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Predicting Postoperative Vomiting for Orthopedic Patients Receiving Patient-Controlled Epidural Analgesia with the Application of an Artificial Neural Network

Patient-controlled epidural analgesia (PCEA) was used in many patients receiving orthopedic surgery to reduce postoperative pain but is accompanied with certain incidence of vomiting. Predictions of the vomiting event, however, were addressed by only a few authors using logistic regression (LR) mode...

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Autores principales: Gong, Cihun-Siyong Alex, Yu, Lu, Ting, Chien-Kun, Tsou, Mei-Yung, Chang, Kuang-Yi, Shen, Chih-Long, Lin, Shih-Pin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4138736/
https://www.ncbi.nlm.nih.gov/pubmed/25162027
http://dx.doi.org/10.1155/2014/786418
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author Gong, Cihun-Siyong Alex
Yu, Lu
Ting, Chien-Kun
Tsou, Mei-Yung
Chang, Kuang-Yi
Shen, Chih-Long
Lin, Shih-Pin
author_facet Gong, Cihun-Siyong Alex
Yu, Lu
Ting, Chien-Kun
Tsou, Mei-Yung
Chang, Kuang-Yi
Shen, Chih-Long
Lin, Shih-Pin
author_sort Gong, Cihun-Siyong Alex
collection PubMed
description Patient-controlled epidural analgesia (PCEA) was used in many patients receiving orthopedic surgery to reduce postoperative pain but is accompanied with certain incidence of vomiting. Predictions of the vomiting event, however, were addressed by only a few authors using logistic regression (LR) models. Artificial neural networks (ANN) are pattern-recognition tools that can be used to detect complex patterns within data sets. The purpose of this study was to develop the ANN based predictive model to identify patients with high risk of vomiting during PCEA used. From January to March 2007, the PCEA records of 195 patients receiving PCEA after orthopedic surgery were used to develop the two predicting models. The ANN model had a largest area under curve (AUC) in receiver operating characteristic (ROC) curve. The areas under ROC curves of ANN and LR models were 0.900 and 0.761, respectively. The computer-based predictive model should be useful in increasing vigilance in those patients most at risk for vomiting while PCEA is used, allowing for patient-specific therapeutic intervention, or even in suggesting the use of alternative methods of analgesia.
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spelling pubmed-41387362014-08-26 Predicting Postoperative Vomiting for Orthopedic Patients Receiving Patient-Controlled Epidural Analgesia with the Application of an Artificial Neural Network Gong, Cihun-Siyong Alex Yu, Lu Ting, Chien-Kun Tsou, Mei-Yung Chang, Kuang-Yi Shen, Chih-Long Lin, Shih-Pin Biomed Res Int Research Article Patient-controlled epidural analgesia (PCEA) was used in many patients receiving orthopedic surgery to reduce postoperative pain but is accompanied with certain incidence of vomiting. Predictions of the vomiting event, however, were addressed by only a few authors using logistic regression (LR) models. Artificial neural networks (ANN) are pattern-recognition tools that can be used to detect complex patterns within data sets. The purpose of this study was to develop the ANN based predictive model to identify patients with high risk of vomiting during PCEA used. From January to March 2007, the PCEA records of 195 patients receiving PCEA after orthopedic surgery were used to develop the two predicting models. The ANN model had a largest area under curve (AUC) in receiver operating characteristic (ROC) curve. The areas under ROC curves of ANN and LR models were 0.900 and 0.761, respectively. The computer-based predictive model should be useful in increasing vigilance in those patients most at risk for vomiting while PCEA is used, allowing for patient-specific therapeutic intervention, or even in suggesting the use of alternative methods of analgesia. Hindawi Publishing Corporation 2014 2014-08-05 /pmc/articles/PMC4138736/ /pubmed/25162027 http://dx.doi.org/10.1155/2014/786418 Text en Copyright © 2014 Cihun-Siyong Alex Gong et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Gong, Cihun-Siyong Alex
Yu, Lu
Ting, Chien-Kun
Tsou, Mei-Yung
Chang, Kuang-Yi
Shen, Chih-Long
Lin, Shih-Pin
Predicting Postoperative Vomiting for Orthopedic Patients Receiving Patient-Controlled Epidural Analgesia with the Application of an Artificial Neural Network
title Predicting Postoperative Vomiting for Orthopedic Patients Receiving Patient-Controlled Epidural Analgesia with the Application of an Artificial Neural Network
title_full Predicting Postoperative Vomiting for Orthopedic Patients Receiving Patient-Controlled Epidural Analgesia with the Application of an Artificial Neural Network
title_fullStr Predicting Postoperative Vomiting for Orthopedic Patients Receiving Patient-Controlled Epidural Analgesia with the Application of an Artificial Neural Network
title_full_unstemmed Predicting Postoperative Vomiting for Orthopedic Patients Receiving Patient-Controlled Epidural Analgesia with the Application of an Artificial Neural Network
title_short Predicting Postoperative Vomiting for Orthopedic Patients Receiving Patient-Controlled Epidural Analgesia with the Application of an Artificial Neural Network
title_sort predicting postoperative vomiting for orthopedic patients receiving patient-controlled epidural analgesia with the application of an artificial neural network
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4138736/
https://www.ncbi.nlm.nih.gov/pubmed/25162027
http://dx.doi.org/10.1155/2014/786418
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