Department of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.
Department of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.
J Biomed Inform. 2018 Jul;83:167-177. doi: 10.1016/j.jbi.2018.05.016. Epub 2018 Jun 5.
Sequences of events have often been modeled with computational techniques, but typical preprocessing steps and problem settings do not explicitly address the ramifications of timestamped events. Clinical data, such as is found in electronic health records (EHRs), typically comes with timestamp information. In this work, we define event sequences and their properties: synchronicity, evenness, and co-cardinality; we then show how asynchronous, uneven, and multi-cardinal problem settings can support explicit accountings of relative time. Our evaluation uses the temporally sensitive clinical use case of pediatric asthma, which is a chronic disease with symptoms (and lack thereof) evolving over time. We show several approaches to explicitly incorporating relative time into a recurrent neural network (RNN) model that improve the overall classification of patients into those with no asthma, those with persistent asthma, those in long-term remission, and those who have experienced relapse. We also compare and contrast these results with those in an inpatient intensive care setting.
事件序列通常使用计算技术进行建模,但典型的预处理步骤和问题设置并没有明确解决时间戳事件的后果。临床数据,如电子健康记录 (EHR) 中通常带有时间戳信息。在这项工作中,我们定义了事件序列及其属性:同步性、均匀性和共同基数;然后展示了异步、不均匀和多基数问题设置如何支持相对时间的明确核算。我们的评估使用了儿科哮喘的时间敏感临床用例,这是一种慢性病,其症状(和缺乏症状)随时间演变。我们展示了几种方法,将相对时间明确纳入递归神经网络 (RNN) 模型中,以提高将患者总体分类为无哮喘、持续性哮喘、长期缓解和经历复发的患者的能力。我们还比较和对比了这些结果与住院重症监护环境中的结果。