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Peer-reviewedCC BY-NC-ND 4.0BMC Medical Informatics and Decision Making

Comparative machine learning approaches to prognosticate clinical outcomes in oral and maxillofacial space infections: a retrospective analysis

8 affiliations
  1. 1Department of Oral and Maxillofacial Surgery, Xuchang Central Hospital, Henan, China
  2. 2Oral Medicine Center, Xuchang Central Hospital, Henan, China
  3. 3Publicity Department, Xuchang University, Henan, China
  4. 4Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan China
  5. 5Department of Otorhinolaryngology, Xuchang Central Hospital, Henan, China
  6. 6Department of Intensivecare Unit, Xuchang Central Hospital, Henan, China
  7. 7Research Center for Clinical Medical Sciences, Xuchang Central Hospital, Henan, China
  8. 8Nursing Department, Xuchang Central Hospital, Henan, China

Abstract

Background: The objective of this study was to evaluate the performance of multiple machine learning algorithms to provide evidence supporting early intervention for high-risk patients with oral and maxillofacial space infections (OMSI), thereby reducing complication rates and improving overall clinical outcomes.

Methods: A retrospective cohort study was performed to analyse clinical data from 432 medical records, with a focus on key variables related to disease severity and treatment outcomes. The data included age, gender, height, weight, BMI, blood test results, such as the CRP, white blood cell count, neutrophil count, lymphocyte count, monocyte count, albumin, potassium, sodium, chlorine, calcium, uric acid, blood urea nitrogen, PCT, fibrinogen, blood glucose, vital signs, such as body temperature, heart rate, systolic blood pressure, diastolic blood pressure, respiration, days before hospitalization, the extent of mouth opening, the space of infected spaces, and the source of infection.

Results: We summarized the predictive performance of three models—Logistic regression, Random Forest, and XGBoost—across three key clinical outcomes. For predicting hospital stay duration, Logistic regression performed best. For predicting ICU admission, XGBoost exhibited the strongest performance. For predicting surgical intervention, Logistic regression achieved the optimal overall performance, while XGBoost and Random Forest demonstrated the highest specificity.

Conclusions: In summary, we have successfully developed, validated, and compared predictive models for key clinical outcomes in patients with OMSI. They further hold promise for ultimately optimizing the diagnostic and therapeutic workflow and improving outcomes for patients with this common yet potentially life-threatening condition.

Clinical trial number: Not applicable.

Trial registration: Not applicable.

Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12911-026-03668-x.

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BibTeX
@article{liu2026comparative,
  title = {{Comparative machine learning approaches to prognosticate clinical outcomes in oral and maxillofacial space infections: a retrospective analysis}},
  author = {Shiyuan Liu and Heli Shen and Ruipu Zhang and Songpo He and Huaqiang Wang and Bingxin Xu and Xiaoge Zhang and Xianjun Zhang and Wei Li},
  journal = {BMC Medical Informatics and Decision Making},
  year = {2026},
  month = jun,
  doi = {10.1186/s12911-026-03668-x},
  url = {https://doi.org/10.1186/s12911-026-03668-x},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Comparative machine learning approaches to prognosticate clinical outcomes in oral and maxillofacial space infections: a retrospective analysis
AU  - Shiyuan Liu
AU  - Heli Shen
AU  - Ruipu Zhang
AU  - Songpo He
AU  - Huaqiang Wang
AU  - Bingxin Xu
AU  - Xiaoge Zhang
AU  - Xianjun Zhang
AU  - Wei Li
PY  - 2026
DA  - 2026/06/30
JO  - BMC Medical Informatics and Decision Making
DO  - 10.1186/s12911-026-03668-x
UR  - https://doi.org/10.1186/s12911-026-03668-x
AB  - Background: The objective of this study was to evaluate the performance of multiple machine learning algorithms to provide evidence supporting early intervention for high-risk patients with oral and maxillofacial space infections (OMSI), thereby reducing complication rates and improving overall clinical outcomes.  Methods: A retrospective cohort study was performed to analyse clinical data from 432 medical records, with a focus on key variables related to disease severity and treatment outcomes. The data included age, gender, height, weight, BMI, blood test results, such as the CRP, white blood cell count, neutrophil count, lymphocyte count, monocyte count, albumin, potassium, sodium, chlorine, calcium, uric acid, blood urea nitrogen, PCT, fibrinogen, blood glucose, vital signs, such as body temperature, heart rate, systolic blood pressure, diastolic blood pressure, respiration, days before hospitalization, the extent of mouth opening, the space of infected spaces, and the source of infection.  Results: We summarized the predictive performance of three models—Logistic regression, Random Forest, and XGBoost—across three key clinical outcomes. For predicting hospital stay duration, Logistic regression performed best. For predicting ICU admission, XGBoost exhibited the strongest performance. For predicting surgical intervention, Logistic regression achieved the optimal overall performance, while XGBoost and Random Forest demonstrated the highest specificity.  Conclusions: In summary, we have successfully developed, validated, and compared predictive models for key clinical outcomes in patients with OMSI. They further hold promise for ultimately optimizing the diagnostic and therapeutic workflow and improving outcomes for patients with this common yet potentially life-threatening condition.  Clinical trial number: Not applicable.  Trial registration: Not applicable.  Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12911-026-03668-x.
SN  - 1472-6947
ER  -