Abstract

Lower Respiratory Tract Infections (LRTIs) are the second and third causes of pediatric patients' death in Nigeria and the United States of America. It is observed from several reviewed literature that the LRTIs accounted for more than a million children morbidity and mortality yearly due to lack of prompt diagnosis or no diagnosis due to a shortage of medical experts and medical facilities in our localities. Intense research is ongoing on applying machine learning (ML) to its clinical diagnosis and reducing its spread in pediatric patients. In this research, K-Nearest Neighbor (KNN), C4.5 Decision Tree, and Naive Bayes' ML algorithms were used to develop three base diagnosis models with Correlation, consistency, and information gain selected feature of the LRTI dataset, Multiple Model Trees (MMT) Meta algorithm is used to combine and improve the diagnoses of all the base models using stacked ensemble. The preliminary diagnosis findings using base models have established that the information gained feature extraction method performed much better than the other two. It, therefore, suffix that the results from this should be used for further processing. All the models built with the reduced feature set recorded improved diagnoses accuracy more than the model built with the whole feature set. The MMT stacked ensemble models recorded an improvement on the diagnosis of LRTIs in Peadiatric, it recorded the highest diagnostic accuracies improvement of 12.80%, 13.52%, and 12.37%, and lowest diagnostic accuracies improvement of 6.37%, 5.22%, and 6.09% with the MMT stacked ensemble models of the Consistency, the Correlation, and the information gain reduced selected feature set respectively. These experimental results show the potential for this approach to deliver a reliable and improved diagnosis of LRTIs. It is recommended to be used to diagnose LRTIs in primary health care centers to reduce its mortality rate.

Highlights

  • Diagnosis is the process of finding out the cause(s) of infection or patient sickness

  • The second section is indicated with the short red dashed arrow lines in figure 1, each discretized and selected reduced features/attributes of the Lower Respiratory Tract Infections (LRTIs)'s test dataset were used to evaluate the three base models built in the second stage of section one

  • This research applied a stacked ensemble of three base models; K-Nearest Neighbor (KNN), C4.5 Decision Tree, and Naive Bayes, with Multiple Model Trees Meta classifier to improve the diagnosis of Lower Respiratory Tract Infection in Peadiatric

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Summary

Introduction

Diagnosis is the process of finding out the cause(s) of infection or patient sickness. It involves a physical examination, gathering information from the patient or caregiver, and laboratory tests. The LRTIs are infections caused by bacteria, viruses, or fungi along the patients' respiratory tract [1]. Viral infections are the main causes of mild and moderate pneumonia (especially in the first year of a patient's life). Bacterial infections are the leading cause of severe pneumonia [2]. According to Worrall, Bronchioloties are the most common LRTIs in infants between 3 months to 6 months [3]. Bronchitis is a short term LRTIs of the airway affecting between 30 to 50 children in every 1000 children per year [4]

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