The Relationship of Behavioral, Social and Diabetes Factors with LVEF Measured Using Machine Learning Techniques

Abstract

Purpose: Using a data and machine learning approach, from classical to complex, we aim to approximate the relationship between factors such as behavioral, social or comorbidity and the ejection fraction for hospitalized patients. To measure how much the independent variables influence the left ventricular ejection fraction (LVEF), classification models will be made and the influences of the independent variables will be interpreted. Through the data obtained, it is desired to improve the management of patients with heart failure (treatment, monitoring in primary medicine) in order to reduce morbidity and mortality. Patients and Methods: In this study, we enrolled 201 patients hospitalized with decompensated chronic heart failure. The models used are extreme gradient boosting (XGB) and logistic regression (LR). To have a deeper analysis of the independent variables, their influences will be analyzed in two ways. The first is a modern technique, Shapley values, from game theory, adapted in the context of Machine Learning for XGB; and the second, the classical approach, is by analysis of Logistic Regression coefficients. Results: The importance of several factors related to behavior, social and diabetes are measured. Smoking, low education and obesity are the most harmful factors, while diabetes controlled by diet or medication does not significantly affect LVEF, indeed, there is a tendency to increase the LVEF. Conclusions: Using machine learning techniques, we can better understand to what extent certain factors affect LVEF in this sample. Following further studies on larger groups and from different regions, prevention could be better understood and applied.

Keywords

• behavioral
• social and diabetes factors
• heart failure
• machine learning
• cardiovascular risk
• primary prevention