In Frontiers in public health
INTRODUCTION : In this study, we developed a simplified artificial intelligence to support the clinical decision-making of medical personnel in a resource-limited setting.
METHODS : We selected seven infectious disease categories that impose a heavy disease burden in the central Vietnam region: mosquito-borne disease, acute gastroenteritis, respiratory tract infection, pulmonary tuberculosis, sepsis, primary nervous system infection, and viral hepatitis. We developed a set of questionnaires to collect information on the current symptoms and history of patients suspected to have infectious diseases. We used data collected from 1,129 patients to develop and test a diagnostic model. We used XGBoost, LightGBM, and CatBoost algorithms to create artificial intelligence for clinical decision support. We used a 4-fold cross-validation method to validate the artificial intelligence model. After 4-fold cross-validation, we tested artificial intelligence models on a separate test dataset and estimated diagnostic accuracy for each model.
RESULTS : We recruited 1,129 patients for final analyses. Artificial intelligence developed by the CatBoost algorithm showed the best performance, with 87.61% accuracy and an F1-score of 87.71. The F1-score of the CatBoost model by disease entity ranged from 0.80 to 0.97. Diagnostic accuracy was the lowest for sepsis and the highest for central nervous system infection.
CONCLUSION : Simplified artificial intelligence could be helpful in clinical decision support in settings with limited resources.
Kim Kwanghyun, Lee Myung-Ken, Shin Hyun Kyung, Lee Hyunglae, Kim Boram, Kang Sunjoo
2022
Asia Southeastern, artificial intelligence, communicable diseases, international health, low- & middle-income countries
