Predictability of Pressure Ulcers Based on Operation Duration, Transfer Activity, and Body Mass Index Through the Use of an Alternating Decision Tree

• 資料種別: 博士論文
• タイトル: Predictability of Pressure Ulcers Based on Operation Duration, Transfer Activity, and Body Mass Index Through the Use of an Alternating Decision Tree
• 著者・編者: Setoguchi, Yoko; Ghaibeh, A. Ammer; Mitani, Kazue; Abe, Yoshiro; Hashimoto, Ichiro; Moriguchi, Hiroki
• 著者標目: Setoguchi, Yoko; Ghaibeh, A. Ammer; Mitani, Kazue; Abe, Yoshiro; Hashimoto, Ichiro; Moriguchi, Hiroki
• 出版事項: Faculty of Medicine Tokushima University
• 出版年月日等: 2016-08
• 出版年（W3CDTF）: 2016-08
• 並列タイトル等: ADTを用いた手術時間, 移乗, BMIに基づく褥瘡発生の予測可能性; Pressure Ulcer prediction using ADT
• タイトル（掲載誌）: The Journal of Medical Investigation
• 巻号年月日等（掲載誌）: 63 3-4
• 掲載巻: 63
• 掲載号: 3-4
• 掲載ページ: 248-255
• ISSN（掲載誌）: ISSN : 1349-6867; ISSN : 1343-1420
• 授与機関名: 徳島大学
• 授与年月日: 2016-09-08
• 報告番号: 甲第2967号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: transfer; pressure ulcer; nursing needs score; imbalanced data; alternating decision tree; acute care hospital
• 対象利用者: 一般
• 一般注記: Objective : To develop a prediction model for pressure ulcer cases that continue to occur at an acute care hospital with a low occurrence rate of pressure ulcers. Methods : Analyzing data were collected from patients hospitalized at Tokushima University Hospital during 2012 using an alternating decision tree (ADT) data mining method. Results : The ADT-based analysis revealed transfer activity, operation time, and low body mass index (BMI) as important factors for predicting pressure ulcer development. Discussion : Among the factors identified, only “transfer activity” can be modified by nursing intervention. While shear force and friction are known to lead to pressure ulcers, transfer activity has not been identified as such. Our results suggest that transfer activities creating shear force and friction correlate with pressure ulcer development. The ADT algorithm was effective in determining prediction factors, especially for highly imbalanced data. Our three stumps ADT yielded accuracy, sensitivity, and specificity values of 72.1%±3.7%, 79.3%±18.1%, and 72.1%±3.8%, respectively. Conclusion : Transfer activity, identified as an interventional factor, can be modified through nursing interventions to prevent pressure ulcer formation. The ADT method was effective in identifying factors within largely imbalanced data.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.2152/jmi.63.248
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

https://repo.lib.tokushima-u.ac.jp/files/public/11/111189/20190807145806282430/LID201611111003.pdf fulltext

https://repo.lib.tokushima-u.ac.jp/files/public/11/111189/20190807145806607524/LID201611111004.pdf fulltext