Natural language processing predicts ICU readmissions with 74.8% accuracy.
problem Early detection of ICU readmissions to improve patient outcomes and reduce costs.
method Natural language processing of discharge summaries, machine learning classifiers, UMLS standardization.
result Best configuration achieved an AUC of 0.748 for predicting ICU readmissions.
Study developed phenotypes for ICU patients' brain dysfunction states.
problem Underdiagnosis of acute brain dysfunction in ICU patients.
method Created algorithms to quantify and cluster brain dysfunction states.
result Developed three phenotypes of ICU patients' brain dysfunction states.
Study describes severe dengue ICU patients in Brazil, 2012-2024.
problem Characterize severe dengue ICU patients and identify risk factors.
method Prospective study, descriptive statistics, logistic regression, machine learning.
result Advanced age, comorbidities, leukocytes, and platelets are significant risk factors for complications.
We considered observational data available from the MIMIC-III open-access ICU database and collected within a study period between year 2002 up to 2011. If a patient had multiple admissions to the ICU during the 30 days before death, only the first stay was analyzed, leading to a final set of 6,436 unique ICU admission…
Study develops electronic phenotypes of ICU patient acuity.
problem Limited time for patient acuity assessments and imprecise clinical trajectory prediction.
method Developed electronic phenotypes using automated variable retrieval in electronic health records.
result Identified three phenotypes: persistently stable, persistently unstable, and transitioning from unstable to stable.
Natural language processing predicts AKI onset in ICU patients.
problem Early detection of AKI in ICU patients to improve outcomes.
method Clinical notes were processed to generate word and concept embeddings. Five classifiers and a deep learning model were used to predict AKI.
result The best model achieved an AUC of 0.779 for predicting AKI onset.
RNN models perform similarly with or without extraneous variables.
problem Impact of extraneous variables on RNN performance in clinical tasks.
method Investigated the effect of extraneous input variables on RNN predictive performance using EMR and randomly drawn variables.
result Degradations in RNN's predictive performance with extraneous variables were negligible.
Study discovers rules linking patient symptoms to unplanned ICU transfers.
problem Identifying patients at risk for unplanned ICU transfers.
method Mixed-integer optimization approach to learn association rules.
result Significant rules discovered for each patient subgroup.
System predicts respiratory failure up to 8 hours early.
problem Early detection of respiratory failure in ICU patients.
method Machine learning on ICU patient monitoring data.
result System outperforms traditional clinical decision-making.
Paper proposes robust method to detect risk heterogeneity across ethnic groups.
problem Detecting risk heterogeneity across ethnic groups in ICU studies.
method Proposes a robust framework using Neyman orthogonality for inference.
result Demonstrates improved inferential stability and reduced bias compared to standard methods.
Bayesian model detects internal bleeding in ICU patients.
problem Late detection of internal bleeding in ICU patients.
method Bayesian regime switching model analyzing vitals and labs.
result Probabilistic assessment of patient's physiological state.
Bayesian neural network improves ICU patient risk prediction and feature selection.
problem Predicting patient outcomes in ICU with limited interpretability.
method Sparse Bayesian neural network with feature selection.
result Model provides interpretable feature importance for mortality prediction.
Study builds models to predict post-cardiac arrest outcomes using patient data.
problem Lack of accurate prognostication methods for patients resuscitated from cardiac arrest.
method Integrated electronic health records (EHR) and physiological time series (PTS) data to train machine learning classifiers.
result Combined EHR-PTS24 models outperformed models using either EHR or PTS24 alone in predicting survival and neurological outcomes.
Traditional methods for assessing illness severity and predicting in-hospital mortality among critically ill patients require time-consuming, error-prone calculations using static variable thresholds. These methods do not capitalize on the emerging availability of streaming electronic health record data or capture time…
Objective: Predict patient-specific vitals deemed medically acceptable for discharge from a pediatric intensive care unit (ICU). Design: The means of each patient's hr, sbp and dbp measurements between their medical and physical discharge from the ICU were computed as a proxy for their physiologically acceptable state …
Study builds machine learning models to predict ICU patients' one-year mortality.
problem Improving mortality prediction accuracy in ICU patients with heart disease.
method Developed and evaluated various machine learning models using MIMIC-III database.
result Best models achieved 85.12% prediction accuracy and AUC of 0.901.
Critically ill patients in regular wards are vulnerable to unanticipated clinical dete- rioration which requires timely transfer to the intensive care unit (ICU). To allow for risk scoring and patient monitoring in such a setting, we develop a novel Semi- Markov Switching Linear Gaussian Model (SSLGM) for the inpatient…
Over the past decades, both critical care and cancer care have improved substantially. Due to increased cancer-specific survival, we hypothesized that both the number of cancer patients admitted to the ICU and overall survival have increased since the millennium change. MIMIC-III, a freely accessible critical care data…
Early hospital mortality prediction is critical as intensivists strive to make efficient medical decisions about the severely ill patients staying in intensive care units. As a result, various methods have been developed to address this problem based on clinical records. However, some of the laboratory test results are…
The paper develops a method to predict ICU mortality risk across diverse patient populations.
problem Improving patient survival by recognizing risky trajectories during ICU stays.
method Domain adaptation strategies to learn mortality prediction models robust to diverse ICU populations.
result The proposed model outperforms baselines, achieving AUC numbers up to 0.88 for the Cardiac ICU population.
Clinical notes improve ICU patient condition prediction.
problem Predicting ICU patient outcomes and resource planning.
method Joint modeling of time series data and clinical notes.
result Significant improvement in mortality prediction, decompensation modeling, and length of stay forecasting.
Estimates future ICU demand using age-structured data and logistic modeling.
problem Projecting future ICU demand from low-quality data.
method Age-structured sampling, logistic fit, subnotification factor correction.
result Corrected logistic curve projects future ICU demand.
The presence of bacteria or fungi in the bloodstream of patients is abnormal and can lead to life-threatening conditions. A computational model based on a bidirectional long short-term memory artificial neural network, is explored to assist doctors in the intensive care unit to predict whether examination of blood cult…
This study improves AKI prediction precision using CNN on EHR data.
problem Improving early prediction of AKI in ICU patients.
method Convolutional Neural Network (CNN) on EHR data.
result Best AUROC up to 0.988 on MIMIC-III and 0.936 on eICU data sets.
Good predictors of ICU Mortality have the potential to identify high-risk patients earlier, improve ICU resource allocation, or create more accurate population-level risk models. Machine learning practitioners typically make choices about how to represent features in a particular model, but these choices are seldom eva…
Study identifies sepsis subpopulations for better ICU prediction.
problem Lack of stratified sepsis subpopulations in ICU EHR predictions.
method Stratified sepsis subpopulations identified using machine learning.
result Machine learning models perform better with stratified subpopulations.
Robust policies improve ICU transfer outcomes by predicting patient deterioration.
problem Higher mortality rates for unplanned ICU transfers.
method Markov Decision Process model to predict patient severity and optimize transfer policies.
result Robust policies are more aggressive in transferring patients than nominal policies, improving overall patient care.
Late fusion of clinical notes and physiological data improves ICU mortality prediction.
problem Improving ICU mortality prediction using multimodal data.
method Late fusion of clinical notes and physiological time series data with a deep learning architecture.
result Late fusion approach provides statistically significant improvement in mortality prediction performance.
Novel metrics improve machine learning models for ICU patient care.
problem Predicting vital sign trajectories for early detection of adverse events.
method Developed novel performance metrics aligned with clinical contexts, validated on simulated and real datasets, and optimized neural networks using these metrics.
result Neural networks trained with these metrics excel in predicting clinically significant events.
Modeling physiological time-series in ICU is of high clinical importance. However, data collected within ICU are irregular in time and often contain missing measurements. Since absence of a measure would signify its lack of importance, the missingness is indeed informative and might reflect the decision making by the c…
Study proposes managing COVID-19 without economy shutdowns.
problem Avoiding lockdowns while maintaining healthcare system capacity.
method Detailed heterogeneous epidemiological model, calibrated to data.
result Countries can avoid lockdowns if ICU beds per million > 100.
Bayesian models improve trustworthiness in ICU by providing uncertainty.
problem Uncertainty in machine learning predictions can lead to catastrophic medical decisions.
method Bayesian Neural Network and predictive uncertainty analysis.
result Bayesian models can mitigate prediction loss and identify out-of-domain examples.
Paper uses RL to optimize ICU load during COVID-19.
problem Optimizing ICU load during a pandemic.
method Combines epidemic model, Bayesian inference, and RL for adaptive intervention levels.
result RL policies reduce ICU burden compared to historical interventions.
MLHO predicts COVID-19 adverse outcomes using past medical records.
problem Predicting adverse outcomes after COVID-19 infection.
method Iterative feature and algorithm selection, sequential representation mining.
result Mean AUC ROC of 0.91 for mortality prediction.
WRSE predicts dynamic survival distributions in ICU patients.
problem Dynamic assessment of ICU patient mortality risk.
method Non-parametric weighted-resolution ensemble model combining binary classifiers.
result Competitive results with state-of-the-art models, reducing training time.
Model learns hierarchical EHR representation for clinical outcome prediction.
problem Capturing temporal patterns in irregular clinical event sequences.
method Proposes differentiated mechanisms to model events at different time scales, learning hierarchical representations.
result Significantly improves clinical outcome prediction, achieving AUC scores of 0.94 and 0.90 for death and ICU admission respectively.
The paper tackles ICU discharge strategies by evaluating optimal stopping scenarios.
problem Optimal stopping in ICU discharge with complex causal inference challenges.
method Generalized g-formula implementation and application to MIMIC-IV dataset.
result Improved ICU discharge strategies demonstrated with the g-formula approach.
Deep learning predicts ICU mortality with enhanced interpretability.
problem Improving mortality prediction accuracy and clinician trust in AI.
method Trained a deep learning model on MIMIC-III to interpret nursing notes.
result Model reaches ROC of 0.8629, outperforming SAPS-II.
Deep learning models predict ICU readmission with varying accuracy.
problem Predicting ICU readmission risk using deep learning architectures.
method Several deep learning architectures including attention-based models, recurrent layers, neural ODEs, and embeddings were trained on MIMIC-III data.
result Attention-based models with neural ODEs achieved highest predictive accuracy.
Bedside monitors in Intensive Care Units (ICUs) frequently sound incorrectly, slowing response times and desensitising nurses to alarms (Chambrin, 2001), causing true alarms to be missed (Hug et al., 2011). We compare sliding window predictors with recurrent predictors to classify patient state-of-health from ICU multi…
Novel IRL method identifies suboptimal medical decisions in ICU data.
problem Identifying suboptimal medical decisions in clinical settings.
method Incorporates Inverse Reinforcement Learning with a pruning step to identify and remove suboptimal actions.
result Pruning step effectively identifies clinical priorities and values from suboptimal data.
New model predicts ICU patients' stay duration efficiently.
problem Efficient ICU bed allocation under resource constraints.
method Temporal Pointwise Convolution (TPC) model combining temporal and pointwise convolutions.
result Significant performance improvements over LSTM and Transformer models.
Improved aggregation methods learn from all ICU events without preprocessing for better patient risk analysis.
problem Lack of efficient methods to dynamically assess patient status in ICU.
method Improved aggregation methods for a deep learning architecture that learns from all events without preprocessing.
result Models achieve strong performance (AUROC 0.87) in patient mortality classification.
Study predicts blood pressure response to fluid bolus therapy with high accuracy.
problem Predicting successful response to fluid bolus therapy in hypotensive ICU patients.
method Used attention-based LSTM and GRU neural networks on a large ICU database.
result Stacked LSTM with attention mechanism achieved highest accuracy of 0.852.
Study improves mortality prediction in ICU patients using feature engineering and 1D CNN.
problem Improving mortality prediction in ICU patients with high-dimensional, imbalanced, and missing data.
method Feature engineering, 1D Convolutional Neural Network (1D CNN), traditional machine learning algorithms.
result Best AUC of 0.848 achieved with 1D CNN model.
Neural network model improves sepsis detection and prediction in ICU patients.
problem Improving sepsis detection and prediction in ICU patients.
method Rule-based and machine learning models, neural network ensemble model.
result Neural network model achieves highest AUC in detecting and predicting sepsis, severe sepsis, and septic shock.
ICU mortality scoring systems attempt to predict patient mortality using predictive models with various clinical predictors. Examples of such systems are APACHE, SAPS and MPM. However, most such scoring systems do not actively look for and include interaction terms, despite physicians intuitively taking such interactio…
Proposes inference for DNNs in GNRMs, addressing non-independence issues.
problem Inference for DNN-estimated means in GNRMs under non-independence.
method Develops a DNN estimator and ESM for variance estimation and confidence intervals.
result Demonstrates feasibility of inference under GNRMs with ESM.