Aikaterini Sakagianni

Francesca Meimeti, Loukas Triantafyllopoulos, Aikaterini Sakagianni et al.

The effective management of Emergency Department (ED) overcrowding is essential for improving patient outcomes and optimizing healthcare resource allocation. This study validates hospital admission prediction models initially developed using a small local dataset from a Greek hospital by leveraging the comprehensive MIMIC-IV dataset. After preprocessing the MIMIC-IV data, five algorithms were evaluated: Linear Discriminant Analysis (LDA), K-Nearest Neighbors (KNN), Random Forest (RF), Recursive Partitioning and Regression Trees (RPART), and Support Vector Machines (SVM Radial). Among these, RF demonstrated superior performance, achieving an Area Under the Receiver Operating Characteristic Curve (AUC-ROC) of 0.9999, sensitivity of 0.9997, and specificity of 0.9999 when applied to the MIMIC-IV data. These findings highlight the robustness of RF in handling complex datasets for admission prediction, establish MIMIC-IV as a valuable benchmark for validating models based on smaller local datasets, and provide actionable insights for improving ED management strategies.

Georgios Feretzakis, George Karlis, Evangelos Loupelis et al.

Introduction: One of the most important tasks in the Emergency Department (ED) is to promptly identify the patients who will benefit from hospital admission. Machine Learning (ML) techniques show promise as diagnostic aids in healthcare. Material and methods: We investigated the following features seeking to investigate their performance in predicting hospital admission: serum levels of Urea, Creatinine, Lactate Dehydrogenase, Creatine Kinase, C-Reactive Protein, Complete Blood Count with differential, Activated Partial Thromboplastin Time, D Dimer, International Normalized Ratio, age, gender, triage disposition to ED unit and ambulance utilization. A total of 3,204 ED visits were analyzed. Results: The proposed algorithms generated models which demonstrated acceptable performance in predicting hospital admission of ED patients. The range of F-measure and ROC Area values of all eight evaluated algorithms were [0.679-0.708] and [0.734-0.774], respectively. Discussion: The main advantages of this tool include easy access, availability, yes/no result, and low cost. The clinical implications of our approach might facilitate a shift from traditional clinical decision-making to a more sophisticated model. Conclusion: Developing robust prognostic models with the utilization of common biomarkers is a project that might shape the future of emergency medicine. Our findings warrant confirmation with implementation in pragmatic ED trials.

Chairi Kiourt, Georgios Feretzakis, Konstantinos Dalamarinis et al.

The main objective of this work is to utilize state-of-the-art deep learning approaches for the identification of pulmonary embolism in CTPA-Scans for COVID-19 patients, provide an initial assessment of their performance and, ultimately, provide a fast-track prototype solution (system). We adopted and assessed some of the most popular convolutional neural network architectures through transfer learning approaches, to strive to combine good model accuracy with fast training. Additionally, we exploited one of the most popular one-stage object detection models for the localization (through object detection) of the pulmonary embolism regions-of-interests. The models of both approaches are trained on an original CTPA-Scan dataset, where we annotated of 673 CTPA-Scan images with 1,465 bounding boxes in total, highlighting pulmonary embolism regions-of-interests. We provide a brief assessment of some state-of-the-art image classification models by achieving validation accuracies of 91% in pulmonary embolism classification. Additionally, we achieved a precision of about 68% on average in the object detection model for the pulmonary embolism localization under 50% IoU threshold. For both approaches, we provide the entire training pipelines for future studies (step by step processes through source code). In this study, we present some of the most accurate and fast deep learning models for pulmonary embolism identification in CTPA-Scans images, through classification and localization (object detection) approaches for patients infected by COVID-19. We provide a fast-track solution (system) for the research community of the area, which combines both classification and object detection models for improving the precision of identifying pulmonary embolisms.