An evaluation of time series summary statistics as features for clinical prediction tasks.

BACKGROUND

Clinical prediction tasks such as patient mortality, length of hospital stay, and disease diagnosis are highly important in critical care research. The existing studies for clinical prediction mainly used simple summary statistics to summarize information from physiological time series. However, this lack of statistics leads to a lack of information. In addition, using only maximum and minimum statistics to indicate patient features fails to provide an adequate explanation. Few studies have evaluated which summary statistics best represent physiological time series.

METHODS

In this paper, we summarize 14 statistics describing the characteristics of physiological time series, including the central tendency, dispersion tendency, and distribution shape. Then, we evaluate the use of summary statistics of physiological time series as features for three clinical prediction tasks. To find the combinations of statistics that yield the best performances under different tasks, we use a cross-validation-based genetic algorithm to approximate the optimal statistical combination.

RESULTS

By experiments using the EHRs of 6,927 patients, we obtained prediction results based on both single statistics and commonly used combinations of statistics under three clinical prediction tasks. Based on the results of an embedded cross-validation genetic algorithm, we obtained 25 optimal sets of statistical combinations and then tested their prediction results. By comparing the performances of prediction with single statistics and commonly used combinations of statistics with quantitative analyses of the optimal statistical combinations, we found that some statistics play central roles in patient representation and different prediction tasks have certain commonalities.

CONCLUSION

Through an in-depth analysis of the results, we found many practical reference points that can provide guidance for subsequent related research. Statistics that indicate dispersion tendency, such as min, max, and range, are more suitable for length of stay prediction tasks, and they also provide information for short-term mortality prediction. Mean and quantiles that reflect the central tendency of physiological time series are more suitable for mortality and disease prediction. Skewness and kurtosis perform poorly when used separately for prediction but can be used as supplementary statistics to improve the overall prediction effect.