Mühendislik Fakültesi / Faculty of Engineering

Permanent URI for this collectionhttps://hdl.handle.net/11727/1401

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Author: search.filters.author.Ogul, HasanSubject: search.filters.subject.prognosis

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    A deep learning approach for sepsis monitoring via severity score estimation
    (2021) Asuroglu, Tunc; Ogul, Hasan; 33157471
    Background and objective: Sepsis occurs in response to an infection in the body and can progress to a fatal stage. Detection and monitoring of sepsis require multi-step analysis, which is time-consuming, costly and requires medically trained personnel. A metric called Sequential Organ Failure Assessment (SOFA) score is used to determine the severity of sepsis. This score depends heavily on laboratory measurements. In this study, we offer a computational solution for quantitatively monitoring sepsis symptoms and organ systems state without laboratory test. To this end, we propose to employ a regression-based analysis by using only seven vital signs that can be acquired from bedside in Intensive Care Unit (ICU) to predict the exact value of SOFA score of patients before sepsis occurrence. Methods: A model called Deep SOFA-Sepsis Prediction Algorithm (DSPA) is introduced. In this model, we combined Convolutional Neural Networks (CNN) features with Random Forest (RF) algorithm to predict SOFA scores of sepsis patients. A subset of Medical Information Mart in Intensive Care (MIMIC) III dataset is used in experiments. 5154 samples are extracted as input. Ten-fold cross validation test are carried out for experiments. Results: We demonstrated that our model has achieved a Correlation Coefficient (CC) of 0.863, a Mean Absolute Error (MAE) of 0.659, a Root Mean Square Error (RMSE) of 1.23 for predictions at sepsis onset. The accuracies of SOFA score predictions for 6 hours before sepsis onset were 0.842, 0.697, and 1.308, in terms of CC, MAE and RMSE, respectively. Our model outperformed traditional machine learning and deep learning models in regression analysis. We also evaluated our model's prediction performance for identifying sepsis patients in a binary classification setup. Our model achieved up to 0.982 AUC (Area Under Curve) for sepsis onset and 0.972 AUC for 6 hours before sepsis, which are higher than those reported by previous studies. Conclusions: By utilizing SOFA scores, our framework facilitates the prognose of sepsis and infected organ systems state. While previous studies focused only on predicting presence of sepsis, our model aims at providing a prognosis solution for sepsis. SOFA score estimation process in ICU depends on laboratory environment. This dependence causes delays in treating patients, which in turn may increase the risk of complications. By using easily accessible non-invasive vital signs that are routinely collected in ICU, our framework can eliminate this delay. We believe that the estimation of the SOFA score will also help health professionals to monitor organ states. (C) 2020 Elsevier B.V. All rights reserved.
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    Objective Pain Assessment Using Vital Signs
    (2020) Erdogan, Burak; Ogul, Hasan
    Pain is considered as an emotional experience and unrestful feeling associated with tissue damage. The feeling of pain occurs when the interpretation starts in brain; as a signal is sent through nerve fiber to the brain. Pain allows the body to prevent further tissue damage. Since there are different ways of expressing and feeling pain, the experience of pain is unique for everybody. In this respect, objective pain assessment is a key step and a major challenge in proper management of pain in different individuals. In this study, we offer a computational solution for objective assessment of pain using vital signs. To this end, we have reported the prediction for existence of pain by calculating the performances of several computational methods that take the sequence of vital signs acquired until pain observation as input. We claim that the use of computational intelligence methods can encourage computer-aided monitoring of pain in a hospitalized environment to a certain degree. (C) 2020 The Authors. Published by Elsevier B.V.
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    On computer-aided prognosis of septic shock from vital signs
    (2019) Ogul, Hasan; Baldominos, Alejandro; Asuroglu, Tunc; Colomo-Palacios, Ricardo; AAC-7834-2020
    Sepsis is a life-threatening condition due to the reaction to an infection. With certain changes in circulatory system, sepsis may progress to septic shock if it is left untreated. Therefore, early prognosis of septic shock may facilitate implementing correct treatment and prevent more serious complications. In this study, we assess the feasibility of applying a computer-aided prognosis system for septic shock. The system is envisaged as a tool to predict septic shock at the time of sepsis onset using only vital signs which are collected routinely in intensive care units (ICUs). To this end, we evaluate the performances of computational methods that take the sequence of vital signs acquired until sepsis onset as input and report the possibility of progressing to a septic shock before any further clinical analysis is performed. Results show that an adaptation of multivariate dynamic time warping can reveal higher accuracy than other known time-series classification methods on a new dataset built from a public ICU database. We argue that the use of computational intelligence methods can promote computer-aided prognosis of septic shock in hospitalized environment to a certain degree.