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Ghazisaeedi, Marjan, Shahmoradi, Leila, Garavand, Ali, Maleki, Masoumeh, Abhari, Shahabeddin, Ladan, Marjan, Mehdizadeh, Sina. (1401). Developing a Clinical Decision Support System for Prediction Postoperative Coronary Artery Bypass Grafting Infection in Diabetic Patients. سامانه مدیریت نشریات علمی, 12(6), 583-590. doi: 10.31661/jbpe.v0i0.2011-1235
Marjan Ghazisaeedi; Leila Shahmoradi; Ali Garavand; Masoumeh Maleki; Shahabeddin Abhari; Marjan Ladan; Sina Mehdizadeh. "Developing a Clinical Decision Support System for Prediction Postoperative Coronary Artery Bypass Grafting Infection in Diabetic Patients". سامانه مدیریت نشریات علمی, 12, 6, 1401, 583-590. doi: 10.31661/jbpe.v0i0.2011-1235
Ghazisaeedi, Marjan, Shahmoradi, Leila, Garavand, Ali, Maleki, Masoumeh, Abhari, Shahabeddin, Ladan, Marjan, Mehdizadeh, Sina. (1401). 'Developing a Clinical Decision Support System for Prediction Postoperative Coronary Artery Bypass Grafting Infection in Diabetic Patients', سامانه مدیریت نشریات علمی, 12(6), pp. 583-590. doi: 10.31661/jbpe.v0i0.2011-1235
Ghazisaeedi, Marjan, Shahmoradi, Leila, Garavand, Ali, Maleki, Masoumeh, Abhari, Shahabeddin, Ladan, Marjan, Mehdizadeh, Sina. Developing a Clinical Decision Support System for Prediction Postoperative Coronary Artery Bypass Grafting Infection in Diabetic Patients. سامانه مدیریت نشریات علمی, 1401; 12(6): 583-590. doi: 10.31661/jbpe.v0i0.2011-1235

Developing a Clinical Decision Support System for Prediction Postoperative Coronary Artery Bypass Grafting Infection in Diabetic Patients

Journal of Biomedical Physics and Engineering
دوره 12، شماره 6، اسفند 2022، صفحه 583-590    اصل مقاله (985.31 K)
نوع مقاله: Original Research
شناسه دیجیتال (DOI): 10.31661/jbpe.v0i0.2011-1235
نویسندگان
Marjan Ghazisaeedi1؛ Leila Shahmoradi1؛ Ali Garavand2؛ Masoumeh Maleki* 3؛ Shahabeddin Abhari4؛ Marjan Ladan5؛ Sina Mehdizadeh6
1PhD, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
2PhD, Department of Health Information Technology, School of Allied Medical Sciences, Lorestan University of Medical Sciences, Khorramabad, Iran
3MSc, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
4PhD, Amol Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran
5MD, Department of Cardiology, Pars Hospital, Tehran, Iran
6MSc, Department of Robotic Engineering, Shahrood University of Technology, Shahrood, Iran
چکیده
Background: Postoperative infection in Coronary Artery Bypass Graft (CABG) is one of the most common complications for diabetic patients, due to an increase in the hospitalization and cost. To address these issues, it is necessary to apply some solutions. 
Objective: The study aimed to the development of a Clinical Decision Support System (CDSS) for predicting the CABG postoperative infection in diabetic patients.
Material and Methods: This developmental study is conducted on a private hospital in Tehran in 2016. From 1061 CABG surgery medical records, we selected 210 cases randomly. After data gathering, we used statistical tests for selecting related features. Then an Artificial Neural Network (ANN), which was a one-layer perceptron network model and a supervised training algorithm with gradient descent, was constructed using MATLAB software. The software was then developed and tested using the receiver operating characteristic (ROC) diagram and the confusion matrix. 
Results: Based on the correlation analysis, from 28 variables in the data, 20 variables had a significant relationship with infection after CABG (P<0.05). The results of the confusion matrix showed that the sensitivity of the system was 69%, and the specificity and the accuracy were 97% and 84%, respectively. The Receiver Operating Characteristic (ROC) diagram shows the appropriate performance of the CDSS.  
Conclusion: The use of CDSS can play an important role in predicting infection after CABG in patients with diabetes. The designed software can be used as a supporting tool for physicians to predict infections caused by CABG in diabetic patients as a susceptible group. However, other factors affecting infection must also be considered for accurate prediction.
کلیدواژه‌ها
Decision Support Systems؛ Clinical؛ Surgical Wound Infection؛ Coronary Artery Bypass؛ Diabetes
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