Machine learning models identify predictive features of patient mortality across dementia types

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作者
Jimmy Zhang
Luo Song
Zachary Miller
Kwun C. G. Chan
Kuan-lin Huang
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[1] Icahn School of Medicine at Mount Sinai,Department of Genetics and Genomic Sciences, Center for Transformative Disease Modeling, Tisch Cancer Institute, Icahn Institute for Data Science and Genomic Technology
[2] Columbia University,School of Medicine
[3] The University of Queensland,National Alzheimer’s Coordinating Center
[4] University of Washington,undefined
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Dementia has emerged as a major cause of death in societies with increasingly aging populations. However, predicting the exact timing of death in dementia cases is challenging, due to variations in the gradual process where cognitive decline interferes with the body’s normal functions. In our study, we build machine-learning models to predict whether a patient diagnosed with dementia will survive or die within 1, 3, 5, or 10 years. We found that the prediction models can work well across patients from different parts of the US and across patients with different types of dementia. The key predictive factor was the information that is already used to diagnose and stage dementia, such as the results of memory tests. Interestingly, broader risk factors related to other causes of death, such as heart conditions, were less significant for predicting death in dementia patients. The ability of these models to identify dementia patients at a heightened risk of mortality could aid clinical practices, potentially allowing for earlier interventions and tailored treatment strategies to improve patient outcomes.
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