With the emergence of the Hospital Readmission Reduction Program of the Center for Medicare and Medicaid Services on October 1, 2012, forecasting unplanned patient readmission risk became crucial to the healthcare domain. There are tangible works in the literature emphasizing on developing readmission risk prediction m…
Categorical Co-Frequency Analysis clusters diagnoses to predict hospital readmissions.
problem Predicting patients' risk of 30-day hospital readmission.
method Categorical Co-Frequency Analysis (CoFA) measures diagnosis similarity using random forests.
result Identified three groups of diagnoses with varying readmission risk.
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…
Hospital Readmissions within 30 days after discharge following Coronary Artery Bypass Graft (CABG) Surgery are substantial contributors to healthcare costs. Many predictive models were developed to identify risk factors for readmissions. However, majority of the existing models use statistical analysis techniques with …
Deep learning predicts heart failure readmission from clinical notes.
problem Predicting and preventing heart failure readmission.
method Convolutional Neural Networks (CNN) trained on clinical notes.
result Deep learning models outperform traditional machine learning methods in readmission prediction.
We develop a model using deep learning techniques and natural language processing on unstructured text from medical records to predict hospital-wide 30-day unplanned readmission, with c-statistic .70. Our model is constructed to allow physicians to interpret the significant features for prediction.
Objective: To compare different deep learning architectures for predicting the risk of readmission within 30 days of discharge from the intensive care unit (ICU). The interpretability of attention-based models is leveraged to describe patients-at-risk. Methods: Several deep learning architectures making use of attentio…
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.
Model predicts wound and episode-level readmission risk and time to re-admit.
problem Identify patients at high risk of re-admission to prevent wound recurrences and reduce healthcare costs.
method Data-driven analysis of wound care and episode-level patient data.
result Model achieves high recall and precision for predicting re-admission risk and time.
Heart failure (HF) is one of the leading causes of hospital admissions in the US. Readmission within 30 days after a HF hospitalization is both a recognized indicator for disease progression and a source of considerable financial burden to the healthcare system. Consequently, the identification of patients at risk for …
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.
Improved model predicts ICU readmission and mortality with interpretable results.
problem Lack of clinically interpretable predictions from deep learning models on clinical notes.
method Augmented a convolutional model with an attention mechanism for clinical note prediction.
result Attention mechanism improves prediction performance while providing interpretable results.
Deep learning predicts readmissions from less structured data.
problem Predicting readmissions from non-standard, unstructured medical records.
method Proposes a deep learning architecture that handles less structured data, including Spanish text.
result Achieves AUROC of 0.76 on a Chilean medical dataset, comparable to US results.
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.
Feature engineering remains a major bottleneck when creating predictive systems from electronic medical records. At present, an important missing element is detecting predictive regular clinical motifs from irregular episodic records. We present Deepr (short for Deep record), a new end-to-end deep learning system that …
Electronic Health Records (EHRs) have been heavily used to predict various downstream clinical tasks such as readmission or mortality. One of the modalities in EHRs, clinical notes, has not been fully explored for these tasks due to its unstructured and inexplicable nature. Although recent advances in deep learning (DL…
New metrics improve fairness in risk assessments.
problem Risk assessments reflect historical policies, not future decisions.
method Counterfactual analogues of metrics, doubly robust estimation.
result Fairness metrics under counterfactuals can differ from standard metrics.
We augment linear Support Vector Machine (SVM) classifiers by adding three important features: (i) we introduce a regularization constraint to induce a sparse classifier; (ii) we devise a method that partitions the positive class into clusters and selects a sparse SVM classifier for each cluster; and (iii) we develop a…
This research tackles monitoring machine learning algorithms post-deployment, addressing performativity issues.
problem Monitoring machine learning algorithms after deployment, especially when they affect their own data-generating process.
method Uses causal inference techniques to navigate performativity and compares different monitoring criteria and data sources.
result Different monitoring systems have varying operating characteristics and implications for ML monitoring design.
In recent years, increasingly augmentation of health data, such as patient Electronic Health Records (EHR), are becoming readily available. This provides an unprecedented opportunity for knowledge discovery and data mining algorithms to dig insights from them, which can, later on, be helpful to the improvement of the q…
Stability in clinical prediction models is crucial for transferability between studies, yet has received little attention. The problem is paramount in high dimensional data which invites sparse models with feature selection capability. We introduce an effective method to stabilize sparse Cox model of time-to-events usi…
Background: Choosing the most performing method in terms of outcome prediction or variables selection is a recurring problem in prognosis studies, leading to many publications on methods comparison. But some aspects have received little attention. First, most comparison studies treat prediction performance and variable…
Unsupervised learning summarizes EHR data into a patient status vector.
problem Challenges in modeling electronic health records due to irregularities and varying procedures/diagnoses.
method Two-step unsupervised representation learning scheme using auto-encoders and forecasting tasks.
result Improved generalization performance on mortality and readmission tasks.
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.
Effective modeling of electronic health records (EHR) is rapidly becoming an important topic in both academia and industry. A recent study showed that using the graphical structure underlying EHR data (e.g. relationship between diagnoses and treatments) improves the performance of prediction tasks such as heart failure…
New method reduces variance in subpopulation model performance estimates.
problem High variance in subpopulation performance metrics for small groups.
method Using an evaluation model to form model-based metric (MBM) estimates.
result MBMs produce more accurate and lower variance estimates for small subpopulations.
Study evaluates approaches to improve worst-case model performance across patient subpopulations.
problem Improving model accuracy for specific patient subpopulations.
method Comparison of distributionally robust optimization (DRO) and standard learning procedures.
result Standard learning procedures generally outperform DRO approaches for improving model performance across subpopulations.
Improved AI lung ultrasound segmentation using expert confidence values.
problem Label uncertainty in lung ultrasound due to subjective interpretation by radiologists.
method Designing a data annotation protocol capturing expert confidence, training AI on binarized labels with confidence thresholds.
result Improved AI segmentation and better clinical outcomes (e.g., S/F oxygenation ratio estimation, patient readmission prediction).
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.
Introduces factor risk measures to assess risk relative to multiple factors.
problem Measuring risk relative to multiple factors.
method Introduces a double-argument mapping as a risk measure to assess risk relative to a vector of factors.
result Characterizes various types of factor risk measures including distortion, quantile, linear, and coherent measures.
Paper characterizes star-shaped risk measures and their properties.
problem Characterizing risk measures in the presence of liquidity risk and competitive delegation.
method Characterization of star-shaped risk measures, study of their properties.
result Star-shaped risk measures include all practically used risk measures.
Develops a new method for risk diversification using dynamic risk measures.
problem Dynamic risk diversification in investment portfolios.
method Introduces dynamic risk contributions and a recursive optimization approach for coherent dynamic distortion risk measures.
result Dynamic risk budgeting strategies can be solved using deep learning.
New risk measure considers horizon risk and interest rate uncertainty.
problem Dynamic risk evaluation considering horizon risk and interest rate uncertainty.
method Introduced a risk measure based on generalized Tsallis entropy.
result New q-entropic risk measure quantifies capital requirement.
Study examines risk premium convergence rates in risk sharing contracts.
problem Analyzing risk premium convergence rates in risk sharing contracts.
method Examines the limiting behavior of risk premium associated with Pareto optimal risk sharing contracts under general law-invariant risk measures.
result Risk premium convergence rate is typically n1/2, not n. Optimal risk sharing found for heterogeneous risk attitudes using distortion risk measures.
problem Risk sharing in economies with diverse risk attitudes.
method Modeling preferences with distortion risk measures, using comonotonic and counter-monotonic principles.
result Optimal risk sharing strategies identified based on risk attitudes, reducing the n-agent problem to a two-agent formulation. This paper extends risk parity to continuous-time, solving risk budgeting problems.
problem Achieving robust risk across different assets in continuous-time.
method Characterizing risk contributions and solving risk budgeting problems using continuous-time terminal variance.
result Risk contributions and risk budgets can be represented as predictable processes in continuous-time.
Approximate Incremental Value-at-Risk formulae provide an easy-to-use preliminary guideline for risk allocation. Both the cases of risk adding and risk pooling are examined and beta-based formulae achieved. Results highlight how much the conditions for adding new risky positions are stronger than those required for ris…
Paper tackles complex risk in deep neural networks.
problem Complex risk in deep neural networks.
method Developed new approach for complex risk statistics.
result Derived dual representation for complex risk.
New set-valued star-shaped risk measures introduced for better risk assessment.
problem Improving risk assessment in financial contexts.
method Developed new set-valued star-shaped risk measures and proved their representation theorems.
result Set-valued star-shaped risk measures can be represented as unions of set-valued convex risk measures.
New risk measures for financial and ESG risks using utility functions.
problem Assessing financial and ESG risks using traditional risk measures.
method Developed new risk measures based on utility functions.
result Properties of utility functions translate into properties of risk measures.
Study risk sharing among agents with varying risk preferences.
problem Risk sharing among agents with heterogeneous risk measures.
method Derive explicit solutions for inf-convolution and counter-monotonic inf-convolution under varying risk seeking.
result Explicit solutions for inf-convolution and counter-monotonic inf-convolution can be represented by a generalization of distortion risk measures.
The article develops a model for skewness risk in risk parity portfolios.
problem Managing skewness risk in asset allocation models.
method Modeling asset returns with skewness and jumps, deriving analytical formulas for risk contributions.
result Skewness-based risk parity portfolios outperform volatility-based portfolios in managing jump risks.
The paper establishes a connection between different risk measures and their risk contributions.
problem Understanding the relationship between conditional coherent and deviation risk measures.
method Axiomatic framework and continuous-time risk contribution analysis.
result Risk contributions of time-consistent risk measures are also time-consistent.
Enhances financial risk quantification in classical models.
problem Risk quantification in classical finance models.
method Nested risk measures, limiting behavior analysis.
result Uniqueness of risk-averse limit in classical models.
CERM calculates climate risks in bank loans.
problem Estimating climate risks in bank credit portfolios.
method Adapts credit risk models to include physical and transition risks.
result Calculates incremental credit losses due to climate risks.
The study reveals unspanned risks in equity option risk premiums, explaining negative premiums for certain options.
problem Explaining negative risk premiums for certain equity option types.
method Developed a decomposition of equity option risk premiums, operationalized the pricing kernel process, and incorporated unspanned risks.
result Empirical evidence supports the presence of unspanned risks, explaining negative risk premiums for certain options.
Paper introduces new risk measures for default risk and model uncertainty.
problem Model uncertainty and default risk in rating systems.
method Introduces default risk measures and discusses their properties and impacts.
result Different default risk measures and margins of conservatism affect risk-weighted assets.
Diversified risk parity strategies outperform equally-weighted portfolios in various asset universes.
problem Finding optimal portfolio allocations that balance risk and reward.
method Integrates various reward-risk measures and generic allocation rules into diversified risk parity.
result Diversified reward-risk parity strategies exhibit higher average returns, Sharpe ratios, and Calmar ratios compared to equally-weighted risk portfolios.