Evidence map›Paper›PMID 33953393›Full record

ArticleNature protocols2021

Use of deep learning to develop continuous-risk models for adverse event prediction from electronic health records.

Nenad Tomašev, Natalie Harris, Sebastien Baur, Anne Mottram, Xavier Glorot, Jack W Rae, Michal Zielinski, Harry Askham, Andre Saraiva, Valerio Magliulo and 21 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–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

43 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Augmenting Electronic Health Records for Adverse Event Detection.medRxiv : the preprint server for health sciences · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Enhancing patient representation learning with inferred family pedigrees improves disease risk prediction.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Derivation and Validation of a Machine Learning Model for the Prevention of Unplanned Dialysis.Clinical journal of the American Society of Nephrology : CJASN · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Nenad TomaševDeepMind, London, UK. nenadt@google.com.ORCID http://orcid.org/0000-0003-1624-0220
Natalie HarrisGoogle Health, London, UK.
Sebastien BaurGoogle Health, London, UK.
Anne MottramDeepMind, London, UK.
Xavier GlorotDeepMind, London, UK.ORCID http://orcid.org/0000-0002-6729-2189
Jack W RaeDeepMind, London, UK.
Michal ZielinskiDeepMind, London, UK.
Harry AskhamDeepMind, London, UK.
Andre SaraivaDeepMind, London, UK.
Valerio MagliuloGoogle Health, London, UK.
Clemens MeyerDeepMind, London, UK.
Suman RavuriDeepMind, London, UK.
Ivan ProtsyukGoogle Health, London, UK.
Alistair ConnellGoogle Health, London, UK.ORCID http://orcid.org/0000-0003-0318-1049
Cían O HughesGoogle Health, London, UK.ORCID http://orcid.org/0000-0001-6901-0985
Alan KarthikesalingamGoogle Health, London, UK.
Julien CornebiseDeepMind, London, UK.ORCID http://orcid.org/0000-0003-1787-7573
Hugh MontgomeryInstitute for Human Health and Performance, University College London, London, UK.
Geraint ReesInstitute of Cognitive Neuroscience, University College London, London, UK.ORCID http://orcid.org/0000-0002-9623-7007
Chris LaingUniversity College London Hospitals, London, UK.
Clifton R BakerDepartment of Veterans Affairs, Washington, DC, USA.
Thomas F OsborneVA Palo Alto Healthcare System, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-8896-2487
Ruth ReevesDepartment of Veterans Affairs, Washington, DC, USA.
Demis HassabisDeepMind, London, UK.
Dominic KingGoogle Health, London, UK.
Mustafa SuleymanDeepMind, London, UK.
Trevor BackDeepMind, London, UK.
Christopher Nielson *Department of Veterans Affairs, Washington, DC, USA.
Martin G Seneviratne *Google Health, London, UK. martsen@google.com.ORCID http://orcid.org/0000-0003-0435-3738
Joseph R Ledsam *DeepMind, London, UK. jledsam@google.com.ORCID http://orcid.org/0000-0001-9917-7196
Shakir Mohamed *DeepMind, London, UK.ORCID http://orcid.org/0000-0002-1184-5776

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early prediction of patient outcomes is important for targeting preventive care. This protocol describes a practical workflow for developing deep-learning risk models that can predict various clinical and operational outcomes from structured electronic health record (EHR) data. The protocol comprises five main stages: formal problem definition, data pre-processing, architecture selection, calibration and uncertainty, and generalizability evaluation. We have applied the workflow to four endpoints (acute kidney injury, mortality, length of stay and 30-day hospital readmission). The workflow can enable continuous (e.g., triggered every 6 h) and static (e.g., triggered at 24 h after admission) predictions. We also provide an open-source codebase that illustrates some key principles in EHR modeling. This protocol can be used by interdisciplinary teams with programming and clinical expertise to build deep-learning prediction models with alternate data sources and prediction tasks.

Indexed as

Deep LearningElectronic Health RecordsResearch DesignHumansRisk AssessmentSoftwareWorkflow

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.