Skip to main content
Top
Published in: BMC Medical Informatics and Decision Making 1/2013

Open Access 01-12-2013 | Research article

Artificial neural network models for prediction of cardiovascular autonomic dysfunction in general Chinese population

Authors: Juanmei Liu, Zi-Hui Tang, Fangfang Zeng, Zhongtao Li, Linuo Zhou

Published in: BMC Medical Informatics and Decision Making | Issue 1/2013

Login to get access

Abstract

Background

The present study aimed to develop an artificial neural network (ANN) based prediction model for cardiovascular autonomic (CA) dysfunction in the general population.

Methods

We analyzed a previous dataset based on a population sample consisted of 2,092 individuals aged 30–80 years. The prediction models were derived from an exploratory set using ANN analysis. Performances of these prediction models were evaluated in the validation set.

Results

Univariate analysis indicated that 14 risk factors showed statistically significant association with CA dysfunction (P < 0.05). The mean area under the receiver-operating curve was 0.762 (95% CI 0.732–0.793) for prediction model developed using ANN analysis. The mean sensitivity, specificity, positive and negative predictive values were similar in the prediction models was 0.751, 0.665, 0.330 and 0.924, respectively. All HL statistics were less than 15.0.

Conclusion

ANN is an effective tool for developing prediction models with high value for predicting CA dysfunction among the general population.
Appendix
Available only for authorised users
Literature
1.
go back to reference Spallone V, Ziegler D, Freeman R, Bernardi L, Frontoni S, Pop-Busui R, Stevens M, Kempler P, Hilsted J, Tesfaye S: Cardiovascular autonomic neuropathy in diabetes: clinical impact, assessment, diagnosis, and management. Diabetes Metab Res Rev. 2011, [Epub ahead of print] Spallone V, Ziegler D, Freeman R, Bernardi L, Frontoni S, Pop-Busui R, Stevens M, Kempler P, Hilsted J, Tesfaye S: Cardiovascular autonomic neuropathy in diabetes: clinical impact, assessment, diagnosis, and management. Diabetes Metab Res Rev. 2011, [Epub ahead of print]
2.
go back to reference Garruti G, Giampetruzzi F, Vita MG, Pellegrini F, Lagioia P, Stefanelli G, Bellomo-Damato A, Giorgino F: Links between metabolic syndrome and cardiovascular autonomic dysfunction. Exp Diabetes Res. 2012, 2012: 615835-CrossRefPubMedPubMedCentral Garruti G, Giampetruzzi F, Vita MG, Pellegrini F, Lagioia P, Stefanelli G, Bellomo-Damato A, Giorgino F: Links between metabolic syndrome and cardiovascular autonomic dysfunction. Exp Diabetes Res. 2012, 2012: 615835-CrossRefPubMedPubMedCentral
3.
go back to reference Hazari MA, Khan RT, Reddy BR, Hassan MA: Cardiovascular autonomic dysfunction in type 2 diabetes mellitus and essential hypertension in a South Indian population. Neurosciences (Riyadh). 2012, 17 (2): 173-175. Hazari MA, Khan RT, Reddy BR, Hassan MA: Cardiovascular autonomic dysfunction in type 2 diabetes mellitus and essential hypertension in a South Indian population. Neurosciences (Riyadh). 2012, 17 (2): 173-175.
4.
go back to reference Iodice V, Low DA, Vichayanrat E, Mathias CJ: Cardiovascular autonomic dysfunction in MSA and Parkinson’s disease: similarities and differences. J Neurol Sci. 2011, 310 (1–2): 133-138.CrossRefPubMed Iodice V, Low DA, Vichayanrat E, Mathias CJ: Cardiovascular autonomic dysfunction in MSA and Parkinson’s disease: similarities and differences. J Neurol Sci. 2011, 310 (1–2): 133-138.CrossRefPubMed
5.
go back to reference Min KB, Min JY, Paek D, Cho SI, Son M: Is 5-minute heart rate variability a useful measure for monitoring the autonomic nervous system of workers?. Int Heart J. 2008, 49 (2): 175-181. 10.1536/ihj.49.175.CrossRefPubMed Min KB, Min JY, Paek D, Cho SI, Son M: Is 5-minute heart rate variability a useful measure for monitoring the autonomic nervous system of workers?. Int Heart J. 2008, 49 (2): 175-181. 10.1536/ihj.49.175.CrossRefPubMed
6.
go back to reference McGinn TG, Guyatt GH, Wyer PC, Naylor CD, Stiell IG, Richardson WS: Users’ guides to the medical literature: XXII: how to use articles about clinical decision rules. Evidence-Based Medicine Working Group. JAMA. 2000, 284 (1): 79-84. 10.1001/jama.284.1.79.CrossRefPubMed McGinn TG, Guyatt GH, Wyer PC, Naylor CD, Stiell IG, Richardson WS: Users’ guides to the medical literature: XXII: how to use articles about clinical decision rules. Evidence-Based Medicine Working Group. JAMA. 2000, 284 (1): 79-84. 10.1001/jama.284.1.79.CrossRefPubMed
7.
8.
go back to reference Terrin N, Schmid CH, Griffith JL, D’Agostino RB, Selker HP: External validity of predictive models: a comparison of logistic regression, classification trees, and neural networks. J Clin Epidemiol. 2003, 56 (8): 721-729. 10.1016/S0895-4356(03)00120-3.CrossRefPubMed Terrin N, Schmid CH, Griffith JL, D’Agostino RB, Selker HP: External validity of predictive models: a comparison of logistic regression, classification trees, and neural networks. J Clin Epidemiol. 2003, 56 (8): 721-729. 10.1016/S0895-4356(03)00120-3.CrossRefPubMed
9.
go back to reference Baxt WG: Use of an artificial neural network for the diagnosis of myocardial infarction. Ann Intern Med. 1991, 115 (11): 843-848. 10.7326/0003-4819-115-11-843.CrossRefPubMed Baxt WG: Use of an artificial neural network for the diagnosis of myocardial infarction. Ann Intern Med. 1991, 115 (11): 843-848. 10.7326/0003-4819-115-11-843.CrossRefPubMed
10.
go back to reference Harrison RF, Kennedy RL: Artificial neural network models for prediction of acute coronary syndromes using clinical data from the time of presentation. Ann Emerg Med. 2005, 46 (5): 431-439. 10.1016/j.annemergmed.2004.09.012.CrossRefPubMed Harrison RF, Kennedy RL: Artificial neural network models for prediction of acute coronary syndromes using clinical data from the time of presentation. Ann Emerg Med. 2005, 46 (5): 431-439. 10.1016/j.annemergmed.2004.09.012.CrossRefPubMed
11.
go back to reference Li YC, Liu L, Chiu WT, Jian WS: Neural network modeling for surgical decisions on traumatic brain injury patients. Int J Med Inform. 2000, 57 (1): 1-9. 10.1016/S1386-5056(99)00054-4.CrossRefPubMed Li YC, Liu L, Chiu WT, Jian WS: Neural network modeling for surgical decisions on traumatic brain injury patients. Int J Med Inform. 2000, 57 (1): 1-9. 10.1016/S1386-5056(99)00054-4.CrossRefPubMed
12.
go back to reference Ottenbacher KJ, Linn RT, Smith PM, Illig SB, Mancuso M, Granger CV: Comparison of logistic regression and neural network analysis applied to predicting living setting after hip fracture. Ann Epidemiol. 2004, 14 (8): 551-559. 10.1016/j.annepidem.2003.10.005.CrossRefPubMed Ottenbacher KJ, Linn RT, Smith PM, Illig SB, Mancuso M, Granger CV: Comparison of logistic regression and neural network analysis applied to predicting living setting after hip fracture. Ann Epidemiol. 2004, 14 (8): 551-559. 10.1016/j.annepidem.2003.10.005.CrossRefPubMed
13.
go back to reference Grundy SM, Hansen B, Smith SC, Cleeman JI, Kahn RA: Clinical management of metabolic syndrome: report of the American Heart Association/National Heart, Lung, and Blood Institute/American Diabetes Association conference on scientific issues related to management. Circulation. 2004, 109 (4): 551-556. 10.1161/01.CIR.0000112379.88385.67.CrossRefPubMed Grundy SM, Hansen B, Smith SC, Cleeman JI, Kahn RA: Clinical management of metabolic syndrome: report of the American Heart Association/National Heart, Lung, and Blood Institute/American Diabetes Association conference on scientific issues related to management. Circulation. 2004, 109 (4): 551-556. 10.1161/01.CIR.0000112379.88385.67.CrossRefPubMed
14.
go back to reference Tu JV: Advantages and disadvantages of using artificial neural networks versus logistic regression for predicting medical outcomes. J Clin Epidemiol. 1996, 49 (11): 1225-1231. 10.1016/S0895-4356(96)00002-9.CrossRefPubMed Tu JV: Advantages and disadvantages of using artificial neural networks versus logistic regression for predicting medical outcomes. J Clin Epidemiol. 1996, 49 (11): 1225-1231. 10.1016/S0895-4356(96)00002-9.CrossRefPubMed
15.
go back to reference Swartz MD, Yu RK, Shete S: Finding factors influencing risk: comparing Bayesian stochastic search and standard variable selection methods applied to logistic regression models of cases and controls. Stat Med. 2008, 27 (29): 6158-6174. 10.1002/sim.3434.CrossRefPubMedPubMedCentral Swartz MD, Yu RK, Shete S: Finding factors influencing risk: comparing Bayesian stochastic search and standard variable selection methods applied to logistic regression models of cases and controls. Stat Med. 2008, 27 (29): 6158-6174. 10.1002/sim.3434.CrossRefPubMedPubMedCentral
16.
go back to reference Levy PS, Stolte K: Statistical methods in public health and epidemiology: a look at the recent past and projections for the next decade. Stat Methods Med Res. 2000, 9 (1): 41-55. 10.1191/096228000666554731.CrossRefPubMed Levy PS, Stolte K: Statistical methods in public health and epidemiology: a look at the recent past and projections for the next decade. Stat Methods Med Res. 2000, 9 (1): 41-55. 10.1191/096228000666554731.CrossRefPubMed
17.
go back to reference Ciccacci C, Di Fusco D, Cacciotti L, Morganti R, D’Amato C, Novelli G, Sangiuolo F, Spallone V, Borgiani P: TCF7L2 gene polymorphisms and type 2 diabetes: association with diabetic retinopathy and cardiovascular autonomic neuropathy. Acta Diabetol. 2012, [Epub ahead of print] Ciccacci C, Di Fusco D, Cacciotti L, Morganti R, D’Amato C, Novelli G, Sangiuolo F, Spallone V, Borgiani P: TCF7L2 gene polymorphisms and type 2 diabetes: association with diabetic retinopathy and cardiovascular autonomic neuropathy. Acta Diabetol. 2012, [Epub ahead of print]
18.
go back to reference Chen ZY, Liu JH, Liang K, Liang WX, Ma SH, Zeng GJ, Xiao SY, He JG: The diagnostic value of a multivariate logistic regression analysis model with transvaginal power Doppler ultrasonography for the prediction of ectopic pregnancy. J Int Med Res. 2012, 40 (1): 184-193. 10.1177/147323001204000119.CrossRefPubMed Chen ZY, Liu JH, Liang K, Liang WX, Ma SH, Zeng GJ, Xiao SY, He JG: The diagnostic value of a multivariate logistic regression analysis model with transvaginal power Doppler ultrasonography for the prediction of ectopic pregnancy. J Int Med Res. 2012, 40 (1): 184-193. 10.1177/147323001204000119.CrossRefPubMed
19.
go back to reference Ayer T, Chhatwal J, Alagoz O, Kahn CE, Woods RW, Burnside ES: Informatics in radiology: comparison of logistic regression and artificial neural network models in breast cancer risk estimation. Radiographics. 2010, 30 (1): 13-22. 10.1148/rg.301095057.CrossRefPubMedPubMedCentral Ayer T, Chhatwal J, Alagoz O, Kahn CE, Woods RW, Burnside ES: Informatics in radiology: comparison of logistic regression and artificial neural network models in breast cancer risk estimation. Radiographics. 2010, 30 (1): 13-22. 10.1148/rg.301095057.CrossRefPubMedPubMedCentral
Metadata
Title
Artificial neural network models for prediction of cardiovascular autonomic dysfunction in general Chinese population
Authors
Juanmei Liu
Zi-Hui Tang
Fangfang Zeng
Zhongtao Li
Linuo Zhou
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2013
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/1472-6947-13-80

Other articles of this Issue 1/2013

BMC Medical Informatics and Decision Making 1/2013 Go to the issue