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An accurate assessment of preoperative risk may improve use of hospital resources and reduce morbidity and mortality in high-risk surgical patients. This study aims at implementing an automated surgical risk calculator based on Artificial Neural Network technology to identify patients at risk for postoperative complications. We developed the new SUMPOT based on risk factors previously used in other scoring systems and tested it in a cohort of 560 surgical patients undergoing elective or emergency procedures and subsequently admitted to intensive care units, high-dependency units or standard wards. The whole dataset was divided into a training set, to train the predictive model, and a testing set, to assess generalization performance. The effectiveness of the Artificial Neural Network is a measure of the accuracy in detecting those patients who will develop postoperative complications. A total of 560 surgical patients entered the analysis. Among them, 77 patients (13.7%) suffered from one or more postoperative complications (PoCs), while 483 patients (86.3%) did not. The trained Artificial Neural Network returned an average classification accuracy of 90% in the testing set. Specifically, classification accuracy was 90.2% in the control group (46 patients out of 51 were correctly classified) and 88.9% in the PoC group (8 patients out of 9 were correctly classified). The Artificial Neural Network showed good performance in predicting presence/absence of postoperative complications, suggesting its potential value for perioperative management of surgical patients. Further clinical studies are required to confirm its applicability in routine clinical practice. [ABSTRACT FROM AUTHOR]

The forecasts of electricity and heating demands are key inputs for the efficient design and operation of energy systems serving urban districts, buildings, and households. Their accuracy may have a considerable effect on the selection of the optimization approach and on the solution quality. In this work, we describe a supervised learning approach based on shallow Artificial Neural Networks to develop an accurate model for predicting the daily hourly energy consumption of an energy district 24 h ahead. Predictive models are generated for each one of the two considered energy types, namely electricity and heating. Single-layer feedforward neural networks are trained with the efficient and robust decomposition algorithm DEC proposed by Grippo et al. on a data set of historical data, including, among others, carefully selected information related to the hourly energy consumption of the energy district and the hourly weather data of the region where the district is located. Three different case studies are analyzed: a medium-size hospital located in the Emilia-Romagna Italian region, the whole Politecnico di Milano University campus, and a single building of a department belonging to the latter. The computational results indicate that the proposed method with enriched data inputs compares favorably with the benchmark forecasting and Machine Learning techniques, namely, ARIMA, Support Vector Regression and long short-term memory networks. [ABSTRACT FROM AUTHOR]