Use of a multilayer perceptron to create a prediction model for dressing independence in a small sample at a single facility

DOI Web Site 11 References Open Access
  • Fujita Takaaki
    Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University: 1-8-1 Kunimi, Aoba-ku, Sendai-shi, Miyagi 981-8522, Japan
  • Sato Atsushi
    Department of Rehabilitation, Care Center Moriyama, Japan
  • Narita Akira
    Tohoku Medical Megabank Organization, Tohoku University, Japan
  • Sone Toshimasa
    Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University: 1-8-1 Kunimi, Aoba-ku, Sendai-shi, Miyagi 981-8522, Japan
  • Iokawa Kazuaki
    Preparing Section for New Faculty of Medical Science, Fukushima Medical University, Japan
  • Tsuchiya Kenji
    Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Japan
  • Yamane Kazuhiro
    Department of Rehabilitation, Kita-Fukushima Medical Center, Japan
  • Yamamoto Yuichi
    Department of Rehabilitation, Kita-Fukushima Medical Center, Japan
  • Ohira Yoko
    Department of Rehabilitation, Kita-Fukushima Medical Center, Japan
  • Otsuki Koji
    Department of Rehabilitation, Kita-Fukushima Medical Center, Japan

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Abstract

<p> [Purpose] This study aimed to assess the accuracy of a prediction model for dressing independence created with a multilayer perceptron in a small sample at a single facility. [Participants and Methods] This retrospective observational study included 82 first-stroke patients. The prediction models for dressing independence at hospital discharge were created using a multilayer perceptron, logistic regression, and a decision tree, and compared for predictive accuracy. Age, dressing performance, trunk function, visuospatial perception, balance, and cognitive function at admission were used as variables. [Results] The area under the receiver operating characteristic curve, classification accuracy, sensitivity, specificity, positive-predictive value, and negative-predictive value for training data were highest with the multilayer perceptron model. Cochran’s Q and multiple comparison tests revealed a significant difference between logistic regression and multilayer perceptron models. Testing of data in 10-fold cross-validation yielded the same results, except for sensitivity. [Conclusion] The present study suggested that higher accuracy could be expected with a multilayer perceptron than with logistic regression and a decision tree when creating a prediction model for independence of activities of daily living in a small sample of stroke patients.</p>

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