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    Please use this identifier to cite or link to this item: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/87931

    Title: 利用決策樹分析法探討慢性疾病對腹主動脈瘤患者術前及術後的影響
    Other Titles: Using decision tree analysis to explore the effects of chronic diseases on abdominal aortic aneurysm patients before and after surgery
    Authors: 張冠英;Chang, Kuan-Ying
    Contributors: 淡江大學資訊工程學系碩士班
    葛煥昭;Keh, Huan-Chao
    Keywords: 決策樹分析法;資料探勘;腹主動脈瘤;慢性疾病;Decision tree analysis;data mining;Abdominal aortic aneurysm;Chronic diseases
    Date: 2012
    Issue Date: 2013-04-13 11:52:52 (UTC+8)
    Abstract: 根據國民健康局統計台灣十大死因中與腹主動脈瘤患者具有高度相關的慢性疾病有六種,為提高治療成效與慢性疾病術後併發症的預防,故選擇作為本次研究的主要研究對象。
    According to the statistics of the Bureau of Health Promotion, six chronic diseases out of the ten leading causes of deaths were significantly associated with patients with abdominal aortic aneurysms in Taiwan. The purpose of this study was to provide approaches for promoting the treatment outcomes and preventing postoperative complications for patients with chronic diseases.
    CHAID (Chi-square Automatic Interaction Detector) decision-tree analysis was utilized to calculate the existing data. Conditional logistic regression model was applied to increase accuracy. The results of CHAID approach provided the most significant time point that could be used for prophylactic medications to prevent postoperative complications.
    Our findings indicated that if the results of following tests were abnormal, it was suggested to give prophylactic medications according to the test items for preventing complications and significantly reducing the number of hospitalization days. These tests including prothrombin time at the seventh day after surgery for the patients with chronic obstructive pulmonary disease (COPD); pre-operative creatinine test, BUN test on the first postoperative day, FDP test on the fourth first postoperative day, as well as WBC account, Hb, and Hct tests at one month after surgery for the patients with cardiovascular diseases; preoperative tests for Hb, Hct, albumin, BUN (patients with the test values between 17-30 are excluded), and creatinine for the patients with chronic kidney disease.
    Appears in Collections:[資訊工程學系暨研究所] 學位論文

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