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Xiaobei Zhou: Prediction Models for Serious Outcome and Death in Patients with Non-specific Complaints Presenting to the Emergency Department

Adviser: Prof. Dr. Werner Stahel

Co-Adviser: Dr. Markus Kalisch



August 2011


Abstract:

This paper is based on the Basel Non-specific Complaints (BANC) by Nemec, Koller, Nickel, Maile, Winterhalder, Karrer, Laifer, and Bingisser [2010].
Nonspecific complaints (NSCs) are very common in emergency departments (EDs). How­ever, when treating the patients with NSCs, emergency physicians have rarely experience. My research mainly focuses on the outcome variables a serious condition (o ser) and death in ED patients with NSCs. My primary goal is to find a set of methods (classifiers) which classify with high accuracies for o ser and death. Moreover, we try to find a series of risk factors (explanatory variables) which are highly correlated with the outcome variables.
We do not find a classifier that clearly outperforms all others in all aspects. Random-Forest, Logistic-Regression and Adaboost turn out to be favorable according to different criteria. We find that dealing with missing values using imputation increases classification performance. Finally, we discuss SMOTE as an interesting but not fully satisfy method for dealing with highly unbalanced data.



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