880. Artificial Neural Networks to Predict Surgical Site Infection in Aorta Artery Aneurysm Correction

Abstract

Abstract Background A survey was conducted in three hospitals, between July 2016 and June 2018, about surgical site infection (SSI) in patients undergoing surgeries to correct aortic artery aneurysms in the city of Belo Horizonte, with more than 3,000,000 of inhabitants. The general objective is to statistically evaluate such incidences and enable an analysis of the predictive power of SSI, through MLP (Multilayer Perceptron) pattern recognition algorithms. Methods Through the Hospital Infection Control Committees (CCIH) of the hospitals involved in the research, data collection on SSI was carried out. Such data is used in the analysis during your routine SSI surveillance procedures. Thus, three procedures were performed: a treatment of the database collected for use of intact samples; a statistical analysis on the profile of the collected hospitals and; an assessment of the predictive power of five types of MLPs (Backpropagation Standard, Momentum, Resilient Propagation, Weight Decay and Quick Propagation) for SSI prediction. The MLPs were tested with 3, 5, 7 and 10 neurons in the hidden layer and with a division of the database for the resampling process (65% or 75% for testing, 35% or 25% for validation). They were compared by measuring the AUC (Area Under the Curve - ranging from 0 to 1) for each of the configurations. Results From 600 records, 575 were complete for analysis. It was found that: the average age is 68 years (from 24 to 98 years); the average hospital stay is 9 days (with a maximum of 127 days), the death rate reached 6.43% and the SSI rate 2.78%. A maximum prediction power of 0.75 was found. Conclusion There was a loss of 4% of the database samples due to the presence of noise. It was possible to evaluate the profile of the three hospitals. The predictive process presented configurations with results that reached 0.75, which promises the use of the structure for the monitoring of automated SSI for patients undergoing surgery to correct aortic artery aneurysms. To optimize data collection, enable other hospitals to use the prediction tool and minimize noise from the database, two mobile application were developed: one for monitoring the patient in the hospital and another for monitoring after hospital discharge. The SSI prediction analysis tool is available at www.nois.org.br. Disclosures All Authors: No reported disclosures

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