挖掘风险因素,及时采取防控措施,降低肺部感染发生率。

参考文献/References:

[1] 杨绪森,李沛城,陈 珑,等.脑梗死进展速度与急性前循环大血管闭塞患者机械取栓术后发生症状性颅内出血相关性研究[J].介入放射学杂志,2024,33:1170-1174.
[2]蒋文贤,王树青,唐文成,等.大核心缺血性脑卒中机械取栓现状及相关研究进展[J].介入放射学杂志,2023,32:1256-1262.
[3]Jadhav AP,Desai SM,Jovin TG.Indications for mechanical thrombectomy for acute ischemic stroke:current guidelines and beyond[J].Neurology,2021,97:S126-S136.
[4]Zhang P,Chen L,Jiang Y,et al.Risk factors for and outcomes of poststroke pneumonia in patients with acute ischemic stroke treated with mechanical thrombectomy[J].Front Neurol,2023,14:1023475.
[5]Ali AN,Howe J,Majid A,et al.The economic cost of stroke-associated pneumonia in a UK setting[J].Top Stroke Rehabil,2018,25:214-223.
[6]Schaller-Paule MA,Foerch C,Bohmann FO,et al.Predicting poststroke pneumonia in patients with anterior large vessel occlusion:a prospective,population-based stroke registry analysis[J].Front Neurol,2022,13:824450.
[7]Bacchi S,Tan Y,Oakden-Rayner L,et al.Machine learning in the prediction of medical inpatient length of stay[J].Intern Med J,2022,52:176-185.
[8]Smith CJ,Kishore AK,Vail A,et al.Diagnosis of Stroke-Associated Pneumonia:Recommendations From the Pneumonia in Stroke Consensus Group[J].Stroke,2015,46:2335-2340.
[9]岳韦霆,任 超,梁月吉,等.基于可解释机器学习模型的南宁市野火灾害易发性研究[J].科学技术与工程,2024,24:858-870.
[10]Chaves ML,Gittins M,Bray B,et al.Variation of stroke-associated pneumonia in stroke units across England and Wales:a registry-based cohort study[J].Int J Stroke,2022,17:155-162.
[11]de Jonge JC,van de Beek D,Lyden P,et al.Temporal profile of pneumonia after stroke[J].Stroke,2022,53:53-60.
[12]Badve MS,Zhou Z,van de Beek D,et al.Frequency of post-stroke pneumonia:Systematic review and meta-analysis of observational studies[J].Int J Stroke,2019,14:125-136.
[13]Veeramsetty V,Reddy KR,Santhosh M,et al.Short-term electric power load forecasting using random forest and gated recurrent unit[J].Electrical Engineering,2022,104:307-329.
[14]Banda KJ,Chu H,Kang XL,et al.Prevalence of dysphagia and risk of pneumonia and mortality in acute stroke patients:a meta-analysis[J].BMC Geriatr,2022,22:420.
[15]Eltringham SA,Kilner K,Gee M,et al.Factors associated with risk of stroke-associated pneumonia in patients with dysphagia:a systematic review[J].Dysphagia,2020,35:735-744.
[16]Langdon PC,Lee AH,Binns CW.High incidence of respiratory infections in ‘nil by mouth' tube-fed acute ischemic stroke patients[J].Neuroepidemiology,2009,32:107-113.
[17]Figueroa EG,Gonzalez-Candia A,Caballero-Roman A,et al.Blood-brain barrier dysfunction in hemorrhagic transformation:a therapeutic opportunity for nanoparticles and melatonin[J].J Neurophysiol,2021,125:2025-2033.
[18]Wang RH,Wen WX,Jiang ZP,et al.The clinical value of neutrophil-to-lymphocyte ratio(NLR),systemic immune-inflammation index(SII),platelet-to-lymphocyte ratio(PLR)and systemic inflammation response index(SIRI)for predicting the occurrence and severity of pneumonia in patients with intracerebral hemorrhage[J].Front Immunol,2023,14:1115031.
[19]Fandler-Hofler S,Heschl S,Kneihsl M,et al.Ventilation time and prognosis after stroke thrombectomy:the shorter,the better![J].Eur J Neurol,2020,27:849-855.
(收稿日期:2024-10-07)
(本文编辑:新 宇)

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备注/Memo

备注/Memo:
通信作者: 高 云 E-mail:15877991820@163.com
更新日期/Last Update: 2025-06-25