Luo Yen-Fu, Rumshisky Anna
University of Massachusetts Lowell, Lowell, MA.
AMIA Annu Symp Proc. 2017 Feb 10;2016:827-836. eCollection 2016.
Electronic health records provide valuable resources for understanding the correlation between various diseases and mortality. The analysis of post-discharge mortality is critical for healthcare professionals to follow up potential causes of death after a patient is discharged from the hospital and give prompt treatment. Moreover, it may reduce the cost derived from readmissions and improve the quality of healthcare. Our work focused on post-discharge ICU mortality prediction. In addition to features derived from physiological measurements, we incorporated ICD-9-CM hierarchy into Bayesian topic model learning and extracted topic features from medical notes. We achieved highest AUCs of 0.835 and 0.829 for 30-day and 6-month post-discharge mortality prediction using baseline and topic proportions derived from Labeled-LDA. Moreover, our work emphasized the interpretability of topic features derived from topic model which may facilitates the understanding and investigation of the complexity between mortality and diseases.
电子健康记录为理解各种疾病与死亡率之间的关联提供了宝贵资源。出院后死亡率分析对于医疗保健专业人员追踪患者出院后潜在的死亡原因并及时进行治疗至关重要。此外,它可能会降低再次入院产生的成本并提高医疗质量。我们的工作聚焦于出院后重症监护病房(ICU)死亡率预测。除了从生理测量中得出的特征外,我们将国际疾病分类第九版临床修订本(ICD-9-CM)层次结构纳入贝叶斯主题模型学习,并从病历中提取主题特征。使用来自标记狄利克雷分配(Labeled-LDA)的基线和主题比例,我们在出院后30天和6个月死亡率预测方面分别取得了高达0.835和0.829的曲线下面积(AUC)。此外,我们的工作强调了从主题模型得出的主题特征的可解释性,这可能有助于理解和研究死亡率与疾病之间的复杂性。