Evidence map›Paper›PMID 23304322›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2012

Risk stratification of ICU patients using topic models inferred from unstructured progress notes.

Li-wei Lehman, Mohammed Saeed, William Long, Joon Lee, Roger Mark

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

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0cells of the map it votes in
37citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Keyword extraction and structuralization of medical reports.Health information science and systems · 2020
    Article
  8. Cohort selection for clinical trials using hierarchical neural network.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  9. Article
  10. Making sense of abbreviations in nursing notes: A case study on mortality prediction.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2019
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Accurate and interpretable intensive care risk adjustment for fused clinical data with generalized additive models.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2018
    Article
  16. What's in a Note? Unpacking Predictive Value in Clinical Note Representations.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2018
    Article
  17. Predicting Social Anxiety Treatment Outcome Based on Therapeutic Email Conversations.IEEE journal of biomedical and health informatics · 2017
    Article
  18. Article
  19. Phenotyping Hypotensive Patients in Critical Care Using Hospital Discharge Summaries.... IEEE-EMBS International Conference on Biomedical and Health Informatics. IEEE-EMBS International Conference on Biomedical and Health Informatics · 2017
    Article
  20. Estimating Patient's Health State Using Latent Structure Inferred from Clinical Time Series and Text.... IEEE-EMBS International Conference on Biomedical and Health Informatics. IEEE-EMBS International Conference on Biomedical and Health Informatics · 2017
    Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Li-wei LehmanHarvard-MIT Health Sciences and Technology, USA.
Mohammed Saeed
William Long
Joon Lee
Roger Mark

Funding

Integrating Data, Models, and Reasoning in Critical CareR01EB001659 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI MARK, ROGER GREENWOOD · 2003 to 2012
$9.8M
Research Resource for Complex Physiologic SignalsU01EB008577 · NIBIB · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GOLDBERGER, ARY LOUIS · 2007 to 2011
$3.6M
NIBIB NIH HHS R01 EB001659NIBIB NIH HHS R01-EB001659NIBIB NIH HHS U01 EB008577NIBIB NIH HHS U01-EB-008577
6 · The paper itself

Abstract

We propose a novel approach for ICU patient risk stratification by combining the learned "topic" structure of clinical concepts (represented by UMLS codes) extracted from the unstructured nursing notes with physiologic data (from SAPS-I) for hospital mortality prediction. We used Hierarchical Dirichlet Processes (HDP), a non-parametric topic modeling technique, to automatically discover "topics" as shared groups of co-occurring UMLS clinical concepts. We evaluated the potential utility of the inferred topic structure in predicting hospital mortality using the nursing notes of 14,739 adult ICU patients (mortality 14.6%) from the MIMIC II database. Our results indicate that learned topic structure from the first 24-hour ICU nursing notes significantly improved the performance of the SAPS-I algorithm for hospital mortality prediction. The AUC for predicting hospital mortality from the first 24 hours of physiologic data and nursing text notes was 0.82. Using the physiologic data alone with the SAPS-I algorithm, an AUC of 0.72 was achieved. Thus, the clinical topics that were extracted and used to augment the SAPS-I algorithm significantly improved the performance of the baseline algorithm.

Indexed as

Intensive Care UnitsNatural Language ProcessingNursing RecordsAdultAlgorithmsArea Under CurveHospital MortalityHumansModels, TheoreticalRisk AssessmentSeverity of Illness IndexUnified Medical Language System

Identifiers

PMID23304322
PMCPMC3540429

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.