Adversarial method improves pneumonia classifier's performance across hospitals.
problem Robust classification of pneumonia from chest radiographs across different hospitals.
method Adversarial optimization to learn models invariant to confounders.
result Improved out-of-hospital generalization performance compared to baselines.
New method tackles MNAR missingness in domain adaptation.
problem Handling missingness in both source and target data.
method Reduces MNAR missingness to imputation problem, leveraging recent MNAR imputation methods.
result Developed a novel domain adaptation procedure for MNAR missingness shift.
This work aims to create a large-scale model for critical care time series data.
problem Lack of large-scale datasets and distribution shifts in critical care time series data.
method Harmonized dataset creation and transfer learning research.
result Established a foundation for large-scale multi-variate time series models in critical care.
Bayesian model forecasts hospital resource use during pandemic.
problem Modeling constrained hospital resources during pandemic.
method Approximate Bayesian Computation for an ACED-HMM.
result Mechanistic approach provides competitive probabilistic forecasts.
Study compares ARIMA, ETS, NNAR and hybrids for COVID-19 hospitalizations.
problem Forecasting the second wave of COVID-19 hospitalizations in Italy.
method ARIMA, ETS, NNAR, and hybrid models.
result Hybrid models outperform single models in capturing epidemic patterns.
Fairness measures fail in predictive settings that intentionally shift outcomes.
problem Fairness measures fail in performative prediction settings.
method Formalized concept shift and counterfactual outcomes.
result Predictors that are fair during training become unfair during deployment.
Machine learning for healthcare often trains models on de-identified datasets with randomly-shifted calendar dates, ignoring the fact that data were generated under hospital operation practices that change over time. These changing practices induce definitive changes in observed data which confound evaluations which do…
Bayesian models forecast COVID-19 hospitalizations at single sites.
problem Forecasting daily COVID-19 hospitalizations at a single hospital.
method Hierarchical Bayesian models with generalized Poisson likelihood and autoregressive/Gaussian process latent processes.
result Demonstrated superior performance compared to baselines in public datasets.
Study predicts future hospitalizations to manage COVID-19 patient surge.
problem Managing hospitalization needs during COVID-19 pandemic.
method Used 4 recurrent neural networks to predict hospitalization changes.
result Sequence to sequence model with attention achieved high accuracy and AUC.
Early results in using convolutional neural networks (CNNs) on x-rays to diagnose disease have been promising, but it has not yet been shown that models trained on x-rays from one hospital or one group of hospitals will work equally well at different hospitals. Before these tools are used for computer-aided diagnosis i…
Study improves predictive models for ICU data across hospitals.
problem Degradation of predictive model performance in new hospitals.
method Anchor regression and anchor boosting for domain generalization.
result Anchor regularization enhances out-of-distribution performance.
Natural language processing improves COVID-19 hospitalization identification.
problem Identifying patients hospitalized due to COVID-19 among those with positive SARS-CoV-2 tests.
method Used natural language processing on provider notes and structured EHR data elements to create classification algorithms.
result Classification algorithms using provider notes outperformed those using only structured EHR data elements, with AUROC of 0.894 compared to 0.841.
Deep neural network predicts diabetic readmission with high accuracy.
problem Predicting 30-day readmission for diabetic patients.
method Categorical embeddings and deep neural network.
result 95.2% accuracy and 97.4% AUROC on diabetic readmission data.
CPAS uses machine learning to plan hospital resources for COVID-19.
problem Forecasting hospital resource demands during the COVID-19 pandemic.
method Combining machine learning algorithms with diverse data sources.
result CPAS successfully managed hospital resource planning in the UK.
Acute Kidney Injury (AKI), a sudden decline in kidney function, is associated with increased mortality, morbidity, length of stay, and hospital cost. Since AKI is sometimes preventable, there is great interest in prediction. Most existing studies consider all patients and therefore restrict to features available in the…
Recent works have shown that applying Machine Learning to Electronic Health Records (EHR) can strongly accelerate precision medicine. This requires developing models based on diverse EHR sources. Federated Learning (FL) has enabled predictive modeling using distributed training which lifted the need of sharing data and…
The paper uses SHAP for interpreting machine learning models in hospital data.
problem Interpreting machine learning models in healthcare.
method SHAP for feature importance and feature packing techniques.
result SHAP provides better interpretability of machine learning models in healthcare.
The paper tackles distribution-free prediction intervals for multi-source data.
problem Challenges in achieving valid inferences due to distribution shifts and privacy concerns.
method Derives efficient influence functions, incorporates machine learning, and proposes data-adaptive strategies.
result Achieves parametric rates of convergence to nominal coverage probabilities for prediction intervals.
Paper shows federated learning can train models on private data.
problem Training predictive models on private hospital data.
method Distributed training in federated learning framework.
result Federated learning achieves comparable performance to traditional methods.
Machine learning improves early detection of patient deterioration in Brazilian hospitals.
problem Challenges in recognizing clinical deterioration in hospital settings.
method Application of machine learning to analyze EHR data from multiple hospitals.
result Machine learning models outperformed traditional protocols by 25 percentage points in AUC.
Deep network clusters hospital patients' vital signs.
problem Sparse and irregularly collected vital sign data.
method Deep interpolation network for latent representation extraction.
result Extracted 7 distinct clusters from vital sign data.
Trans-GLMC tackles source heterogeneity in transfer learning for structured clusters.
problem Source heterogeneity makes it hard to use multiple related auxiliary sources effectively.
method Trans-GLMC constructs clusters of sources, then combines global fusion, within-cluster refinement, and target debiasing.
result Improves facility-specific prediction and identifies interpretable communities of hospitals with mutual transferability.
This study develops a dynamic inverse optimization framework to recover hidden, time-varying preferences from observed allocation trajectories.
problem The gap between classical optimization theory and real-world practice, especially in the presence of drift and shocks.
method Dynamic inverse optimization framework using a drift-aware estimator grounded in convex analysis and online learning theory.
result Sharp static and dynamic regret bounds for the framework, demonstrating its responsiveness to gradual drift and sudden shocks.
Hospital readmissions have become one of the key measures of healthcare quality. Preventable readmissions have been identified as one of the primary targets for reducing costs and improving healthcare delivery. However, most data driven studies for understanding readmissions have produced black box classification and p…
New scalable method balances hospital profit status and heart attack outcomes.
problem Balancing covariate distributions and minimizing weight dispersion in large datasets.
method Combines kernel basis expansion and convex optimization for efficient and flexible weighting.
result For-profit hospitals use interventional cardiology similarly to other hospitals but have higher mortality and readmission rates.
A large volume of research has considered the creation of predictive models for clinical data; however, much existing literature reports results using only a single source of data. In this work, we evaluate the performance of models trained on the publicly-available eICU Collaborative Research Database. We show that cr…
This work proposes a student-teacher network for predicting hospital admission locations.
problem Accurate prediction of hospital admission locations to optimize resource allocation.
method Reinforcement learning approach where a teacher network selects data batches for a student network.
result The approach outperforms state-of-the-art methods on tabular data and image recognition.
Study analyzes Airbnb booking lead times during global crises using a new metric.
problem Disruptions in booking behaviors during global crises affect forecasting accuracy.
method Normalized L1 (Manhattan) distance to assess lead time divergences.
result Identified two-phase disruption: abrupt change at pandemic onset followed by partial recovery.
Estimates funding impact from an algorithmic relief rule, finding little effect on hospital activities.
problem Evaluating the impact of algorithmic policy decisions.
method Developed a treatment-effect estimator using algorithmic decisions as instruments.
result Funding from an algorithmic relief rule had little effect on COVID-19-related hospital activities.
New method for k-modes algorithm improves clustering performance.
problem Improving initial solution selection for k-modes algorithm.
method Uses Hospital-Resident Assignment Problem to find initial cluster centroids.
result Outperforms other initialisations in most cases, especially for low-density data.
Acute kidney injury (AKI) commonly occurs in hospitalized patients and can lead to serious medical complications. In order to optimally predict AKI before it develops at any time during a hospital stay, we present a novel framework in which AKI is continually predicted automatically from EHR data over the entire hospit…
auton-survival simplifies survival analysis for healthcare data.
problem Handling censored time-to-event data in healthcare.
method Open-source package for survival regression, adjustment, counterfactual estimation, phenotyping, and treatment effects.
result Demonstrates auton-survival's ability to support complex health and epidemiological questions.
The ability to accurately forecast and control inpatient census, and thereby workloads, is a critical and longstanding problem in hospital management. Majority of current literature focuses on optimal scheduling of inpatients, but largely ignores the process of accurate estimation of the trajectory of patients througho…
Unified ML approach predicts ED attendances with high accuracy.
problem Managing hospital demand at emergency departments efficiently.
method Ensemble of time series and machine learning approaches with hyperparameter tuning.
result Predictions with mean absolute error of +/- 14 and +/- 10 patients, MAE of 6.8% and 8.6%.
Febrile neutropenia (FN) has been associated with high mortality, especially among adults with cancer. Understanding the patient and provider level heterogeneity in FN hospital admissions has potential to inform personalized interventions focused on increasing survival of individuals with FN. We leverage machine learni…
Reducing the incidence of surgical site infections (SSIs) is one of the objectives of the French nosocomial infection control program. Manual monitoring of SSIs is carried out each year by the hospital hygiene team and surgeons at the University Hospital of Bordeaux. Our goal was to develop an automatic detection algor…
Accurately predicting patients' risk of 30-day hospital readmission would enable hospitals to efficiently allocate resource-intensive interventions. We develop a new method, Categorical Co-Frequency Analysis (CoFA), for clustering diagnosis codes from the International Classification of Diseases (ICD) according to the …
Ability for accurate hospital case cost modelling and prediction is critical for efficient health care financial management and budgetary planning. A variety of regression machine learning algorithms are known to be effective for health care cost predictions. The purpose of this experiment was to build an Azure Machine…
Recurrent neural networks (RNNs) are commonly applied to clinical time-series data with the goal of learning patient risk stratification models. Their effectiveness is due, in part, to their use of parameter sharing over time (i.e., cells are repeated hence the name recurrent). We hypothesize, however, that this trait …
Electronic medical records (EMRs) supports the development of machine learning algorithms for predicting disease incidence, patient response to treatment, and other healthcare events. But insofar most algorithms have been centralized, taking little account of the decentralized, non-identically independently distributed…
Study evaluates cross-validation methods for clinical ECG classification, finding leave-source-out more reliable.
problem Overoptimistic cross-validation estimates for new patient sources.
method Empirical evaluation of K-fold and leave-source-out cross-validation methods.
result Leave-source-out cross-validation provides more reliable performance estimates.
Tree-based model averaging improves CATE estimation from diverse sites.
problem Limited sample size and privacy concerns prevent accurate personalized treatment effect estimation.
method Tree-based model averaging approach to estimate CATEs from multiple heterogeneous sites.
result Improved accuracy in estimating conditional average treatment effects (CATEs) across sites.
Study improves mortality prediction in hospital patients using comprehensive feature engineering.
problem Accurate prediction of all-cause in-hospital mortality in healthcare.
method Comprehensive feature engineering approach using vital signs, laboratory results, and demographic data.
result Random Forest model achieved highest performance with AUC of 0.94, significantly outperforming other models.
Study uses data to analyze COPD patients' impact on hospital systems.
problem Understanding and quantifying resource requirements for COPD patients.
method Combines segmentation, queuing theory, and data recovery techniques.
result Finding useful operational results from incomplete administrative data.
Extracting actionable insight from Electronic Health Records (EHRs) poses several challenges for traditional machine learning approaches. Patients are often missing data relative to each other; the data comes in a variety of modalities, such as multivariate time series, free text, and categorical demographic informatio…
Random forest models predict CLABSI risk in hospital admissions, with static models performing similarly to dynamic ones.
problem Predicting CLABSI risk in hospital admissions using EHR data with competing risks.
method Comparison of static and dynamic random forest models for binary, multinomial, survival, and competing risks outcomes.
result Static and dynamic random forest models perform similarly in predicting CLABSI risk, with multinomial models having the lowest computation times.
Identifying patients who will be discharged within 24 hours can improve hospital resource management and quality of care. We studied this problem using eight years of Electronic Health Records (EHR) data from Stanford Hospital. We fit models to predict 24 hour discharge across the entire inpatient population. The best …
Bayesian optimization improves classifier selection for acute infection and mortality.
problem Improving accuracy of acute infection and mortality prediction.
method Comparison of hyperparameter optimization methods (grid search, random sampling, Bayesian optimization).
result Bayesian optimization outperforms grid search or random sampling for in-hospital mortality classifiers.