scholarly journals LO32: Artificial intelligence to predict disposition to improve flow in the emergency department

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S18-S19
Author(s):  
L. Grant ◽  
X. Xue ◽  
Z. Vajihi ◽  
A. Azuelos ◽  
S. Rosenthal ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Emergency Department ◽  
Gradient Boosting ◽  
Learning Models ◽  
Test Set ◽  
Patient Disposition ◽  
Patient Arrival ◽  
Ed Crowding ◽  
Machine Learning Models

Introduction: Emergency department (ED) crowding is a major problem across Canada. We studied the ability of artificial intelligence methods to improve patient flow through the ED by predicting patient disposition using information available at triage and shortly after patients’ arrival in the ED. Methods: This retrospective study included all visits to an urban, academic, adult ED between May 2012 and June 2019. For each visit, 489 variables were extracted including triage data that had been collected for use in the Canadian Triage Assessment Scale (CTAS) and information regarding laboratory tests, radiological tests, consultations and admissions. A training set consisting of all visits from April 2012 up to December 2018 was used to train 5 classes of machine learning models to predict admission to the hospital from the ED. The models were trained to predict admission at the time of the patient's arrival in the ED and every 30 minutes after arrival until 6 hours into their ED stay. The performance of models was compared using the area under the ROC curve (AUC) on a test set consisting of all visits from January 2019 to June 2019. Results: The study included 536,332 visits and the admission rate was 15.0%. Gradient boosting models generally outperformed other machine learning models. A gradient boosting model using all available data at 2 hours after patient arrival in the ED yielded a test set AUC 0.92 [95% CI 0.91-0.93], while a model using only data available at triage yielded an AUC 0.90 [95% CI 0.89-0.91]. The quality of predictions generally improved as predictions were made later in the patient's ED stay leading to an AUC 0.95 [95% CI 0.93-0.96] at 6 hours after arrival. A gradient boosting model with 20 variables available at 2 hours after patient arrival in the ED yielded an AUC 0.91 [95% CI 0.89-0.93]. A gradient boosting model that makes predictions at 2 hours after arrival in ED using only variables that are available at all EDs in the province of Quebec yielded an AUC 0.91 [95% 0.89-0.92]. Conclusion: Machine learning can predict admission to a hospital from the ED using variables that area collected as part of routine ED care. Machine learning tools may potentially be used to help ED physicians to make faster and more appropriate disposition decisions, to decrease unnecessary testing and alleviate ED crowding.

scholarly journals Development and Validation of a Quick Sepsis-Related Organ Failure Assessment-Based Machine-Learning Model for Mortality Prediction in Patients with Suspected Infection in the Emergency Department

2020 ◽  
Vol 9 (3) ◽  
pp. 875
Author(s):  
Young Suk Kwon ◽  
Moon Seong Baek
Keyword(s):  
Machine Learning ◽  
Emergency Department ◽  
Learning Model ◽  
Gradient Boosting ◽  
Learning Models ◽  
Suspected Infection ◽  
Machine Learning Model ◽  
Failure Assessment ◽  
Qsofa Score ◽  
Machine Learning Models

The quick sepsis-related organ failure assessment (qSOFA) score has been introduced to predict the likelihood of organ dysfunction in patients with suspected infection. We hypothesized that machine-learning models using qSOFA variables for predicting three-day mortality would provide better accuracy than the qSOFA score in the emergency department (ED). Between January 2016 and December 2018, the medical records of patients aged over 18 years with suspected infection were retrospectively obtained from four EDs in Korea. Data from three hospitals (n = 19,353) were used as training-validation datasets and data from one (n = 4234) as the test dataset. Machine-learning algorithms including extreme gradient boosting, light gradient boosting machine, and random forest were used. We assessed the prediction ability of machine-learning models using the area under the receiver operating characteristic (AUROC) curve, and DeLong’s test was used to compare AUROCs between the qSOFA scores and qSOFA-based machine-learning models. A total of 447,926 patients visited EDs during the study period. We analyzed 23,587 patients with suspected infection who were admitted to the EDs. The median age of the patients was 63 years (interquartile range: 43–78 years) and in-hospital mortality was 4.0% (n = 941). For predicting three-day mortality among patients with suspected infection in the ED, the AUROC of the qSOFA-based machine-learning model (0.86 [95% CI 0.85–0.87]) for three -day mortality was higher than that of the qSOFA scores (0.78 [95% CI 0.77–0.79], p < 0.001). For predicting three-day mortality in patients with suspected infection in the ED, the qSOFA-based machine-learning model was found to be superior to the conventional qSOFA scores.

scholarly journals Machine learning models to identify low adherence to influenza vaccination among Korean adults with cardiovascular disease

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Moojung Kim ◽  
Young Jae Kim ◽  
Sung Jin Park ◽  
Kwang Gi Kim ◽  
Pyung Chun Oh ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cardiovascular Disease ◽  
Influenza Vaccination ◽  
Machine Learning Techniques ◽  
Gradient Boosting ◽  
Support Vector ◽  
Age Group ◽  
Learning Models ◽  
Extreme Gradient Boosting ◽  
Machine Learning Models

Abstract Background Annual influenza vaccination is an important public health measure to prevent influenza infections and is strongly recommended for cardiovascular disease (CVD) patients, especially in the current coronavirus disease 2019 (COVID-19) pandemic. The aim of this study is to develop a machine learning model to identify Korean adult CVD patients with low adherence to influenza vaccination Methods Adults with CVD (n = 815) from a nationally representative dataset of the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V) were analyzed. Among these adults, 500 (61.4%) had answered "yes" to whether they had received seasonal influenza vaccinations in the past 12 months. The classification process was performed using the logistic regression (LR), random forest (RF), support vector machine (SVM), and extreme gradient boosting (XGB) machine learning techniques. Because the Ministry of Health and Welfare in Korea offers free influenza immunization for the elderly, separate models were developed for the < 65 and ≥ 65 age groups. Results The accuracy of machine learning models using 16 variables as predictors of low influenza vaccination adherence was compared; for the ≥ 65 age group, XGB (84.7%) and RF (84.7%) have the best accuracies, followed by LR (82.7%) and SVM (77.6%). For the < 65 age group, SVM has the best accuracy (68.4%), followed by RF (64.9%), LR (63.2%), and XGB (61.4%). Conclusions The machine leaning models show comparable performance in classifying adult CVD patients with low adherence to influenza vaccination.

scholarly journals Explainable AI: A Review of Machine Learning Interpretability Methods

Entropy ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 18
Author(s):  
Pantelis Linardatos ◽  
Vasilis Papastefanopoulos ◽  
Sotiris Kotsiantis
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Black Box ◽  
Learning Systems ◽  
Model Complexity ◽  
Learning Models ◽  
New Methods ◽  
Industrial Adoption ◽  
Machine Learning Models ◽  
The Way

Recent advances in artificial intelligence (AI) have led to its widespread industrial adoption, with machine learning systems demonstrating superhuman performance in a significant number of tasks. However, this surge in performance, has often been achieved through increased model complexity, turning such systems into “black box” approaches and causing uncertainty regarding the way they operate and, ultimately, the way that they come to decisions. This ambiguity has made it problematic for machine learning systems to be adopted in sensitive yet critical domains, where their value could be immense, such as healthcare. As a result, scientific interest in the field of Explainable Artificial Intelligence (XAI), a field that is concerned with the development of new methods that explain and interpret machine learning models, has been tremendously reignited over recent years. This study focuses on machine learning interpretability methods; more specifically, a literature review and taxonomy of these methods are presented, as well as links to their programming implementations, in the hope that this survey would serve as a reference point for both theorists and practitioners.

scholarly journals Predicting Electric Vehicle Charging Station Availability Using Ensemble Machine Learning

Energies ◽  
2021 ◽  
Vol 14 (23) ◽  
pp. 7834
Author(s):  
Christopher Hecht ◽  
Jan Figgener ◽  
Dirk Uwe Sauer
Keyword(s):  
Machine Learning ◽  
Binary Data ◽  
Training Data ◽  
Gradient Boosting ◽  
Traffic Density ◽  
Learning Models ◽  
Charging Infrastructure ◽  
Ensemble Models ◽  
Charging Station ◽  
Machine Learning Models

Electric vehicles may reduce greenhouse gas emissions from individual mobility. Due to the long charging times, accurate planning is necessary, for which the availability of charging infrastructure must be known. In this paper, we show how the occupation status of charging infrastructure can be predicted for the next day using machine learning models— Gradient Boosting Classifier and Random Forest Classifier. Since both are ensemble models, binary training data (occupied vs. available) can be used to provide a certainty measure for predictions. The prediction may be used to adapt prices in a high-load scenario, predict grid stress, or forecast available power for smart or bidirectional charging. The models were chosen based on an evaluation of 13 different, typically used machine learning models. We show that it is necessary to know past charging station usage in order to predict future usage. Other features such as traffic density or weather have a limited effect. We show that a Gradient Boosting Classifier achieves 94.8% accuracy and a Matthews correlation coefficient of 0.838, making ensemble models a suitable tool. We further demonstrate how a model trained on binary data can perform non-binary predictions to give predictions in the categories “low likelihood” to “high likelihood”.

scholarly journals Estimation of Chlorophyll-a Concentrations in Small Water Bodies: Comparison of Fused Gaofen-6 and Sentinel-2 Sensors

2022 ◽  
Vol 14 (1) ◽  
pp. 229
Author(s):  
Jiarui Shi ◽  
Qian Shen ◽  
Yue Yao ◽  
Junsheng Li ◽  
Fu Chen ◽  
...  
Keyword(s):  
Machine Learning ◽  
Chlorophyll A ◽  
Water Bodies ◽  
Gradient Boosting ◽  
Learning Models ◽  
Small Water ◽  
Extreme Gradient Boosting ◽  
Machine Learning Models ◽  
Sentinel 2 ◽  
Small Water Bodies

Chlorophyll-a concentrations in water bodies are one of the most important environmental evaluation indicators in monitoring the water environment. Small water bodies include headwater streams, springs, ditches, flushes, small lakes, and ponds, which represent important freshwater resources. However, the relatively narrow and fragmented nature of small water bodies makes it difficult to monitor chlorophyll-a via medium-resolution remote sensing. In the present study, we first fused Gaofen-6 (a new Chinese satellite) images to obtain 2 m resolution images with 8 bands, which was approved as a good data source for Chlorophyll-a monitoring in small water bodies as Sentinel-2. Further, we compared five semi-empirical and four machine learning models to estimate chlorophyll-a concentrations via simulated reflectance using fused Gaofen-6 and Sentinel-2 spectral response function. The results showed that the extreme gradient boosting tree model (one of the machine learning models) is the most accurate. The mean relative error (MRE) was 9.03%, and the root-mean-square error (RMSE) was 4.5 mg/m3 for the Sentinel-2 sensor, while for the fused Gaofen-6 image, MRE was 6.73%, and RMSE was 3.26 mg/m3. Thus, both fused Gaofen-6 and Sentinel-2 could estimate the chlorophyll-a concentrations in small water bodies. Since the fused Gaofen-6 exhibited a higher spatial resolution and Sentinel-2 exhibited a higher temporal resolution.

scholarly journals Benchmarking of Machine Learning Models to Assist the Prognosis of Tuberculosis

2021 ◽  
Author(s):  
Maicon Herverton Lino Ferreira da Silva Barros ◽  
Geovanne Oliveira Alves ◽  
Lubnnia Morais Florêncio Souza ◽  
Élisson da Silva Rocha ◽  
João Fausto Lorenzato de Oliveira ◽  
...  
Keyword(s):  
Machine Learning ◽  
Clinical Symptoms ◽  
Treatment Decision ◽  
Gradient Boosting ◽  
Original Form ◽  
Learning Models ◽  
Data Set ◽  
Risk Of Death ◽  
Increased Risk ◽  
Machine Learning Models

Tuberculosis (TB) is an airborne infectious disease caused by organisms in the Mycobacterium tuberculosis (Mtb) complex. In many low and middle-income countries, TB remains a major cause of morbidity and mortality. Once a patient has been diagnosed with TB, it is critical that healthcare workers make the most appropriate treatment decision given the individual conditions of the patient and the likely course of the disease based on medical experience. Depending on the prognosis, delayed or inappropriate treatment can result in unsatisfactory results including the exacerbation of clinical symptoms, poor quality of life, and increased risk of death. This work benchmarks machine learning models to aid TB prognosis using a Brazilian health database of confirmed cases and deaths related to TB in the State of Amazonas. The goal is to predict the probability of death by TB thus aiding the prognosis of TB and associated treatment decision making process. In its original form, the data set comprised 36,228 records and 130 fields but suffered from missing, incomplete, or incorrect data. Following data cleaning and preprocessing, a revised data set was generated comprising 24,015 records and 38 fields, including 22,876 reported cured TB patients and 1,139 deaths by TB. To explore how the data imbalance impacts model performance, two controlled experiments were designed using (1) imbalanced and (2) balanced data sets. The best result is achieved by the Gradient Boosting (GB) model using the balanced data set to predict TB-mortality, and the ensemble model composed by the Random Forest (RF), GB and Multi-layer Perceptron (MLP) models is the best model to predict the cure class.

Train Deep Learning Models using subsurface geological images datasets

2021 ◽  
Author(s):  
Ramy Abdallah ◽  
Clare E. Bond ◽  
Robert W.H. Butler
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Neural Networks ◽  
Deep Learning ◽  
Convolutional Neural Networks ◽  
Learning Models ◽  
Structural Interpretation ◽  
Performance Accuracy ◽  
Learning Techniques ◽  
Machine Learning Models

&lt;p&gt;Machine learning is being presented as a new solution for a wide range of geoscience problems. Primarily machine learning has been used for 3D seismic data processing, seismic facies analysis and well log data correlation. The rapid development in technology with open-source artificial intelligence libraries and the accessibility of affordable computer graphics processing units (GPU) makes the application of machine learning in geosciences increasingly tractable. However, the application of artificial intelligence in structural interpretation workflows of subsurface datasets is still ambiguous. This study aims to use machine learning techniques to classify images of folds and fold-thrust structures. Here we show that convolutional neural networks (CNNs) as supervised deep learning techniques provide excellent algorithms to discriminate between geological image datasets. Four different datasets of images have been used to train and test the machine learning models. These four datasets are a seismic character dataset with five classes (faults, folds, salt, flat layers and basement), folds types with three classes (buckle, chevron and conjugate), fault types with three classes (normal, reverse and thrust) and fold-thrust geometries with three classes (fault bend fold, fault propagation fold and detachment fold). These image datasets are used to investigate three machine learning models. One Feedforward linear neural network model and two convolutional neural networks models (Convolution 2d layer transforms sequential model and Residual block model (ResNet with 9, 34, and 50 layers)). Validation and testing datasets forms a critical part of testing the model&amp;#8217;s performance accuracy. The ResNet model records the highest performance accuracy score, of the machine learning models tested. Our CNN image classification model analysis provides a framework for applying machine learning to increase structural interpretation efficiency, and shows that CNN classification models can be applied effectively to geoscience problems. The study provides a starting point to apply unsupervised machine learning approaches to sub-surface structural interpretation workflows.&lt;/p&gt;

Recent Progress in Quantum Machine Learning

2021 ◽  
pp. 232-256
Author(s):  
Amandeep Singh Bhatia ◽  
Renata Wong
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Quantum Computing ◽  
Recent Progress ◽  
Machine Learning Algorithms ◽  
Learning Models ◽  
Exciting Field ◽  
Quantum Machine Learning ◽  
The Subject ◽  
Machine Learning Models

Quantum computing is a new exciting field which can be exploited to great speed and innovation in machine learning and artificial intelligence. Quantum machine learning at crossroads explores the interaction between quantum computing and machine learning, supplementing each other to create models and also to accelerate existing machine learning models predicting better and accurate classifications. The main purpose is to explore methods, concepts, theories, and algorithms that focus and utilize quantum computing features such as superposition and entanglement to enhance the abilities of machine learning computations enormously faster. It is a natural goal to study the present and future quantum technologies with machine learning that can enhance the existing classical algorithms. The objective of this chapter is to facilitate the reader to grasp the key components involved in the field to be able to understand the essentialities of the subject and thus can compare computations of quantum computing with its counterpart classical machine learning algorithms.

Research Methods to Study and Empower Crowd Workers

2021 ◽  
pp. 164-184
Author(s):  
Saiph Savage ◽  
Carlos Toxtli ◽  
Eber Betanzos-Torres
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Research Methods ◽  
Real World ◽  
Intelligent Systems ◽  
Quantitative Information ◽  
Learning Models ◽  
Professional Goals ◽  
Career Growth ◽  
Machine Learning Models

The artificial intelligence (AI) industry has created new jobs that are essential to the real world deployment of intelligent systems. Part of the job focuses on labelling data for machine learning models or having workers complete tasks that AI alone cannot do. These workers are usually known as ‘crowd workers’—they are part of a large distributed crowd that is jointly (but separately) working on the tasks although they are often invisible to end-users, leading to workers often being paid below minimum wage and having limited career growth. In this chapter, we draw upon the field of human–computer interaction to provide research methods for studying and empowering crowd workers. We present our Computational Worker Leagues which enable workers to work towards their desired professional goals and also supply quantitative information about crowdsourcing markets. This chapter demonstrates the benefits of this approach and highlights important factors to consider when researching the experiences of crowd workers.

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