Heuristic approach to the classification of postpartum endometritis and its forms

Abstract

Тhe work is dedicated to the development of a method of automated medical diagnosis based on the description of biomedical systems using two parameters: energy, reflecting the interaction of its elements, and entropy characterizing the organization of the system. The violations of the energy-entropy cycle of biomedical systems is reflected in the symptoms of the disease. Statistical link between the symptoms of the condition of the body and the nature of excitation of its elements best expressed in the heuristic description of the system state. High accuracy classification of the patient's condition is achieved by using heuristic detection methods. In the proposed approach, allowing to estimate the probability of correct diagnosis increases the accuracy of the classification, and the estimated minimum amount of training samples and the capacity of its constituent signs. Classification technique consists in averaging the characteristic values in the selected classes, the preparation of the complex of symptoms of the most important signs of the disease, to conduct a rough diagnostic threshold rules that allow to distinguish severe forms of the disease, then differential diagnosis the severity of the disease. The proposed method was tested for classification of the forms of puerperal endometritis (mild, moderate, severe). The training sample contained 70 case histories. Syndrome to classify the patient's condition was composed of 17 characteristics. Threshold diagnosis has allowed to establish the presence of disease and to separate heavy. Differential diagnosis was used for classification of mild and moderate severity of postpartum endometritis. The accuracy of the classification of forms of postpartum endometritis amounted to 97.1%.