Possibilities of the forecasting information system in the assessment of clinical and instrumental symptoms of chronic pancreatitis with comorbidity

Abstract

Introduction. In recent years, more and more attention has been paid to the study of the combination of gastroenterological diseases with helminthiasis. Many scientific sources talk about the influence of helminths as a risk factor for the formation and complications of CP. Some scientists even single out parasitic pancreatitis as an independent etiological form of the disease, which more often has a course in recurrent CP. In recent years, there has been a trend toward an increase in the prevalence of ascariasis. The aim of the study. To develop an algorithm for differential diagnosis and prediction of concomitant ascariasis in patients with chronic pancreatitis with visualization as a decision tree. Materials and methods. The research group comprised 125 patients with CP combined with and without ascariasis. The diagnosis of CP was verified according to the clinical and statistical classification of diseases of the digestive organs. As a result of statistical processing, many rules are obtained that go from the root to each terminal node, contain inequalities for numerous attributes, and inclusion conditions for categorical attributes. Research results and their discussion. The application of the computerized decision tree method (data mining) is an effective means of building an optimal algorithm for predicting the comorbid course of CP and ascariasis (the error was 2.9%). Clinical and instrumental (ultrasound) features of patients with CP are informative parameters for screening for the presence of ascariasis, which are presented as follows in order of decreasing significance: enlargement of the head of the pancreas, general weakness, hydrophilic structure of the pancreas, abdominal pain, nausea, unclear blurred contours of the pancreas, diarrhea, heaviness in the right or left hypochondrium, alternating constipation and diarrhea, bitterness in the mouth, inhomogeneous fine-grained echostructure of the pancreas, a feeling of fullness in the abdomen, duration of CP. This is important for determining the correct tactics for further diagnosis, treatment, and rehabilitation of patients with a combined course of CP and ascariasis. Conclusion. It was recommended for the screening prediction of the presence of comorbid ascariasis in CP and the determination of rational tactics for further diagnosis, treatment, and rehabilitation of patients with a combined course of CP and ascariasis at the primary level of medical care, the use of an informative decision data mining.