School of Engineering and Applied Sciences, Harvard University, Cambridge, MA.
AMIA Annu Symp Proc. 2022 Feb 21;2021:581-590. eCollection 2021.
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.
利用患者跨时间数据(而不仅仅是最近的测量值)的机器学习模型提高了重症监护病房中许多风险分层任务的性能。然而,这些模型和它们的学习表示中的许多都是复杂的,因此对临床医生来说难以解释,这给验证带来了挑战。我们的工作提出了一种新的方法来学习临床时间序列的摘要,这些摘要既具有预测性,又易于人类理解。具体来说,我们的摘要由临床数据的简单直观函数组成(例如,“下降的平均动脉压”)。在院内死亡率分类任务中,我们学到的摘要比传统的可解释模型类表现更好,性能可与最先进的深度学习模型相媲美。