PMID- 17345760 OWN - NLM STAT- MEDLINE DCOM- 20070323 LR - 20191210 IS - 1682-3141 (Print) IS - 1682-3141 (Linking) VI - 14 IP - 4 DP - 2006 Dec TI - A comparison of MICU survival prediction using the logistic regression model and artificial neural network model. PG - 306-14 AB - Under the policy of restraint in medical expenditure and with the dual pressures of medical technology development and population aging, the critical care services will exert even greater pressure on the limited medical resources. Therefore, the objective of this study is to compare the abilities of two models, the Logistic Regression Model and the Neural Network Model, to predict the survival of critical care patients, in order to provide a more ethical and objective survival prediction system, as well as to promote more effective management of the resources of the medical intensive care unit (MICU). The two models use the Acute Physiology and Chronic Health Evaluation-II (APACHE-II) and Glasgow Coma Scale (GCS) scores of 1,496 patients stayed who in the MICU of a Taiwan medical center during January 2002-January 2004 to conduct the survival prediction. The study results show that the Neural Network Model has a better predictive ability than the Logistic Regression Model both with regard to the survivors (86.7%, n = 361) and with regard to the entire population of patients studied (74.7%, n = 498). FAU - Lin, Shu-Ping AU - Lin SP AD - Department of Technology Management, Chung Hua University. FAU - Lee, Chi-Hsueh AU - Lee CH FAU - Lu, Yang-Shu AU - Lu YS FAU - Hsu, Ling-Nu AU - Hsu LN LA - eng PT - Comparative Study PT - Journal Article PT - Validation Study PL - China (Republic : 1949- ) TA - J Nurs Res JT - The journal of nursing research : JNR JID - 101128757 SB - IM MH - APACHE MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Critical Care/*statistics & numerical data MH - Glasgow Coma Scale MH - *Hospital Mortality MH - Humans MH - Length of Stay/statistics & numerical data MH - *Linear Models MH - *Logistic Models MH - Middle Aged MH - *Neural Networks, Computer MH - Nursing Evaluation Research MH - Outcome Assessment, Health Care MH - Predictive Value of Tests MH - Prognosis MH - Risk Assessment MH - Risk Factors MH - Statistics, Nonparametric MH - *Survival Analysis MH - Survival Rate MH - Taiwan/epidemiology EDAT- 2007/03/10 09:00 MHDA- 2007/03/24 09:00 CRDT- 2007/03/10 09:00 PHST- 2007/03/10 09:00 [pubmed] PHST- 2007/03/24 09:00 [medline] PHST- 2007/03/10 09:00 [entrez] AID - 10.1097/01.jnr.0000387590.19963.8e [doi] PST - ppublish SO - J Nurs Res. 2006 Dec;14(4):306-14. doi: 10.1097/01.jnr.0000387590.19963.8e.