Bayesian model predicts patient survival from sparse EHR data.
problem Analyzing EHR data with few samples and diverse information.
method Nonparametric probabilistic model using Bayesian trees.
result Improved survival trajectory predictions on patient data.
Study proposes a model to improve patient subtyping from EHR data.
problem Challenges in subtyping temporal EHR datasets.
method Self-supervised Mamba-based model for learning EHR representations.
result Model outperforms baseline models in EHR data subtyping.
Novel framework detects CKD in diabetic patients using sparse EHR representations.
problem Early detection of CKD in diabetic patients.
method Sparse longitudinal representations of EHR data.
result Proposed model achieves higher predictive performance than baselines.
Model identifies key problems in HIV patients' records.
problem Complex and time-consuming task of identifying patient problems from electronic health records.
method Unsupervised phenotyping approach that jointly learns phenotypes from structured and unstructured data.
result Learned phenotypes and their relatedness are clinically valid and surpass existing methods.
Patient journeys are compared to find clusters of similar disease trajectories.
problem Discovering shared health outcomes among patient journeys.
method Comparing longitudinal health data to identify clusters of similar patient trajectories.
result Clusters of patient journeys with similar health outcomes can be identified.
Proposes a deep learning framework for evaluating patient similarities from EHRs.
problem Evaluating clinical similarities between patients for various healthcare applications.
method A deep learning framework with medical concept embedding, preserving temporal information.
result Significant improvement in patient similarity evaluation over baselines.
Develops algorithm to find subgroups with different treatment effects in HIV patients.
problem Estimating treatment effects in EHR data with challenges like time-varying confounding.
method SDLD algorithm combining generalized interaction tree and longitudinal targeted maximum likelihood estimation.
result Identifies subgroups of HIV patients at higher risk of weight gain with dolutegravir-containing ARTs.
GAMENet uses graph memory networks to recommend safe medication combinations.
problem Lack of personalized and safe medication combination recommendations considering patient history and drug interactions.
method Integrates drug-drug interactions knowledge graph into a memory module using graph convolutional networks and models longitudinal patient records.
result GAMENet outperformed state-of-the-art methods in effectiveness and safety, reducing DDI rate by 3.60%.
Enhances generative model for clinical data privacy and accuracy.
problem Data privacy in electronic patient records.
method Improves a time-series generative model with privacy safeguards.
result DP-TimeGAN achieves a mean authenticity of 0.778 on the CKD dataset.
Model predicts patient trajectories and interventions from EMR data.
problem Forecasting patient outcomes from EMR data.
method Deep state space generative model capturing latent state dynamics.
result Model outperforms state-of-the-art methods on real EMR data.
Prediction of the future trajectory of a disease is an important challenge for personalized medicine and population health management. However, many complex chronic diseases exhibit large degrees of heterogeneity, and furthermore there is not always a single readily available biomarker to quantify disease severity. Eve…
New model captures patient-level EHR data efficiently.
problem Irregular EHR code timing and lack of temporal structure.
method Latent factor point process model with Fourier-Eigen embedding.
result Efficiently captures subgroup-specific temporal patterns.
FLARe model forecasts Alzheimer's progression using learned latent representations.
problem Forecasting Alzheimer's disease progression at the patient level.
method Generates a sequence of latent representations from longitudinal data across multiple modalities, incorporating time horizon.
result Outperforms baseline in forecasting accuracy and F1 score, robustly handling missing visits.
Patient2Vec learns personalized deep EHR representations for better health outcomes prediction.
problem Complexities in EHR data hinder machine learning applications.
method Patient2Vec: A personalized deep learning framework for longitudinal EHR data.
result Patient2Vec achieves AUC of 0.799 in predicting future hospitalizations, outperforming baseline methods.
SurvLatent ODE predicts VTE risk for cancer patients, outperforming current methods.
problem Predicting clinical outcomes from irregularly sampled EHR data with competing events.
method Neural ODE-based Recurrent Neural Networks (ODE-RNN) for flexible survival time estimation.
result SurvLatent ODE outperforms Khorana Risk scores for VTE risk prediction.
Study predicts hearing recovery in MD patients using TEOAE signals.
problem Predicting hearing recovery in MD patients during acute episodes.
method Applied machine learning to TEOAE signals from MD patients, using SVM for classification.
result Baseline TEOAE parameters can predict hearing recovery in MD patients.
Generative model combines deep neural networks and ensemble methods for patient trajectory classification.
problem Classifying patient trajectories with scarce longitudinal data.
method Tensor factorization using deep recurrent neural networks and ensemble strategies.
result Achieved AUC over 0.85 for in-hospital mortality prediction.
TASTE combines static and temporal data for phenotyping EHRs.
problem Phenotyping EHRs with both static and temporal data.
method Jointly models static and temporal tensors using PARAFAC2 and non-negative matrix factorization, alternatingly solving sub-problems.
result TASTE outperforms existing methods in speed and clinical meaningfulness of phenotypes.
Generative models create personalized patient health simulations.
problem Creating accurate digital twins for personalized medicine.
method Neural network architecture for conditional generative models of clinical trajectories.
result Same architecture generates accurate twins across 13 indications.
New algorithm improves imputation of missing clinical data.
problem Missing data in longitudinal healthcare studies.
method MedImpute algorithm for imputing continuous and categorical features in multivariate panel data.
result Significant improvements in imputation accuracy and model performance.
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.
Deep learning models interpret patient outcomes better with time aggregation.
problem Chronic ambulatory care data challenges for deep learning models.
method Time-distributed-dense layers combined with GRUs for generalization, clinical interpretation framework.
result Time-distributed-dense layers with GRUs produce the most generalizable models.
A novel extrapolation method is proposed for longitudinal forecasting. A hierarchical Gaussian process model is used to combine nonlinear population change and individual memory of the past to make prediction. The prediction error is minimized through the hierarchical design. The method is further extended to joint mod…
Study predicts AKI risk in rehospitalized patients using EHR data.
problem Predicting AKI in rehospitalized patients to improve outcomes.
method Gradient boosting, logistic regression, and recurrent neural network trained on EHR data.
result Developed a risk score for AKI at hospital re-entry.
Joint Models for longitudinal and time-to-event data have gained a lot of attention in the last few years as they are a helpful technique to approach common a data structure in clinical studies where longitudinal outcomes are recorded alongside event times. Those two processes are often linked and the two outcomes shou…
Longitudinal patient data has the potential to improve clinical risk stratification models for disease. However, chronic diseases that progress slowly over time are often heterogeneous in their clinical presentation. Patients may progress through disease stages at varying rates. This leads to pathophysiological misalig…
CPTD improves prediction intervals in time series regression with cross-sectional data.
problem Constructing valid prediction intervals in time series regression with a cross-section.
method Conformal Prediction with Temporal Dependence (CPTD) for post-hoc, light-weight approach.
result CPTD maintains cross-sectional validity while improving longitudinal coverage.
The widespread availability of electronic health records (EHRs) promises to usher in the era of personalized medicine. However, the problem of extracting useful clinical representations from longitudinal EHR data remains challenging. In this paper, we explore deep neural network models with learned medical feature embe…
Modeling disease progression in irregularly observed patients.
problem Irregular patient observation in healthcare databases.
method Continuous-time hidden Markov model with generalized linear model.
result Interpretable model of healthcare utilization events.
Deep learning boosts rare disease detection from medical claims.
problem Improving diagnosis and treatment of rare diseases.
method Generative adversarial networks (GANs) and recurrent neural networks for sequence modeling.
result Accurate prediction with 0.56 PR-AUC, outperforming benchmarks.
Paper uses ensemblers to predict sepsis early from patient records.
problem Early detection of sepsis in patients.
method Imputation and weak ensembler technique applied to 40k patient records.
result Model achieved 93.45% accuracy and 0.271 utility score.
The occurrence of drug-drug-interactions (DDI) from multiple drug dispensations is a serious problem, both for individuals and health-care systems, since patients with complications due to DDI are likely to reenter the system at a costlier level. We present a large-scale longitudinal study (18 months) of the DDI phenom…
This paper reviews random forest methods for analyzing longitudinal data in precision medicine.
problem Analyzing longitudinal data for precision medicine.
method Extensions of random forest for longitudinal data analysis.
result Categorization of random forest methods for different data structures and repeated measurements.
Language models improve clinical prediction models using EHR data.
problem Limited patient data for training clinical prediction models.
method Using patient representation schemes from natural language processing.
result 3.5% mean improvement in AUROC on five prediction tasks.
MetaPred uses meta-learning to improve clinical risk prediction from limited EHR data.
problem Clinical risk prediction from sparse patient EHR data.
method Meta-learning approach to train a meta-learner from related tasks, then fine-tune for target risk prediction.
result MetaPred achieves better performance for target risk prediction with limited data.
LMM predicts healthcare costs and risks with improved accuracy.
problem Wasteful healthcare spending and inefficiencies in risk prediction.
method Generative pre-trained transformer trained on patient event sequences.
result Improves cost prediction by 14.1% and chronic conditions prediction by 1.9%.
DPVis integrates HMMs into visualizations for disease progression analysis.
problem Challenges in interpreting HMMs for disease progression modeling.
method Design study with clinical experts, visualizations of HMM parameters and outcomes.
result DPVis successfully evaluates and summarizes disease progression models.
This paper presents an example of how demographical characteristics of patients influence their susceptibility to certain medical conditions. In this paper, we investigate the association of health conditions to age of patients in a heterogeneous population. We show that besides the symptoms a patients is having, the a…
Proposes Ada-Sit method for mortality prediction of rare diseases.
problem Data insufficiency and clinical diversity of rare diseases make mortality prediction hard.
method Initialization-sharing multi-task learning method (Ada-Sit) for fast adaptation to similar tasks.
result Experimental results show the proposed model is effective for mortality prediction of diverse rare diseases.
TAPER learns unified patient EHR representations for healthcare tasks.
problem Irregular and multimodal data in electronic health records.
method Transformer networks and BERT for embedding structured and unstructured data.
result TAPER model outperforms on mortality, readmission, and length of stay tasks.
We link disjoint longitudinal data for rare disease patients using latent representations and mixed-effects regression.
problem Analyzing treatment switches in rare diseases with limited data and changing measurement instruments.
method We embed item values into a shared latent space using variational autoencoders and apply mixed-effects regression to quantify treatment effects.
result Our approach allows for statistical inference and quantifies the impact of treatment switches in spinal muscular atrophy.
Visual analytics system for comparing medical records using sequence embeddings.
problem Challenges in analyzing medical records due to high dimensionality, irregularity, and sparsity.
method Event and sequence embeddings using autoencoder and self-attention mechanism, with sequence alignment for comparison.
result Demonstrated effectiveness with real-world neonatal ICU dataset.
Deep models predict suicidal ideation from EHR and EMA data.
problem Predicting suicidal ideation from mixed data sources.
method Deep sequential models using RNNs for EHR and EMA data, attention schemes, and temporal alignment.
result EMA data improves recall to 67.78% from 48.13% using EHR data alone.
TQA improves prediction intervals for time series data by adjusting quantiles for both cross-sectional and longitudinal coverage.
problem Constructing reliable prediction intervals for cross-sectional time series data.
method Temporal Quantile Adjustment (TQA) method that adjusts the quantile in Conformal Prediction to account for both cross-sectional and longitudinal coverage.
result TQA improves longitudinal coverage while preserving cross-sectional coverage, as validated through extensive experimentation.
latrend simplifies longitudinal clustering for numeric measurements.
problem Clustering of longitudinal data to identify common trends over time.
method Unified framework for applying various clustering methods.
result Facilitates comparison and rapid prototyping of new methods.
With the increased availability of large databases of electronic health records (EHRs) comes the chance of enhancing health risks screening. Most post-marketing detections of adverse drug reaction (ADR) rely on physicians' spontaneous reports, leading to under reporting. To take up this challenge, we develop a scalable…
EKG-based models show better stability across patient populations than EHR-based models.
problem Model generalization issues in EHR and EKG-based predictive models.
method Two tests to measure model generalization, comparing EHR and EKG data.
result EKG-based models are more stable across different patient populations.
C-kNN-LSH identifies similar patient histories for causal inference in longitudinal data.
problem Estimating causal effects from longitudinal trajectories with high-dimensional confounding.
method C-kNN-LSH uses locality-sensitive hashing to find clinical twins and estimate treatment effects.
result C-kNN-LSH outperforms existing methods in capturing recovery heterogeneity and estimating policy values.