Literature DB >> 35309006

Learning Predictive and Interpretable Timeseries Summaries from ICU Data.

Nari Johnson1, Sonali Parbhoo1, Andrew S Ross1, Finale Doshi-Velez1.   

Abstract

Machine learning models that utilize patient data across time (rather than just the most recent measurements) have increased performance for many risk stratification tasks in the intensive care unit. However, many of these models and their learned representations are complex and therefore difficult for clinicians to interpret, creating challenges for validation. Our work proposes a new procedure to learn summaries of clinical timeseries that are both predictive and easily understood by humans. Specifically, our summaries consist of simple and intuitive functions of clinical data (e.g. "falling mean arterial pressure"). Our learned summaries outperform traditional interpretable model classes and achieve performance comparable to state-of-the-art deep learning models on an in-hospital mortality classification task. ©2021 AMIA - All rights reserved.

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Year:  2022        PMID: 35309006      PMCID: PMC8861716     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN: 1559-4076


  25 in total

1.  Leveraging Clinical Time-Series Data for Prediction: A Cautionary Tale.

Authors:  Eli Sherman; Hitinder Gurm; Ulysses Balis; Scott Owens; Jenna Wiens
Journal:  AMIA Annu Symp Proc       Date:  2018-04-16

2.  Early hospital mortality prediction of intensive care unit patients using an ensemble learning approach.

Authors:  Aya Awad; Mohamed Bader-El-Den; James McNicholas; Jim Briggs
Journal:  Int J Med Inform       Date:  2017-10-05       Impact factor: 4.046

3.  Automated Identification of Adults at Risk for In-Hospital Clinical Deterioration.

Authors:  Gabriel J Escobar; Vincent X Liu; Alejandro Schuler; Brian Lawson; John D Greene; Patricia Kipnis
Journal:  N Engl J Med       Date:  2020-11-12       Impact factor: 91.245

Review 4.  Sepsis and septic shock.

Authors:  Richard S Hotchkiss; Lyle L Moldawer; Steven M Opal; Konrad Reinhart; Isaiah R Turnbull; Jean-Louis Vincent
Journal:  Nat Rev Dis Primers       Date:  2016-06-30       Impact factor: 52.329

5.  Explainable machine-learning predictions for the prevention of hypoxaemia during surgery.

Authors:  Scott M Lundberg; Bala Nair; Monica S Vavilala; Mayumi Horibe; Michael J Eisses; Trevor Adams; David E Liston; Daniel King-Wai Low; Shu-Fang Newman; Jerry Kim; Su-In Lee
Journal:  Nat Biomed Eng       Date:  2018-10-10       Impact factor: 25.671

6.  Glasgow Coma Scale score in the evaluation of outcome in the intensive care unit: findings from the Acute Physiology and Chronic Health Evaluation III study.

Authors:  P G Bastos; X Sun; D P Wagner; A W Wu; W A Knaus
Journal:  Crit Care Med       Date:  1993-10       Impact factor: 7.598

7.  The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults.

Authors:  W A Knaus; D P Wagner; E A Draper; J E Zimmerman; M Bergner; P G Bastos; C A Sirio; D J Murphy; T Lotring; A Damiano
Journal:  Chest       Date:  1991-12       Impact factor: 9.410

8.  ICU admission characteristics and mortality rates among elderly and very elderly patients.

Authors:  Lior Fuchs; Catherine E Chronaki; Shinhyuk Park; Victor Novack; Yael Baumfeld; Daniel Scott; Stuart McLennan; Daniel Talmor; Leo Celi
Journal:  Intensive Care Med       Date:  2012-07-14       Impact factor: 17.440

Review 9.  Hypoxaemia as a Mortality Risk Factor in Acute Lower Respiratory Infections in Children in Low and Middle-Income Countries: Systematic Review and Meta-Analysis.

Authors:  Marzia Lazzerini; Michela Sonego; Maria Chiara Pellegrin
Journal:  PLoS One       Date:  2015-09-15       Impact factor: 3.240

10.  Predicting intervention onset in the ICU with switching state space models.

Authors:  Marzyeh Ghassemi; Mike Wu; Michael C Hughes; Peter Szolovits; Finale Doshi-Velez
Journal:  AMIA Jt Summits Transl Sci Proc       Date:  2017-07-26
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