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Table 6 Comparison of our results with related literature

From: Prediction of neonatal deaths in NICUs: development and validation of machine learning models

First Author (Reference)

Numbers of variables

List of variables

 

Study sample

Models

Tool

External validation

Performance evaluation

 

Jaskari [13]

10

Heart rate, blood pressure, GA, BW, medical scores SNAP-II and SNAPPE-II, diagnoses of the patients for BPD, NEC, ROP, information on the survival

 

977 VLBW infants

LR, LDA, QDA, KNN, SVM, 3 different Gaussian process, RF

Matlab

No

AUROC (RF): 0.922

F-Score (RF): 0.477

 

Beluzos[42]

23

Mother’s age, BW, 1-min Apgar score, 5-min Apgar score, Robson group classification, number of cesarean deliveries, fetal losses, number of previous gestation, GA, number of live births, number of normal deliveries, birth place code, childbirth care, main worker role, child-birth type (delivery), mother race/skin color, marital status, mother’s years of schooling, week of gestation (by ranges), type of pregnancy, prenatal appointments (by range), newborn presentation type, congenital malformation

 

698 neonates

XGBoost, LR, RF

Python Programming language (3.6)

Yes

Accuracy (RF): 93%

AUC (RF): 0.965

 

Rezaeian[3]

15

Maternal age, GA, number of fetus, premature rapture of membrane, maternal preeclampsia, birth type, gender of neonate, BW, birth height, birth head circumference, after birth crying, delivery room breathing, CPR in delivery room, 1th minute APGAR, 5th minute APGAR

 

1618 premature neonate records

NN, LR

MATLAB R2016a

No

AUC: 95.99%

Accuracy: 96.789

Sensitivity: 86.20%

Specificity: 98.37%

 

Cooper[12]

68

Not mention

 

6499 neonates

Superlearning algorithm (14 regression and machine learning algorithms)

SAS version 9.4, R version 3.3.0

Yes

Cross-validated MSE

Excellent discrimination

(AUC development: 0.91

AUC validation: 0.87)

Good calibration in model development/ not good in model validation

 

Ravelli[43]

13

GA, fetal gender, use of antenatal corticosteroids, maternal age, parity, caucasian maternal ethnicity, SES, hypertension/pre-eclampsia, PROM, history of preterm birth, bleeding in the second trimester, non-cephalic presentation and level of hospital for delivery (3rd level versus non 3rd level hospital

 

8500 singleton very preterm infants

Multiple logistic regression, Bootstrapping technique

SAS version 9.2, R version 3.01

No

Discrimination (AUC): 0.83

Accuracy: 65%

Calibration: Good calibration

 

Our study

17

BW, GA, preterm birth, SGA, prenatal care, mother disease, RDS, steroid therapy, surfactant administration, pulmonary hemorrhage, congenital malformation, NEC, sepsis, IVH, asphyxia, intubation, ventilation

 

Neonates admitted to NICU

ANN, C5.0, SVM, Bayesian network, Ensemble

IBM SPSS Modeler

Yes

Accuracy (SVM): 94%

Precision (RF): 98%

Specificity (RF): 94%

Sensitivity (SVM): 95%

F-score (SVM): 0.96

AUC (SVM, ensemble): 0.98

 
  1. The best results in literature are bold
  2. Logistic Regression (LR), Linear Discrimination Analysis (LDA), Quadratic Discrimination Analysis (QDA), K-Nearest Neighborhood (KNN), Random Forest (RF), Area Under ROC(AUROC), Mean Square Error (MSE), Area under Curve (AUC), Classification and Regression Tree (CART), Artificial Neural Network (ANN), Support Vector Machine (SVM), Gestational Age (GA), Birth Weight (BW), Score for Neonatal Acute Physiology-II (SNAP-II), Score for Neonatal Acute Physiology with Perinatal Extension-II (SNAPPE-II), Bronchopulmonary dysplasia (BPD), Necrotizing Enter Colitis ( NEC), Retinopathy of prematurity (ROP), Cardiopulmonary Resuscitation (CPR), Socio-Economic Status (SES), Prelabour Rupture Of the Membranes (PROM), Small for Gestational Age (SGA), Respiratory Distress Syndrome (RDS), Intra Ventricular Hemorrhage (IVH)