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利用混合注意力模型探索与健康相关的多元时间序列,实现及时的医疗干预。

Enabling Timely Medical Intervention by Exploring Health-Related Multivariate Time Series with a Hybrid Attentive Model.

机构信息

School of Computer Science, Northwestern Polytechnical University, 1 Dongxiang Road, Chang'an District, Xi'an 710129, China.

出版信息

Sensors (Basel). 2022 Aug 15;22(16):6104. doi: 10.3390/s22166104.

Abstract

Modern healthcare practice, especially in intensive care units, produces a vast amount of multivariate time series of health-related data, e.g., multi-lead electrocardiogram (ECG), pulse waveform, blood pressure waveform and so on. As a result, timely and accurate prediction of medical intervention (e.g., intravenous injection) becomes possible, by exploring such semantic-rich time series. Existing works mainly focused on onset prediction at the granularity of hours that was not suitable for medication intervention in emergency medicine. This research proposes a Multi-Variable Hybrid Attentive Model (MVHA) to predict the impending need of medical intervention, by jointly mining multiple time series. Specifically, a two-level attention mechanism is designed to capture the pattern of fluctuations and trends of different time series. This work applied MVHA to the prediction of the impending intravenous injection need of critical patients at the intensive care units. Experiments on the MIMIC Waveform Database demonstrated that the proposed model achieves a prediction accuracy of 0.8475 and an ROC-AUC of 0.8318, which significantly outperforms baseline models.

摘要

现代医疗实践,特别是在重症监护病房,产生了大量与健康相关的多元时间序列数据,例如多导联心电图(ECG)、脉搏波形、血压波形等。因此,通过探索这些语义丰富的时间序列,对医疗干预(例如静脉注射)进行及时准确的预测成为可能。现有的工作主要集中在以小时为粒度的发病预测上,这对于急诊医学中的药物干预并不适用。本研究提出了一种多变量混合注意力模型(MVHA),通过联合挖掘多个时间序列来预测即将到来的医疗干预需求。具体来说,设计了两级注意力机制来捕捉不同时间序列波动和趋势的模式。这项工作将 MVHA 应用于重症监护病房中危重症患者即将进行静脉注射的需求预测。在 MIMIC 波形数据库上的实验表明,所提出的模型的预测精度为 0.8475,ROC-AUC 为 0.8318,显著优于基线模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a51/9414519/1ee4f834d2d5/sensors-22-06104-g001.jpg

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