Machine learning-based model to predict delirium in patients with advanced cancer treated with palliative care: a multicenter, patient-based registry cohort

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: May 20, 2024

This study aimed to present a new approach predict delirium admitted the acute palliative care unit. To achieve this, this employed machine learning model in patients and identified significant features that influenced model. A multicenter, patient-based registry cohort South Korea between January 1, 2019, December 31, 2020. Delirium was by reviewing medical records based on criteria of Diagnostic Statistical Manual Mental Disorders, Fifth Edition. The dataset included 165 with among 2314 advanced cancer Seven models, including extreme gradient boosting, adaptive light logistic regression, support vector machine, random forest, were evaluated An ensemble adopted determine optimal For k-fold cross-validation, combination boosting forest provided best performance, achieving following accuracy metrics: 68.83% sensitivity, 70.85% specificity, 69.84% balanced accuracy, 74.55% area under receiver operating characteristic curve. performance isolated testing also validated, successfully deployed public website ( http://ai-wm.khu.ac.kr/Delirium/ ) provide access prediction results cancer. Furthermore, using feature importance analysis, sex determined be top contributor predicting delirium, followed history chemotherapy, smoking status, alcohol consumption, living family. Based large-scale, cohort, for developed Korea. We believe will assist healthcare providers treating

Language: Английский

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Reflecting on Cancer Pain as Constant Acute Pain, not Chronic Pain. ‘Known Knowns, Known Unknowns, Unknown Unknowns’

Current Oncology Reports, Journal Year: 2025, Volume and Issue: unknown

Published: April 3, 2025

Language: Английский

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Theoretical and Empirical Foundations of Psychological Counseling in Oncoortopedic

Counseling Psychology and Psychotherapy, Journal Year: 2025, Volume and Issue: 33(1), P. 11 - 28

Published: April 22, 2025

<p><strong>Introduction.</strong> The article discusses the issues of psychological counseling in oncological clinic using example care for patients with bone tumors. <strong>Purpose:</strong> to formulate main directions an oncoortopedic based on results empirical research and analysis scientific literature. Methods: review literature devoted problem materials were collected analyzed open information resources: SCOPUS, Google Scholar, Springer, PubMed. <strong>Results:</strong> level features quality life pathology, addition clinical factors, are largely determined by leading ones personality characteristics satisfaction conditions disease. In this regard, &ldquo;target&rdquo; interventions is patients, integrating objective limitations functional capabilities illness their subjective perception, totality patient&rsquo;s experiences relationships, understanding own existence, values health ability establish relationships outside world accordance needs individual capabilities. <strong>Conclusion:</strong> overall goal can be considered as changing cognitive, emotional behavioral affecting life: formation current situation adequate self-understanding, correction state maladaptive stereotypes.</p>

Language: Английский

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The fine line between relief and risk: new insights into postoperative delirium

British Journal of Anaesthesia, Journal Year: 2024, Volume and Issue: 134(1), P. 14 - 18

Published: Dec. 10, 2024

Language: Английский

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