![]() Age is a significant risk factor for ACS, and the prevalence of elderly patients presenting with ST-elevation myocardial infarction (STEMI) is increasing in developing countries due to an ageing population 5, 6. In the majority of developing countries, the elderly are defined as individuals over the age of 65 4. Continuous testing and validation will improve future risk classification, management, and results.Īcute coronary syndrome (ACS) is the world's leading cause of death and the leading cause of morbidity and mortality in the elderly 1, 2, 3. ML improves death prediction by identifying separate characteristics in older Asian populations. In a multi-ethnic population, DL outperformed the TIMI risk score in classifying elderly STEMI patients. All ML feature selection algorithms identify age, fasting blood glucose, heart rate, Killip class, oral hypoglycemic agent, systolic blood pressure, and total cholesterol as common predictors of mortality in the elderly. TIMI predicts 18.4% higher mortality than the DL algorithm (44.7%). The TIMI score underestimates mortality in the elderly. DL built from ML features (AUC ranging from 0.93 to 0.95) outscored DL built from all features (AUC 0.93). The DL and ML model constructed using ML feature selection outperforms the conventional risk scoring score, TIMI (AUC 0.75). The main performance metric was the area under the receiver operating characteristic curve (AUC). The TIMI score was used to predict mortality using DL and feature selection methods from ML algorithms. 50 variables helped in establishing the in-hospital death prediction model. Malaysia's National Cardiovascular Disease Registry comprises an ethnically diverse Asian elderly population (3991 patients). We used DL and ML to predict in-hospital mortality in Asian elderly STEMI patients and compared it to a conventional risk score for myocardial infraction outcomes. Limited research has been conducted in Asian elderly patients (aged 65 years and above) for in-hospital mortality prediction after an ST-segment elevation myocardial infarction (STEMI) using Deep Learning (DL) and Machine Learning (ML).
0 Comments
Leave a Reply. |