Machine learning based early mortality prediction in the emergency department

2021 ◽  
pp. 104570
Author(s):  
Cong Li ◽  
Zhuo Zhang ◽  
Yazhou Ren ◽  
Hu Nie ◽  
Yuqing Lei ◽  
...  
Keyword(s):  
Machine Learning ◽  
Emergency Department ◽  
Mortality Prediction ◽  
Early Mortality

scholarly journals Mortality Prediction of Septic Patients in the Emergency Department Based on Machine Learning

2019 ◽  
Vol 8 (11) ◽  
pp. 1906 ◽  
Author(s):  
Jau-Woei Perng ◽  
I-Hsi Kao ◽  
Chia-Te Kung ◽  
Shih-Chiang Hung ◽  
Yi-Horng Lai ◽  
...  
Keyword(s):  
Machine Learning ◽  
Emergency Department ◽  
Deep Learning ◽  
Mortality Prediction ◽  
Screening Tools ◽  
Learning Methods ◽  
Suspected Infection ◽  
Machine Learning Methods ◽  
Critical Patients ◽  
Sepsis Screening

In emergency departments, the most common cause of death associated with suspected infected patients is sepsis. In this study, deep learning algorithms were used to predict the mortality of suspected infected patients in a hospital emergency department. During January 2007 and December 2013, 42,220 patients considered in this study were admitted to the emergency department due to suspected infection. In the present study, a deep learning structure for mortality prediction of septic patients was developed and compared with several machine learning methods as well as two sepsis screening tools: the systemic inflammatory response syndrome (SIRS) and quick sepsis-related organ failure assessment (qSOFA). The mortality predictions were explored for septic patients who died within 72 h and 28 days. Results demonstrated that the accuracy rate of deep learning methods, especially Convolutional Neural Network plus SoftMax (87.01% in 72 h and 81.59% in 28 d), exceeds that of the other machine learning methods, SIRS, and qSOFA. We expect that deep learning can effectively assist medical staff in early identification of critical patients.

scholarly journals Machine learning algorithm for early mortality prediction in patients with advanced penile cancer

2020 ◽  
Author(s):  
Robert Chen ◽  
Matthew R Kudelka ◽  
Aaron M Rosado ◽  
James Zhang
Keyword(s):  
Machine Learning ◽  
Overall Survival ◽  
Penile Cancer ◽  
Learning Algorithm ◽  
Stage Iv ◽  
The United States ◽  
Lymph Node Biopsy ◽  
Mortality Prediction ◽  
Early Mortality ◽  
Multivariate Logistic Regression Model

ABSTRACTPenile cancer remains a rare cancer with an annual incidence of 1 in 100,000 men in the United States, accounting for 0.4-0.6% of all malignancies. Furthermore, to date there are no predictive models of early mortality in penile cancer. Meanwhile, machine learning has potential to serve as a prognostic tool for patients with advanced disease.We developed a machine learning model for predicting early mortality in penile cancer (survival less than 11 months after initial diagnosis. A cohort of 88 patients with advanced penile cancer was extracted from the Surveillance, Epidemiology and End Results (SEER) program. In the cohort, patients with advanced penile cancer exhibited a median overall survival of 21 months, with the 25th percentile of overall survival being 11 months. We constructed predictive features based on patient demographics, staging, metastasis, lymph node biopsy criteria, and metastatic sites. We trained a multivariate logistic regression model, tuning parameters with respect to regularization, and feature selection criteria.Upon evaluation with 5-fold cross validation, our model achieved 68.2% accuracy with AUC 0.696. Criteria for advanced staging (T4, group stage IV), as well as higher age, white race and squamous cell histology, were the most predictive of early mortality. Tumor size was the strongest negative predictor of early mortality.Our study showcases the first known predictive model for early mortality in patients with advanced penile cancer and should serve as a framework for approaching the clinical problem in future studies. Future work should aim to incorporate other data sources such as genomic and metabolomic data, increase patient counts, incorporate clinical characteristics such as ECOG and RECIST criteria, and assess the performance of the model in a prospective fashion.

scholarly journals 1214: MACHINE LEARNING-BASED EARLY MORTALITY PREDICTION AT THE TIME OF ICU ADMISSION

2021 ◽  
Vol 50 (1) ◽  
pp. 607-607
Author(s):  
Sean McManus ◽  
Reem Almuqati ◽  
Reem Khatib ◽  
Ashish Khanna ◽  
Jacek Cywinski ◽  
...  
Keyword(s):  
Machine Learning ◽  
Mortality Prediction ◽  
Early Mortality ◽  
Icu Admission

Using artificial neural network condensation to facilitate adaption of machine learning in medical settings by reducing computational burden (Preprint)

2020 ◽  
Author(s):  
Dianbo Liu
Keyword(s):  
Neural Network ◽  
Machine Learning ◽  
Third World ◽  
Mortality Prediction ◽  
Neural Net ◽  
Medical Settings ◽  
Hidden Layer ◽  
Applications Of Machine Learning ◽  
Computational Resources ◽  
Developed Nations

BACKGROUND Applications of machine learning (ML) on health care can have a great impact on people’s lives. At the same time, medical data is usually big, requiring a significant amount of computational resources. Although it might not be a problem for wide-adoption of ML tools in developed nations, availability of computational resource can very well be limited in third-world nations and on mobile devices. This can prevent many people from benefiting of the advancement in ML applications for healthcare. OBJECTIVE In this paper we explored three methods to increase computational efficiency of either recurrent neural net-work(RNN) or feedforward (deep) neural network (DNN) while not compromising its accuracy. We used in-patient mortality prediction as our case analysis upon intensive care dataset. METHODS We reduced the size of RNN and DNN by applying pruning of “unused” neurons. Additionally, we modified the RNN structure by adding a hidden-layer to the RNN cell but reduce the total number of recurrent layers to accomplish a reduction of total parameters in the network. Finally, we implemented quantization on DNN—forcing the weights to be 8-bits instead of 32-bits. RESULTS We found that all methods increased implementation efficiency–including training speed, memory size and inference speed–without reducing the accuracy of mortality prediction. CONCLUSIONS This improvements allow the implementation of sophisticated NN algorithms on devices with lower computational resources.

scholarly journals Predicting adult neuroscience intensive care unit admission from emergency department triage using a retrospective, tabular-free text machine learning approach

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Eyal Klang ◽  
Benjamin R. Kummer ◽  
Neha S. Dangayach ◽  
Amy Zhong ◽  
M. Arash Kia ◽  
...  
Keyword(s):  
Machine Learning ◽  
Intensive Care Unit ◽  
Emergency Department ◽  
Intensive Care ◽  
Learning Model ◽  
Free Text ◽  
Combined Model ◽  
Text Data ◽  
Machine Learning Model ◽  
Record Data

AbstractEarly admission to the neurosciences intensive care unit (NSICU) is associated with improved patient outcomes. Natural language processing offers new possibilities for mining free text in electronic health record data. We sought to develop a machine learning model using both tabular and free text data to identify patients requiring NSICU admission shortly after arrival to the emergency department (ED). We conducted a single-center, retrospective cohort study of adult patients at the Mount Sinai Hospital, an academic medical center in New York City. All patients presenting to our institutional ED between January 2014 and December 2018 were included. Structured (tabular) demographic, clinical, bed movement record data, and free text data from triage notes were extracted from our institutional data warehouse. A machine learning model was trained to predict likelihood of NSICU admission at 30 min from arrival to the ED. We identified 412,858 patients presenting to the ED over the study period, of whom 1900 (0.5%) were admitted to the NSICU. The daily median number of ED presentations was 231 (IQR 200–256) and the median time from ED presentation to the decision for NSICU admission was 169 min (IQR 80–324). A model trained only with text data had an area under the receiver-operating curve (AUC) of 0.90 (95% confidence interval (CI) 0.87–0.91). A structured data-only model had an AUC of 0.92 (95% CI 0.91–0.94). A combined model trained on structured and text data had an AUC of 0.93 (95% CI 0.92–0.95). At a false positive rate of 1:100 (99% specificity), the combined model was 58% sensitive for identifying NSICU admission. A machine learning model using structured and free text data can predict NSICU admission soon after ED arrival. This may potentially improve ED and NSICU resource allocation. Further studies should validate our findings.

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