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Proceedings of the AMIA Symposium logoLink to Proceedings of the AMIA Symposium
. 1998:528–532.

Comparison of multiple prediction models for ambulation following spinal cord injury.

T Rowland 1, L Ohno-Machado 1, A Ohrn 1
PMCID: PMC2232380  PMID: 9929275

Abstract

Few studies have properly compared predictive performance of different models using the same medical data set. We developed and compared 3 models (logistic regression, neural networks, and rough sets) in the in prediction of ambulation at hospital discharge following spinal cord injury. We used the multi-center Spinal Cord Injury Model System database. All models performed well and had areas under the receiver operating characteristic curve in the 0.88-0.91 range. All models had sensitivity, specificity, and accuracy greater than 80% at ideal thresholds. The performance of neural network and logistic regression methods was not statistically different (p = 0.48). The rough sets classifier performed statistically worse than either the neural network or logistic regression models (p-values 0.002 and 0.015 respectively).

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Selected References

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  1. Burns S. P., Golding D. G., Rolle W. A., Jr, Graziani V., Ditunno J. F., Jr Recovery of ambulation in motor-incomplete tetraplegia. Arch Phys Med Rehabil. 1997 Nov;78(11):1169–1172. doi: 10.1016/s0003-9993(97)90326-9. [DOI] [PubMed] [Google Scholar]
  2. Crozier K. S., Cheng L. L., Graziani V., Zorn G., Herbison G., Ditunno J. F., Jr Spinal cord injury: prognosis for ambulation based on quadriceps recovery. Paraplegia. 1992 Nov;30(11):762–767. doi: 10.1038/sc.1992.147. [DOI] [PubMed] [Google Scholar]
  3. Daverat P., Sibrac M. C., Dartigues J. F., Mazaux J. M., Marit E., Debelleix X., Barat M. Early prognostic factors for walking in spinal cord injuries. Paraplegia. 1988 Aug;26(4):255–261. doi: 10.1038/sc.1988.39. [DOI] [PubMed] [Google Scholar]
  4. Ebell M. H. Artificial neural networks for predicting failure to survive following in-hospital cardiopulmonary resuscitation. J Fam Pract. 1993 Mar;36(3):297–303. [PubMed] [Google Scholar]
  5. Grigsby J., Kooken R., Hershberger J. Simulated neural networks to predict outcomes, costs, and length of stay among orthopedic rehabilitation patients. Arch Phys Med Rehabil. 1994 Oct;75(10):1077–1081. doi: 10.1016/0003-9993(94)90081-7. [DOI] [PubMed] [Google Scholar]
  6. Hanley J. A., McNeil B. J. A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology. 1983 Sep;148(3):839–843. doi: 10.1148/radiology.148.3.6878708. [DOI] [PubMed] [Google Scholar]
  7. Jacobs S. R., Yeaney N. K., Herbison G. J., Ditunno J. F., Jr Future ambulation prognosis as predicted by somatosensory evoked potentials in motor complete and incomplete quadriplegia. Arch Phys Med Rehabil. 1995 Jul;76(7):635–641. doi: 10.1016/s0003-9993(95)80632-6. [DOI] [PubMed] [Google Scholar]
  8. Lazar R. B., Yarkony G. M., Ortolano D., Heinemann A. W., Perlow E., Lovell L., Meyer P. R. Prediction of functional outcome by motor capability after spinal cord injury. Arch Phys Med Rehabil. 1989 Nov;70(12):819–822. [PubMed] [Google Scholar]
  9. McGonigal M. D., Cole J., Schwab C. W., Kauder D. R., Rotondo M. F., Angood P. B. A new approach to probability of survival scoring for trauma quality assurance. J Trauma. 1993 Jun;34(6):863–870. doi: 10.1097/00005373-199306000-00018. [DOI] [PubMed] [Google Scholar]
  10. Oczkowski W. J., Barreca S. Neural network modeling accurately predicts the functional outcome of stroke survivors with moderate disabilities. Arch Phys Med Rehabil. 1997 Apr;78(4):340–345. doi: 10.1016/s0003-9993(97)90222-7. [DOI] [PubMed] [Google Scholar]
  11. Waters R. L., Adkins R. H., Yakura J. S., Sie I. Motor and sensory recovery following incomplete paraplegia. Arch Phys Med Rehabil. 1994 Jan;75(1):67–72. [PubMed] [Google Scholar]
  12. Waters R. L., Adkins R. H., Yakura J. S., Sie I. Motor and sensory recovery following incomplete tetraplegia. Arch Phys Med Rehabil. 1994 Mar;75(3):306–311. doi: 10.1016/0003-9993(94)90034-5. [DOI] [PubMed] [Google Scholar]
  13. Waters R. L., Adkins R., Yakura J., Vigil D. Prediction of ambulatory performance based on motor scores derived from standards of the American Spinal Injury Association. Arch Phys Med Rehabil. 1994 Jul;75(7):756–760. [PubMed] [Google Scholar]

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