Deep venous thrombosis is a critical medical condition that occurs when a blood clot forms in a deep vein, usually in the legs, and can lead to life-threatening complications such as pulmonary embolism if not detected early. Hospitalized patients, especially those with immobility or post-surgical recovery, are at higher risk of developing deep venous thrombosis, making early prediction and intervention vital for preventing severe outcomes. In this study, we evaluated the following eight machine learning models to predict deep venous thrombosis risk: logistic regression, random forest, XGBoost, artificial neural networks, k-nearest neighbors, gradient boosting, CatBoost, and LightGBM. These models were rigorously tested using key metrics, including accuracy, precision, recall, F1-score, specificity, and receiver operating characteristic curve, to determine their effectiveness in clinical prediction. Logistic regression emerged as the top-performing model, delivering high accuracy and an outstanding receiver operating characteristic curve score, which reflects its strong ability to distinguish between patients with and without deep venous thrombosis. Most importantly, the model's high recall underscores its ability to identify nearly all true deep venous thrombosis cases, significantly reducing the risk of false negatives-a critical concern in clinical settings, where delayed or missed diagnoses can result in life-threatening complications. Although models such as random forest and eXtreme Gradient Boosting also demonstrated competitive performances, logistic regression proved the most reliable across all metrics. These results suggest that machine learning models, particularly logistic regression, have great potential for early deep venous thrombosis detection, enabling timely clinical interventions and improved patient outcomes.
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http://dx.doi.org/10.3390/bioengineering11111067 | DOI Listing |
Cureus
December 2024
Orthopaedics, University of Central Florida, Orlando, USA.
Objective This study aims to utilize the TriNetX database, a comprehensive global network, to improve our understanding of the frequency, demographic factors, and related comorbidities of surgical patients who develop venous thromboembolism (VTEs) events. Methods The global collaborative network in TriNetX was queried for all cases from January 1, 2017, through December 31, 2023. International Classification for Disease (ICD) diagnosis codes were used to define patient cohorts with deep vein thrombosis (DVT) of the upper or lower extremity or pulmonary embolism (PE).
View Article and Find Full Text PDFAm J Case Rep
December 2024
Department of Emergency and Critical Care Medicine, Nippon Medical School Musashi Kosugi Hospital, Kawasaki, Kanagawa, Japan.
BACKGROUND Iliac vein injuries usually require surgical intervention due to their high mortality rates. Although conservative management may be applicable in some cases of blunt trauma, the suitability of this approach for treating penetrating injuries remains underexplored. CASE REPORT A 51-year-old man sustained a common iliac vein injury following rectal impalement in a collapsing chair.
View Article and Find Full Text PDFBr J Community Nurs
January 2025
School of Nursing and Public Health, Manchester Metropolitan University, England.
Background: Screening of deep vein thrombosis (DVT) is an NHS priority for improving community health service. Effective DVT screening and documentation improve patient outcomes, prevent prolonged hospitalisation and lead to fewer expenses. The lack of evidence of DVT screening in the community requires action.
View Article and Find Full Text PDFThis study aims to explore the feasibility of applying the "Three-Low" technique (low injection rate, low iodine contrast volume, low radiation dose) in coronary CT angiography (CCTA). We prospectively collected data from 90 patients who underwent CCTA at our hospital between 2021 and 2024. The patients were randomly assigned to either the experimental group (n = 45) or the control group (n = 45).
View Article and Find Full Text PDFSimultaneous pancreas-kidney (SPK) transplantation is a recognized treatment for patients with insulin-dependent diabetes and advanced chronic kidney disease or end-stage renal disease (ESRD), offering significant survival benefits. However, it is associated with a higher risk of venous thrombosis, which can jeopardize the survival of the pancreaticoduodenal graft. This case report describes a patient with type 2 diabetes, hypertension, and ESRD who developed acute, occlusive deep vein thrombosis (DVT) involving the right common femoral, profunda femoral, and greater saphenous veins on postoperative day 1 (POD1) following a deceased donor SPK transplant, despite systemic prophylactic anticoagulation.
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