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A data-driven acute inflammation therapy

Acute inflammation is a severe medical condition defined as an inflammatory response of the body to an infection. Its rapid progression requires quick and accurate decisions from clinicians. Inadequate and delayed decisions makes acute inflammation the 10th leading cause of death overall in United S...

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Autores principales: Radosavljevic, Vladan, Ristovski, Kosta, Obradovic, Zoran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3980972/
https://www.ncbi.nlm.nih.gov/pubmed/24565439
http://dx.doi.org/10.1186/1755-8794-6-S3-S7
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author Radosavljevic, Vladan
Ristovski, Kosta
Obradovic, Zoran
author_facet Radosavljevic, Vladan
Ristovski, Kosta
Obradovic, Zoran
author_sort Radosavljevic, Vladan
collection PubMed
description Acute inflammation is a severe medical condition defined as an inflammatory response of the body to an infection. Its rapid progression requires quick and accurate decisions from clinicians. Inadequate and delayed decisions makes acute inflammation the 10th leading cause of death overall in United States with the estimated cost of treatment about $17 billion annually. However, despite the need, there are limited number of methods that could assist clinicians to determine optimal therapies for acute inflammation. We developed a data-driven method for suggesting optimal therapy by using machine learning model that is learned on historical patients' behaviors. To reduce both the risk of failure and the expense for clinical trials, our method is evaluated on a virtual patients generated by a mathematical model that emulates inflammatory response. In conducted experiments, acute inflammation was handled with two complimentary pro- and anti-inflammatory medications which adequate timing and doses are crucial for the successful outcome. Our experiments show that the dosage regimen assigned with our data-driven method significantly improves the percentage of healthy patients when compared to results by other methods used in clinical practice and found in literature. Our method saved 88% of patients that would otherwise die within a week, while the best method found in literature saved only 73% of patients. At the same time, our method used lower doses of medications than alternatives. In addition, our method achieved better results than alternatives when only incomplete or noisy measurements were available over time as well as it was less affected by therapy delay. The presented results provide strong evidence that models from the artificial intelligence community have a potential for development of personalized treatment strategies for acute inflammation.
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spelling pubmed-39809722014-04-24 A data-driven acute inflammation therapy Radosavljevic, Vladan Ristovski, Kosta Obradovic, Zoran BMC Med Genomics Research Acute inflammation is a severe medical condition defined as an inflammatory response of the body to an infection. Its rapid progression requires quick and accurate decisions from clinicians. Inadequate and delayed decisions makes acute inflammation the 10th leading cause of death overall in United States with the estimated cost of treatment about $17 billion annually. However, despite the need, there are limited number of methods that could assist clinicians to determine optimal therapies for acute inflammation. We developed a data-driven method for suggesting optimal therapy by using machine learning model that is learned on historical patients' behaviors. To reduce both the risk of failure and the expense for clinical trials, our method is evaluated on a virtual patients generated by a mathematical model that emulates inflammatory response. In conducted experiments, acute inflammation was handled with two complimentary pro- and anti-inflammatory medications which adequate timing and doses are crucial for the successful outcome. Our experiments show that the dosage regimen assigned with our data-driven method significantly improves the percentage of healthy patients when compared to results by other methods used in clinical practice and found in literature. Our method saved 88% of patients that would otherwise die within a week, while the best method found in literature saved only 73% of patients. At the same time, our method used lower doses of medications than alternatives. In addition, our method achieved better results than alternatives when only incomplete or noisy measurements were available over time as well as it was less affected by therapy delay. The presented results provide strong evidence that models from the artificial intelligence community have a potential for development of personalized treatment strategies for acute inflammation. BioMed Central 2013-11-11 /pmc/articles/PMC3980972/ /pubmed/24565439 http://dx.doi.org/10.1186/1755-8794-6-S3-S7 Text en Copyright © 2013 Radosavljevic et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Radosavljevic, Vladan
Ristovski, Kosta
Obradovic, Zoran
A data-driven acute inflammation therapy
title A data-driven acute inflammation therapy
title_full A data-driven acute inflammation therapy
title_fullStr A data-driven acute inflammation therapy
title_full_unstemmed A data-driven acute inflammation therapy
title_short A data-driven acute inflammation therapy
title_sort data-driven acute inflammation therapy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3980972/
https://www.ncbi.nlm.nih.gov/pubmed/24565439
http://dx.doi.org/10.1186/1755-8794-6-S3-S7
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