Abstract
Intubation for mechanical ventilation (MV) is a common procedure performed in Intensive Care Units (ICUs). Early prediction of the need for intubation may have a positive impact by providing timely alerts to clinicians and consequently avoiding high risk late intubations. In this work, we propose a new machine learning method to predict intubation for MV, based on the concept of cure survival models. We tested our approach and compared it to other predictive models on a dataset collected from a secondary care hospital (AZ Groeninge, Kortrijk, Belgium). The results corroborate that our approach can improve the prediction of the need for intubation for MV in critically ill patients by using routinely collected data within the first hours of admission in the ICU. Early warning of need for intubation may be used to help clinicians predicting the risk of intubation and ranking patients according to their expected time to intubation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bauer, P.R., et al.: Association between timing of intubation and outcome in critically ill patients: a secondary analysis of the ICON audit. J. Crit. Care 42, 1–5 (2017). https://doi.org/10.1016/J.JCRC.2017.06.010
Lapinsky, S.E.: Endotracheal intubation in the ICU. Crit. Care 19(1) (2015). https://doi.org/10.1186/s13054-015-0964-z
Siu, B.M.K., Kwak, G.H., Ling, L., Hui, P.: Predicting the need for intubation in the first 24 h after critical care admission using machine learning approaches. Sci. Rep. 10(1), 1–8 (2020). https://doi.org/10.1038/s41598-020-77893-3
Ren, O., et al.: Predicting and understanding unexpected respiratory decompensation in critical care using sparse and heterogeneous clinical data. In: Proceedings - 2018 IEEE International Conference on Healthcare Informatics, ICHI 2018, pp. 144–151 (2018). https://doi.org/10.1109/ICHI.2018.00024
Amico, M., Van Keilegom, I.: Cure models in survival analysis. 5, 311–342 (2018). https://doi.org/10.1146/ANNUREV-STATISTICS-031017-100101
Ishwaran, H., Kogalur, U.B., Blackstone, E.H., Lauer, M.S.: Random survival forests. Ann. Appl. Stat. 2(3), 841–860 (2008). https://doi.org/10.1214/08-AOAS169
Tang, S., Davarmanesh, P., Song, Y., Koutra, D., Sjoding, M.W., Wiens, J.: Democratizing EHR analyses with FIDDLE: a flexible data-driven preprocessing pipeline for structured clinical data. J. Am. Med. Inform. Assoc. 27(12), 1921–1934 (2020). https://doi.org/10.1093/JAMIA/OCAA139
Acknowledgements
This research was funded by the Research Fund Flanders (project G0A2120N). The authors also acknowledge the Flemish Government (AI Research Program).
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Venturini, M., Van Keilegom, I., De Corte, W., Vens, C. (2022). A Novel Survival Analysis Approach to Predict the Need for Intubation in Intensive Care Units. In: Michalowski, M., Abidi, S.S.R., Abidi, S. (eds) Artificial Intelligence in Medicine. AIME 2022. Lecture Notes in Computer Science(), vol 13263. Springer, Cham. https://doi.org/10.1007/978-3-031-09342-5_35
Download citation
DOI: https://doi.org/10.1007/978-3-031-09342-5_35
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-09341-8
Online ISBN: 978-3-031-09342-5
eBook Packages: Computer ScienceComputer Science (R0)