ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Abstract: TH-PO0479

Predicting Laboratory Test Outcomes for Patients on Maintenance Hemodialysis Using Cellular Bioelectrical Measurements

Session Information

Category: Dialysis

  • 801 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Yan, Meilin, Wuxi People's Hospital, Wuxi, Jiangsu, China
  • Zhou, Leting, Wuxi People's Hospital, Wuxi, Jiangsu, China
  • Zhang, Zhijian, Wuxi People's Hospital, Wuxi, Jiangsu, China
  • Wang, Liang, Wuxi People's Hospital, Wuxi, Jiangsu, China
Background

Patients with end-stage kidney disease (ESKD) frequently experience complications such as anemia, malnutrition, and cardiovascular issues. Serological tests, which are invasive and not routinely conducted, play a crucial role in medical assessments. A non-invasive, convenient method for predicting these test results could significantly enhance patient monitoring.

Methods

This study develops machine learning models to predict key serological test results using non-invasive bioelectrical impedance measurements, a routine clinical procedure for ESKD patients.The study employed two machine learning models, Support Vector Machine (SVM) and Random Forest (RF), to predict key serological tests from cellular bioelectrical indicators. Data from 688 patients, comprising 3,872 paired biochemical–bioelectrical records, were used for model validation.

Results

Both SVM and RF models demonstrated effective classification of key serological results (albumin, phosphorus, parathyroid hormone) into low, normal, and high. RF generally exhibited superior performance compared to SVM, except in predicting calcium levels in women.

Conclusion

The machine learning models effectively estimated serological test results for maintenance hemodialysis patients based on bioelectrical impedance parameters.

Confusion matrices for albumin, calcium, parathyroid hormone, phosphorus, and hemoglobin levels classified by the model in both genders: (a) Support Vector Machine, (b) Random Forest.

Digital Object Identifier (DOI)