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Probabilistic glycemic control decision support in ICU: proof of concept using Bayesian network
Asma Abu-Samah1, Normy Norfiza Abdul Razak2, Fatanah Mohamad Suhaimi3, Ummu Kulthum Jamaludin4, Azrina Md Ralib5.
Glycemic control in intensive care patients is complex in terms of patients’ response to
care and treatment. The variability and the search for improved insulin therapy outcomes
have led to the use of human physiology model based on per-patient metabolic
condition to provide personalized automated recommendations. One of the most
promising solutions for this is the STAR protocol, which is based on a clinically validated
insulin-nutrition-glucose physiological model. However, this approach does not consider
demographical background such as age, weight, height, and ethnicity. This article
presents the extension to intensive care personalized solution by integrating per-patient
demographical, and upon admission information to intensive care conditions to
automate decision support for clinical staff. In this context, a virtual study was conducted
on 210 retrospectives intensive care patients’ data. To provide a ground, the integration
concept is presented roughly, but the details are given in terms of a proof of concept
using Bayesian Network, linking the admission background and performance of the STAR
control. The proof of concept shows 71.43% and 73.90% overall inference precision, and
reliability, respectively, on the test dataset. With more data, improved Bayesian Network is
believed to be reproduced. These results, nevertheless, points at the feasibility of the
network to act as an effective classifier using intensive care units data, and glycemic
control performance to be the basis of a probabilistic, personalized, and automated
decision support in the intensive care units
Affiliation:
- Universiti Tenaga Nasional, Malaysia
- Universiti Tenaga Nasional, Malaysia
- Universiti Sains Malaysia, Malaysia
- Universiti Malaysia Pahang, Malaysia
- International Islamic University Malaysia, Malaysia
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Indexation |
Indexed by |
MyJurnal (2021) |
H-Index
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6 |
Immediacy Index
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0.000 |
Rank |
0 |
Indexed by |
Scopus 2020 |
Impact Factor
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CiteScore (1.4) |
Rank |
Q3 (Engineering (all)) |
Additional Information |
SJR (0.191) |
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