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Abstract Automatic Identification of Patients Eligible for a Pneumonia Guideline: Comparing the Diagnostic Accuracy of Two Decision Support Models

By V. Patel Et Al. (eds, Charles Lagor, Dominik Aronsky, Marcelo Fiszman and Peter J. Haug


Background: In busy clinical settings, physicians often do not have enough time to identify patients for specific therapeutic guidelines. As a solution, decision support systems could automatically identify eligible patients and trigger computerized guidelines for specific diseases. Applying this idea to community-acquired pneumonia (CAP), we developed a Bayesian network (BN) and an artificial neural network (ANN) for identifying patients who have CAP and are eligible for a pneumonia guideline. Objective: The aim of this study was to determine whether the diagnostic accuracy of these two decision support models differs in terms of identifying CAP patients. Methods: We trained and tested the networks with a data set of 32,662 adult patients. For each network, we (1) calculated the specificity, the positive predictive value (PPV), and the negative predictive value (NPV) at a sensitivity of 95%, and (2) determined the area under the receiver operating characteristic curve (AUC) as a measure of overall accuracy. We tested for statistical difference between the AUCs using the correlated area z statistic. Results: At a sensitivity of 95%, the respective values for specificity, PPV, and NPV were: 92.3%, 15.1%, and 99.9 % for the BN, and 94.0%, 18.6%, and 99.9 % fo

Topics: Theorem, Models
Year: 2001
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Provided by: CiteSeerX
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