Delirium, Machine Learning, Prediction Models
Conditions
Brief summary
Delirium has a high incidence rate and significantly affects patient prognosis. Diagnosis often relies on manual assessment, which is subject to strong subjectivity, high rates of missed diagnosis, and poor stability. This study employs non-contact identification technology based on machine vision analysis to quantitatively analyze characteristic biological feature data such as micro-expressions. It then investigates the correlation between these features and delirium subtypes. By integrating clinical phenotypic data and using machine learning algorithms, a multi-modal early prediction model for delirium is constructed to meet the clinical need for early warning of delirium subtypes and enhance the efficacy of delirium identification.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years, expected ICU stay ≥ 24 hours, and informed consent to participate in this study;
Exclusion criteria
* Patients with severe facial trauma/deformities that prevent complete expression acquisition, and patients with a history of emotional problems (such as anxiety, depression, etc.).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with delirium as assessed by DSM-5 | 7th day after ICU admission | Zero is equivalent to no delirium and a high score means a higher occurrence of delirium |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy | 7th day after ICU admission | Zero is equivalent to the minimum accuracy, while a value of 1 represents perfect accuracy |
| Precision | 7th day after ICU admission | The proportion of truly positive samples among those predicted as positive; the closer the score is to 1, the higher the precision |
| Recall | 7th day after ICU admission | The proportion of truly positive samples that are correctly predicted; the closer the score is to 1, the higher the diagnostic sensitivity |
| F1-score | 7th day after ICU admission | The harmonic mean of precision and recall; the higher the score, the better the diagnostic performance of the model |