AI pathogen type discrimination model for pneumonia based on multi-dimensional clinical data etiology
Objective:To establish an artificial intelligence(AI)model for pathogen discrimination in pneumo-nia patients using their medical records.The model aims to predict the causative pathogens of pneumonia and as-sist clinical physicians in selecting appropriate antimicrobial treatment strategies.Methods:Retrospective medical records of 197 pneumonia patients admitted to the Emergency and Respiratory Departments of Beijing Tiantan Hospital from January 2018 to December 2020 were collected.Among these,data from 158 patients(80%)were selected to build the pneumonia AI pathogen discrimination model,while data from 39 patients(20%)were used for model validation.The predictive results of the validation group were also compared with the pathogen diagno-ses made by twenty emergency department physicians.Results:The AI pathogen discrimination model,based on multi-dimensional clinical data,achieved a pathogen validation accuracy of 94.87%.In contrast,the accuracy of pathogen diagnosis by the twenty emergency department physicians ranged from 5.13%to 28.21%,with an aver-age accuracy of 14.74%.Therefore,the model's validation accuracy outperformed the average accuracy of clinical physician pathogen diagnoses(94.87%vs 14.74%).Conclusion:By utilizing historical medical records of pneu-monia patients,this study successfully developed an AI pathogen discrimination model based on multi-dimensional clinical data.The model shows promise in early prediction of pneumonia pathogens and provides valuable refer-ences for clinical physicians in selecting empirical antimicrobial treatment strategies.However,due to limitations in sample size,further research is warranted to explore the full clinical potential of this model.