Reexamination of risk criteria in dengue patients using the self-organizing map

Even though the World Health Organization criteria's for classifying the dengue infection have been used for long time, recent studies declare that several difficulties have been faced by the clinicians to apply these criteria. Accordingly, many studies have proposed modified criteria to identi...

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Bibliographic Details
Main Authors: Faisal, T., Taib, M.N., Ibrahim, F.
Format: Article
Language:English
Published: 2010
Subjects:
Online Access:http://eprints.um.edu.my/9343/1/Reexamination_of_risk_criteria_in_dengue_patients_using_the_self.pdf
http://eprints.um.edu.my/9343/
http://www.scopus.com/inward/record.url?eid=2-s2.0-77649236004&partnerID=40&md5=57959d3a9ca85a027591469c49462362 http://link.springer.com/article/10.1007/s11517-009-0561-x http://www.ncbi.nlm.nih.gov/pubmed/20016950
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Summary:Even though the World Health Organization criteria's for classifying the dengue infection have been used for long time, recent studies declare that several difficulties have been faced by the clinicians to apply these criteria. Accordingly, many studies have proposed modified criteria to identify the risk in dengue patients based on statistical analysis techniques. None of these studies utilized the powerfulness of the self-organized map (SOM) in visualizing, understanding, and exploring the complexity in multivariable data. Therefore, this study utilized the clustering of the SOM technique to identify the risk criteria in 195 dengue patients. The new risk criteria were defined as: platelet count less than or equal 40,000 cells per mm 3, hematocrit concentration great than or equal 25 and aspartate aminotransferase (AST) rose by fivefold the normal upper limit for AST/alanine aminotransfansferase (ALT) rose by fivefold the normal upper limit for ALT. The clusters analysis indicated that any dengue patient fulfills any two of the risk criteria is consider as high risk dengue patient. © 2009 International Federation for Medical and Biological Engineering.