{"id":4818,"date":"2023-07-14T15:05:11","date_gmt":"2023-07-14T07:05:11","guid":{"rendered":"https:\/\/inventec2.mjitec.tw\/?page_id=4818"},"modified":"2023-07-18T14:07:25","modified_gmt":"2023-07-18T06:07:25","slug":"interpretable-estimation-of-the-risk-of-heart-failure-hospitalization-from-a-30-second-electrocardiogram","status":"publish","type":"page","link":"https:\/\/inventec2.mjitec.tw\/zh-hans\/ai\/interpretable-estimation-of-the-risk-of-heart-failure-hospitalization-from-a-30-second-electrocardiogram\/","title":{"rendered":"Interpretable Estimation of the risk of Heart Failure Hospitalization from a 30-second Electrocardiogram"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row&#8221;][vc_column]<div id=\"rs-space-69e10d8ec12b9\" class=\"rs-space\">\r\n                <div class=\"rs-space-data\" data-conf=\"{&quot;uqid&quot;:&quot;69e10d8ec12b9&quot;,&quot;space_lg&quot;:&quot;150&quot;,&quot;space_md&quot;:&quot;80&quot;,&quot;space_sm&quot;:&quot;60&quot;,&quot;space_xs&quot;:&quot;60&quot;}\"><\/div>\t\t\t\r\n\t\t\t<\/div>[vc_row_inner el_class=&#8221;md-full-col&#8221;][vc_column_inner el_class=&#8221;m_p&#8221; width=&#8221;1\/2&#8243;]\n        <div class=\"rs-heading    \">\n        \t<div class=\"title-inner\"  data-border-color=\"\">\n        \t\t\n\t            \n\t            <h2 class=\"title \" style=\"color: #333333\">Interpretable Estimation of the risk of Heart Failure Hospitalization from a 30-second Electrocardiogram <\/h2>\n\t        <\/div><\/div>[vc_column_text css=&#8221;.vc_custom_1689318041906{margin-bottom: 20px !important;}&#8221;]<\/p>\n<div>\n<p>IEEE International Conference on E-Health and Bioengineering Conference (EHB 2022)<\/p>\n<\/div>\n<p>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1660542172270{margin-bottom: 5px !important;}&#8221;]<\/p>\n<div>\n<h6>\u4f5c\u8005<\/h6>\n<\/div>\n<p>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1689318050434{margin-bottom: 20px !important;}&#8221;]<\/p>\n<div>\n<p>Sergio Gonzalez, Wan-Ting Hsieh, Davide Burba, Trista Pei-Chun Chen, Chun-Li Wang, Victor Chien-Chia, Shang-Hung Chang<\/p>\n<\/div>\n<p>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1689318351219{margin-bottom: 5px !important;}&#8221;]<\/p>\n<div>\n<h6>\u53d1\u8868\u65e5\u671f<\/h6>\n<\/div>\n<p>[\/vc_column_text][vc_column_text]<\/p>\n<div>\n<p>Nov-22<\/p>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=&#8221;m_p&#8221; width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;5025&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column]<div id=\"rs-space-69e10d8ec13ce\" class=\"rs-space\">\r\n                <div class=\"rs-space-data\" data-conf=\"{&quot;uqid&quot;:&quot;69e10d8ec13ce&quot;,&quot;space_lg&quot;:&quot;150&quot;,&quot;space_md&quot;:&quot;80&quot;,&quot;space_sm&quot;:&quot;60&quot;,&quot;space_xs&quot;:&quot;60&quot;}\"><\/div>\t\t\t\r\n\t\t\t<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221;][vc_column][vc_row_inner content_placement=&#8221;top&#8221; css=&#8221;.vc_custom_1657794580528{margin-bottom: 20px !important;}&#8221;][vc_column_inner el_class=&#8221;m_p paragraph_title&#8221; width=&#8221;1\/3&#8243;]\n        <div class=\"rs-heading   vc_custom_1657008747808  \">\n        \t<div class=\"title-inner\"  data-border-color=\"\">\n        \t\t\n\t            \n\t            <h2 class=\"title \" style=\"color: #333333\">\u6982\u8981 <\/h2>\n\t        <\/div><\/div>[\/vc_column_inner][vc_column_inner el_class=&#8221;m_p&#8221; width=&#8221;2\/3&#8243;][vc_column_text]Survival modeling in healthcare relies on explainable statistical models; yet, their underlying assumptions are often simplistic and, thus, unrealistic. Machine learning models can estimate more complex relationships and lead to more accurate predictions, but are non-interpretable. This study shows it is possible to estimate hospitalization for congestive heart failure by a 30 seconds single-lead electrocardiogram signal. Using a machine learning approach not only results in greater predictive power but also provides clinically meaningful interpretations. We train an XGBoost accelerated failure time model and exploit SHapley Additive exPlanations values to explain the effect of each feature on predictions. Our model achieved a concordance index of 0.828 and an area under the curve of 0.853 at one year and 0.858 at two years on a held-out test set of 6,573 patients. 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