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CN 34-1304/RISSN 1674-3679

Volume 28 Issue 8
Aug.  2024
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Article Contents
YANG Yutong, TIAN Qinghua, AN Qi, HAO Jianguang, WANG Jianru, WU Jiao, LI Yichun, LI Yang, WANG Qingyao, LI Yuxing, LEI Lijian, LUO Mingzhong. A neural network risk prediction model of coal workers′ pneumoconiosis-a hospital-based case-control study[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(8): 961-968. doi: 10.16462/j.cnki.zhjbkz.2024.08.015
Citation: YANG Yutong, TIAN Qinghua, AN Qi, HAO Jianguang, WANG Jianru, WU Jiao, LI Yichun, LI Yang, WANG Qingyao, LI Yuxing, LEI Lijian, LUO Mingzhong. A neural network risk prediction model of coal workers′ pneumoconiosis-a hospital-based case-control study[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(8): 961-968. doi: 10.16462/j.cnki.zhjbkz.2024.08.015

A neural network risk prediction model of coal workers′ pneumoconiosis-a hospital-based case-control study

doi: 10.16462/j.cnki.zhjbkz.2024.08.015
Funds:

The "Four Batch" of Technology-Driven Medical Innovation Plan in Shanxi Province, China 2021XM43

Open Project of MOE Key Laboratory of Coal Environmental Pathogenicity and Prevention, China (MEKLCEPP/SXMU-202303)

More Information
  • Corresponding author: LEI Lijian, E-mail: wwdlijian@sxmu.edu.cn; LUO Mingzhong, E-mail: lmz7344@163.com<
  • Received Date: 2023-12-07
  • Rev Recd Date: 2024-05-15
  • Available Online: 2024-09-29
  • Publish Date: 2024-08-10
  •   Objective  This study aims to construct a high-efficiency coal workers′ pneumoconiosis (CWP) risk prediction model to promote early prevention of CWP.  Methods  We conducted a case-control study based on hospital records, collected case data of coal workers diagnosed with CWP and non-CWP in an occupational disease hospital in Shanxi Province from 2017 to 2022 and established a database of CWP. Random forest method was used to screen the characteristic variables. The CWP prediction model was constructed based on back propagation (BP) neural network and Logistic regression respectively, and the CWP prediction ability of the two models was evaluated by receiver operating characteristic (ROC).  Results  The BP neural network model demonstrated a sensitivity of 88.6%, a specificity of 87.6%, and an accuracy rate of 87.12%. Based on variable normalization importance analysis, the most influential factors for CWP prevalence in coal workers were forceful expiratory volume in 1 second/ forceful vital capacity (FEV1/FVC), working age and work type. The logistic regression model showed a sensitivity of 80.7%, a specificity of 84.1%, and an accuracy rate of 82.7%. The BP neural network model exhibited a higher area under the curve (AUC) value (AUC=0.918, 95% CI: 0.903-0.964) compared to the logistic regression model (AUC=0.802, 95% CI: 0.750-0.850), indicating superior predictive performance.  Conclusions  The BP neural network model provides better predictive performance compared to the logistic regression model, and applying the BP neural network to CWP prediction has higher accuracy. FEV1/FVC, working age and work type are identified as significant factors influencing the occurrence of CWP in coal workers.
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