Viewing the trajectory of a patient as a dynamical system, a recurrent neural network was developed to learn the course of patient encounters in the Pediatric Intensive Care Unit (PICU) of a major tertiary care center. Data extracted from Electronic Medical Records (EMR) of about 12000 patients who were admitted to the…
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 …
Predicts individual septic shock children's vasoactive response using RNN.
problem Personalized physiologic responses to vasoactive titrations in septic shock children.
method Retrospective analysis of EMR data using a Recurrent Neural Network (RNN).
result RNN model predicted physiologic responses more accurately than a linear model.
There is growing interest in applying machine learning methods to Electronic Medical Records (EMR). Across different institutions, however, EMR quality can vary widely. This work investigated the impact of this disparity on the performance of three advanced machine learning algorithms: logistic regression, multilayer p…
HOLMES improves real-time model serving for ICU patients, balancing accuracy and speed.
problem Real-time model serving is crucial in ICU due to urgency and cost.
method Online model ensemble serving framework for healthcare applications.
result HOLMES achieves high accuracy and sub-second latency for model ensemble serving.
Study identifies subphenotypes of pediatric sepsis to improve ML predictive performance.
problem Enhance machine learning predictive performance in pediatric sepsis.
method Latent profile analysis of clinical data to identify subphenotypes, followed by ML experiments.
result Improved predictive performance of ML models targeting specific subphenotypes of pediatric sepsis.
Our work focuses on the problem of predicting the transfer of pediatric patients from the general ward of a hospital to the pediatric intensive care unit. Using data collected over 5.5 years from the electronic health records of two medical facilities, we develop classifiers based on adaptive boosting and gradient tree…
Develops a fast non-invasive tool for diagnosing pediatric sleep apnea.
problem Diagnosing pediatric obstructive sleep apnea using an overnight sleep study is often impractical.
method Combines persistent homology, geometric shape analysis, and convolutional neural networks to classify facial images.
result Facial features associated with obstructive sleep apnea can be recognized for diagnosis.
Machine learning builds personalized pediatric abdominal phantoms.
problem Lack of individualized phantoms for radiation therapy studies.
method Combining imaging and machine learning to automatically build phantoms.
result Automatically constructed phantoms more accurately represent patient anatomy.
Survey of techniques for diagnosing pediatric sleep apnea from inexpensive data.
problem Diagnosing pediatric sleep apnea from limited and variable data.
method Exploratory data analysis using correlation networks, Mapper, SVD; supervised and unsupervised learning techniques.
result Analysis of various learning techniques applied to pediatric sleep apnea data.
Enhances early risk assessments for pediatric outcomes using contrastive learning.
problem Improving risk assessments in early stages of pediatric development.
method Contrastive multi-modal framework that treats each time window as a distinct modality, training on all available data.
result Consistent improvements in early-stage risk assessments validated on real-world tasks.
New CNN architecture improves pediatric image segmentation by homogenizing pose and size.
problem Challenges in segmenting pediatric images due to pose and size heterogeneity.
method Spatial Transformer Network (STN) for pose and scale invariance, combined with UNet for segmentation.
result Improved pediatric segmentation, especially renal tumor delineation, with accelerated processing.
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.
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 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.
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.
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.
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.
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.
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.
Deep learning predicts asthma ED visits better than traditional methods.
problem Predicting asthma-related ED visits to improve patient management.
method Deep learning (Artificial Neural Networks) compared to Lasso logistic regression.
result Deep learning model (ANN) outperforms traditional Lasso logistic regression (AUC = 0.845 vs. AUC = 0.842).
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.
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…
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.
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.
Bayesian model estimates ACT impact on pediatric AML survival.
problem Estimating ACT impact on survival in AML patients with treatment timing issues.
method Generative Bayesian semi-parametric model with Gamma Process priors.
result Posterior inference for ACT efficacy under dynamic rules.
The CHAMPION study clusters multi-dimensional accelerometer data to understand health links.
problem Clustering multi-dimensional data from pediatric longitudinal studies.
method Developed a finite mixture of multidimensional arrays model for clustering 4-dimensional accelerometer data.
result Demonstrated the feasibility and utility of clustering higher order data.
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.
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.
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.
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.
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.
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 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.
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.
Kernel-based learning predicts ICU escalation from COVID-19 chest X-rays.
problem Predicting ICU escalation from chest X-rays using complex data patterns.
method Generalized Linear Models with Integrated Multiple Additive Regression with Kernels (GLIMARK).
result GLIMARK effectively predicts ICU escalation from chest X-rays.