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本文引用的文献

1
Short-term Mortality Prediction for Elderly Patients Using Medicare Claims Data.使用医疗保险理赔数据预测老年患者的短期死亡率
Int J Mach Learn Comput. 2015 Jun;5(3):192-197. doi: 10.7763/IJMLC.2015.V5.506.
2
Evaluating topic model interpretability from a primary care physician perspective.从初级保健医生的角度评估主题模型的可解释性。
Comput Methods Programs Biomed. 2016 Feb;124:67-75. doi: 10.1016/j.cmpb.2015.10.014. Epub 2015 Oct 30.
3
Unfolding Physiological State: Mortality Modelling in Intensive Care Units.展开生理状态:重症监护病房的死亡率建模
KDD. 2014 Aug 24;2014:75-84. doi: 10.1145/2623330.2623742.
4
Use of APACHE II and SAPS II to predict mortality for hemorrhagic and ischemic stroke patients.使用急性生理与慢性健康状况评分系统II(APACHE II)和简化急性生理学评分系统II(SAPS II)预测出血性和缺血性中风患者的死亡率。
J Clin Neurosci. 2015 Jan;22(1):111-5. doi: 10.1016/j.jocn.2014.05.031. Epub 2014 Aug 27.
5
Mining characteristics of epidemiological studies from Medline: a case study in obesity.从医学在线数据库(Medline)挖掘流行病学研究的特征:肥胖症案例研究
J Biomed Semantics. 2014 May 19;5:22. doi: 10.1186/2041-1480-5-22. eCollection 2014.
6
Applying MetaMap to Medline for identifying novel associations in a large clinical dataset: a feasibility analysis.应用 MetaMap 对 Medline 进行分析,以在大型临床数据集识别新的关联:可行性分析。
J Am Med Inform Assoc. 2014 Sep-Oct;21(5):925-37. doi: 10.1136/amiajnl-2014-002767. Epub 2014 Jun 13.
7
Development and evaluation of RapTAT: a machine learning system for concept mapping of phrases from medical narratives.开发和评估 RapTAT:一种用于从医学叙述中映射短语概念的机器学习系统。
J Biomed Inform. 2014 Apr;48:54-65. doi: 10.1016/j.jbi.2013.11.008. Epub 2013 Dec 4.
8
Deriving comorbidities from medical records using natural language processing.利用自然语言处理从医疗记录中提取合并症。
J Am Med Inform Assoc. 2013 Dec;20(e2):e239-42. doi: 10.1136/amiajnl-2013-001889. Epub 2013 Oct 31.
9
A method for controlling complex confounding effects in the detection of adverse drug reactions using electronic health records.利用电子健康记录控制药物不良反应检测中复杂混杂效应的方法。
J Am Med Inform Assoc. 2014 Mar-Apr;21(2):308-14. doi: 10.1136/amiajnl-2013-001718. Epub 2013 Aug 1.
10
Risk stratification of ICU patients using topic models inferred from unstructured progress notes.利用从未结构化病程记录中推断出的主题模型对重症监护病房患者进行风险分层。
AMIA Annu Symp Proc. 2012;2012:505-11. Epub 2012 Nov 3.

用于重症监护病房后死亡率预测的可解释主题特征

Interpretable Topic Features for Post-ICU Mortality Prediction.

作者信息

Luo Yen-Fu, Rumshisky Anna

机构信息

University of Massachusetts Lowell, Lowell, MA.

出版信息

AMIA Annu Symp Proc. 2017 Feb 10;2016:827-836. eCollection 2016.

PMID:28269879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5333300/
Abstract

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.

摘要

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。