PLoS ONE (Jan 2021)

Machine learning model for predicting the optimal depth of tracheal tube insertion in pediatric patients: A retrospective cohort study.

  • Jae-Geum Shim,
  • Kyoung-Ho Ryu,
  • Sung Hyun Lee,
  • Eun-Ah Cho,
  • Sungho Lee,
  • Jin Hee Ahn

DOI
https://doi.org/10.1371/journal.pone.0257069
Journal volume & issue
Vol. 16, no. 9
p. e0257069

Abstract

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ObjectiveTo construct a prediction model for optimal tracheal tube depth in pediatric patients using machine learning.MethodsPediatric patients aged ResultsFor each method, the percentage with optimal tracheal tube depth predictions in the test set was calculated as follows: 79.0 (95% confidence interval [CI], 73.5 to 83.6) for random forest, 77.4 (95% CI, 71.8 to 82.2; P = 0.719) for elastic net, 77.0 (95% CI, 71.4 to 81.8; P = 0.486) for support vector machine, 76.6 (95% CI, 71.0 to 81.5; P = 1.0) for artificial neural network, 66.9 (95% CI, 60.9 to 72.5; P ConclusionsIn this study, the machine learning models predicted the optimal tracheal tube tip location for pediatric patients more accurately than the formula-based methods. Machine learning models using biometric variables may help clinicians make decisions regarding optimal tracheal tube depth in pediatric patients.