Using neural networks for trauma outcome evaluation

Abstract The development of effective methods for predicting the survival or mortality of patients is a major focus of trauma research. We address this problem by applying neural network modelling, using as inputs established descriptors of physiologic and anatomic injury severity. We use two different “backpropagation” techniques with a variety of training strategies and examine the importance of training and test set composition, performance evaluation criteria, and interpretation of network outputs. The results of our study indicate that neural networks show significant promise for trauma patient outcome evaluation.

[1]  G. David Garson,et al.  Interpreting neural-network connection weights , 1991 .

[2]  S. Siegel,et al.  Nonparametric Statistics for the Behavioral Sciences , 2022, The SAGE Encyclopedia of Research Design.

[3]  Geoffrey E. Hinton,et al.  Learning internal representations by error propagation , 1986 .

[4]  Qiwen Wang,et al.  Predicting salinity in the chesapeake bay using backpropagation , 1992, Comput. Oper. Res..

[5]  Melody Y. Kiang,et al.  Managerial Applications of Neural Networks: The Case of Bank Failure Predictions , 1992 .

[6]  Christian Lebiere,et al.  The Cascade-Correlation Learning Architecture , 1989, NIPS.

[7]  Scott E. Fahlman,et al.  An empirical study of learning speed in back-propagation networks , 1988 .

[8]  Hans Lohninger Evaluation of neural networks based on radial basis functions and their application to the prediction of boiling points from structural parameters , 1993, J. Chem. Inf. Comput. Sci..

[9]  Sholom M. Weiss,et al.  Computer Systems That Learn , 1990 .

[10]  Bruce W. Suter,et al.  The multilayer perceptron as an approximation to a Bayes optimal discriminant function , 1990, IEEE Trans. Neural Networks.

[11]  R.P. Lippmann,et al.  Pattern classification using neural networks , 1989, IEEE Communications Magazine.

[12]  Ming S. Hung,et al.  A neural network approach to the classification problem , 1990 .

[13]  Bernard Widrow,et al.  The basic ideas in neural networks , 1994, CACM.

[14]  Geoffrey E. Hinton,et al.  Proceedings of the 1988 Connectionist Models Summer School , 1989 .

[15]  Ramesh Sharda,et al.  Bankruptcy prediction using neural networks , 1994, Decis. Support Syst..

[16]  D. Hosmer,et al.  Applied Logistic Regression , 1991 .

[17]  PAUL J. WERBOS,et al.  Generalization of backpropagation with application to a recurrent gas market model , 1988, Neural Networks.

[18]  Olvi L. Mangasarian,et al.  Mathematical Programming in Neural Networks , 1993, INFORMS J. Comput..

[19]  Fatemeh Zahedi,et al.  An Introduction to Neural Networks and a Comparison with Artificial Intelligence and Expert Systems , 1991 .

[20]  H. White Some Asymptotic Results for Learning in Single Hidden-Layer Feedforward Network Models , 1989 .

[21]  T Gennarelli,et al.  A new characterization of injury severity. , 1990, The Journal of trauma.

[22]  C. J. Huberty,et al.  Issues in the use and interpretation of discriminant analysis , 1984 .

[23]  P. Werbos,et al.  Beyond Regression : "New Tools for Prediction and Analysis in the Behavioral Sciences , 1974 .

[24]  E. Mine Cinar,et al.  Neural Networks: A New Tool for Predicting Thrift Failures , 1992 .

[25]  James P. Ignizio,et al.  Neural networks and operations research: An overview , 1992, Comput. Oper. Res..

[26]  Susan W. Palocsay,et al.  Bounds on a Trauma Outcome Function via Optimization , 1992, Oper. Res..

[27]  Donald F. Specht,et al.  Probabilistic neural networks , 1990, Neural Networks.

[28]  Panos M. Pardalos,et al.  Advances in Optimization and Parallel Computing , 1992 .

[29]  Ramesh Sharda,et al.  Neural Networks for the MS/OR Analyst: An Application Bibliography , 1994 .

[30]  W J Sacco,et al.  Status of trauma patient management as measured by survival/death outcomes: looking toward the 21st century. , 1994, The Journal of trauma.

[31]  Qiwen Wang,et al.  A neural network model for the wire bonding process , 1993, Comput. Oper. Res..

[32]  Ingoo Han,et al.  An empirical investigation of some data effects on the classification accuracy of probit, ID3, and neural networks* , 1992 .

[33]  Venkat Subramanian,et al.  A GRG2-Based System for Training Neural Networks: Design and Computational Experience , 1993, INFORMS J. Comput..

[34]  Richard Lippmann,et al.  Neural Network Classifiers Estimate Bayesian a posteriori Probabilities , 1991, Neural Computation.

[35]  Loren Paul Rees,et al.  Using Neural Networks to Determine Internally-Set Due-Date Assignments for Shop Scheduling* , 1994 .

[36]  Geoffrey E. Hinton,et al.  How neural networks learn from experience. , 1992, Scientific American.

[37]  Michael J. Shaw,et al.  Learning Algorithms for Neural-Net Decision Support , 1993, INFORMS J. Comput..

[38]  Michael Y. Hu,et al.  An experimental evaluation of neural networks for classification , 1993, Comput. Oper. Res..