Anais da Academia Brasileira de Ciencias · 2026
The use of machine learning approaches for mortality prediction and classification in traumatic brain injury: a literature review.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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Silva-Sousa Arthur Afonso, Camargo Fernanda Carolina, Furtado Leopoldo Mandic F, Teixeira Antonio Lucio, Queiroz Rafael A B DE, Miranda Aline Silva DE
Аннотация
OBJECTIVE: This systematic review analyzed machine learning (ML) techniques for predicting and classifying mortality in traumatic brain injury (TBI) victims.
METHODS: The PICOS (People, Intervention, Comparison, Outcome, Study) strategy was used for the research question. The included studies were indexed in the Virtual Health Library and the National Library of Medicine, written in English, Portuguese, or Spanish, and focused on TBI-related mortality. Exclusions comprised animal studies, molecular research, reviews, and unavailable full texts.
RESULTS: Of 1,752 screened studies, 36 met inclusion criteria. Most publications emerged in 2023 (n = 10, 27.8%), with the highest number of publications belonging to Asian countries (n = 12, 33.3%). The general mean age of TBI was 50.5 years for male adults and the main causes were motor vehicle accidents and falls. The main predictors of mortality were low Glasgow Coma Scale score (n=17, 12.9%) and age (n=14, 10.6%). The best machine learning techniques to predict mortality were Support Vector Machine, Logistic Regression, Random Forest and eXtreme Gradient Boosting. The areas under the curve (AUC) ranged from 0.757 to 0.968.
CONCLUSION: Machine learning techniques seem to be useful and promising tools for predicting mortality in TBI victims, and thus help in clinical decisions.
METHODS: The PICOS (People, Intervention, Comparison, Outcome, Study) strategy was used for the research question. The included studies were indexed in the Virtual Health Library and the National Library of Medicine, written in English, Portuguese, or Spanish, and focused on TBI-related mortality. Exclusions comprised animal studies, molecular research, reviews, and unavailable full texts.
RESULTS: Of 1,752 screened studies, 36 met inclusion criteria. Most publications emerged in 2023 (n = 10, 27.8%), with the highest number of publications belonging to Asian countries (n = 12, 33.3%). The general mean age of TBI was 50.5 years for male adults and the main causes were motor vehicle accidents and falls. The main predictors of mortality were low Glasgow Coma Scale score (n=17, 12.9%) and age (n=14, 10.6%). The best machine learning techniques to predict mortality were Support Vector Machine, Logistic Regression, Random Forest and eXtreme Gradient Boosting. The areas under the curve (AUC) ranged from 0.757 to 0.968.
CONCLUSION: Machine learning techniques seem to be useful and promising tools for predicting mortality in TBI victims, and thus help in clinical decisions.