Evidence map›Paper›PMID 32641134›Full record

ArticleBMC medical informatics and decision making2020

Sparse multi-output Gaussian processes for online medical time series prediction.

Li-Fang Cheng, Bianca Dumitrascu, Gregory Darnell, Corey Chivers, Michael Draugelis, Kai Li, Barbara E Engelhardt

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Revealing chronic disease progression patterns using Gaussian process for stage inference.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  9. Article
  10. Review
  11. Online model selection by learning how compositional kernels evolve.Transactions on machine learning research · 2023
    Article
  12. Article
  13. Review
  14. Hierarchical Gaussian Processes and Mixtures of Experts to Model COVID-19 Patient Trajectories.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. An Optimal Policy for Patient Laboratory Tests in Intensive Care Units.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2019
    Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Li-Fang ChengDepartment of Electrical Engineering, Princeton University, Princeton, USA.
Bianca DumitrascuLewis-Sigler Institute, Princeton University, Princeton, NJ, USA.
Gregory DarnellLewis-Sigler Institute, Princeton University, Princeton, NJ, USA.
Corey ChiversUniversity of Pennsylvania Health System, Philadelphia, PA, USA.
Michael DraugelisUniversity of Pennsylvania Health System, Philadelphia, PA, USA.
Kai LiDepartment of Computer Science, Princeton University, Princeton, NJ, USA.
Barbara E EngelhardtDepartment of Computer Science, Princeton University, Princeton, NJ, USA. bee@princeton.edu.ORCID 0000-0002-6139-7334

Funding

Decoding and Reprogramming the Corticosteroid Transcriptional Regulatory NetworkU01HG007900 · NHGRI · DUKE UNIVERSITY · PI REDDY, TIMOTHY E · 2015 to 2017
$5.9M
Epigenetic fine-mapping of cardiometabolic disease loci in the human liverR01HL133218 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI BROWN, CHRISTOPHER DAVID, ENGELHARDT, BARBARA · 2017 to 2020
$3.1M
Identification and validation of cell specific eQTLs by Bayesian modelingR01MH101822 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BROWN, CHRISTOPHER DAVID, ENGELHARDT, BARBARA · 2013 to 2016
$1.9M
NHGRI NIH HHS U01 HG007900NHLBI NIH HHS R01 HL133218NIMH NIH HHS R01 MH101822
6 · The paper itself

Abstract

backgroundFor real-time monitoring of hospital patients, high-quality inference of patients' health status using all information available from clinical covariates and lab test results is essential to enable successful medical interventions and improve patient outcomes. Developing a computational framework that can learn from observational large-scale electronic health records (EHRs) and make accurate real-time predictions is a critical step. In this work, we develop and explore a Bayesian nonparametric model based on multi-output Gaussian process (GP) regression for hospital patient monitoring.

methodsWe propose MedGP, a statistical framework that incorporates 24 clinical covariates and supports a rich reference data set from which relationships between observed covariates may be inferred and exploited for high-quality inference of patient state over time. To do this, we develop a highly structured sparse GP kernel to enable tractable computation over tens of thousands of time points while estimating correlations among clinical covariates, patients, and periodicity in patient observations. MedGP has a number of benefits over current methods, including (i) not requiring an alignment of the time series data, (ii) quantifying confidence regions in the predictions, (iii) exploiting a vast and rich database of patients, and (iv) inferring interpretable relationships among clinical covariates.

resultsWe evaluate and compare results from MedGP on the task of online prediction for three patient subgroups from two medical data sets across 8,043 patients. We find MedGP improves online prediction over baseline and state-of-the-art methods for nearly all covariates across different disease subgroups and hospitals.

conclusionsThe MedGP framework is robust and efficient in estimating the temporal dependencies from sparse and irregularly sampled medical time series data for online prediction. The publicly available code is at https://github.com/bee-hive/MedGP .

Indexed as

AlgorithmsModels, StatisticalBayes TheoremNormal DistributionElectronic health recordsGaussian processesSparse time seriesSpectral mixture kernel

Identifiers

PMID32641134
PMCPMC7341595

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LicenceCC BY
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Registered trials

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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.