Comparative analysis of MCDM methods for the assessment of mortality in patients with acute coronary syndrome

Multi-criteria decision-making (MCDM) methods are commonly used in many fields of research, e.g., engineering and manufacturing systems, water resources studies , medicine, and etc. However, there is no effective approach of selecting a MCDM method to problem, which is solved. The formal requirements of each MCDM method are not sufficient because most methods would seem to be appropriate for most problems. Therefore, the main purpose of the paper is a comparison of accuracy selected MCDM methods. Proposed approach is presented on the example of mortality in patients with acute coronary syndrome. Additionally, the paper presents characteristic objects method (COMET) as a potential decision making method for use in medical problems, which accuracy is compared with TOPSIS and AHP. In the experimental study, the average and standard deviation of the root mean square error of evaluations are examined for groups of randomly selected patients, each described by age, blood pressure, and heart rate. Then, the correctness of choosing the patient in the best and worst condition is also examined among randomly selected pairs. As a result of the experimental study, rankings obtained by the COMET method are distinctly more accurate than those obtained by TOPSIS or AHP techniques. The COMET method, in the opposite of others method, is completely free of the rank reversal phenomenon, which is identified as a main source of problems with evaluations accuracy.