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Predicting frequent COPD exacerbations using primary care data

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TLDR
Patients at risk of exacerbation can be identified from routinely available, computerized primary care data and a robust, clinically based model to predict frequent exacerbation risk was developed.
Abstract
This study was funded by an unrestricted grant from the Respiratory Effectiveness Group (REG; www.effectivenessevaluation.org). Access to data from the Optimum Patient Care Research Database was co-funded by Research in Real-Life Ltd (RiRL, Cambridge, UK). The authors would like to thank Dr John Bukowski of WordsWorld Consulting for editorial assistance drafting this manuscript. Additional editorial support was provided by Elizabeth V Hillyer, DVM, funded by RiRL.

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Journal ArticleDOI

Prognostic models for outcome prediction in patients with chronic obstructive pulmonary disease: systematic review and critical appraisal

TL;DR: A detailed mapping and assessment of the prognostic models for outcome prediction in COPD patients indicates several methodological pitfalls in their development and a low rate of external validation.
Proceedings ArticleDOI

MetaPred: Meta-Learning for Clinical Risk Prediction with Limited Patient Electronic Health Records

TL;DR: In this paper, a meta-learning framework for clinical risk prediction from longitudinal patient Electronic Health Records (EHR) is proposed, which can be directly used in target risk prediction, and the limited available samples in the target domain can be used for further fine-tuning the model performance.
Journal ArticleDOI

A machine learning approach to triaging patients with chronic obstructive pulmonary disease.

TL;DR: A machine learning-based strategy for early detection of exacerbations and subsequent triage and the algorithm is the top performer in sensitivity, specificity, and ppv when predicting a patient’s need for emergency care.
References
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Book

Applied Logistic Regression

TL;DR: Hosmer and Lemeshow as discussed by the authors provide an accessible introduction to the logistic regression model while incorporating advances of the last decade, including a variety of software packages for the analysis of data sets.
Journal ArticleDOI

Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease

TL;DR: The MRC dyspnoea scale is a simple and valid method of categorising patients with COPD in terms of their disability that could be used to complement FEV1 in the classification of COPD severity.
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