Evidence map›Paper›PMID 35193692›Full record

ArticleJournal of biomedical semantics2022

Extending electronic medical records vector models with knowledge graphs to improve hospitalization prediction.

Raphaël Gazzotti, Catherine Faron, Fabien Gandon, Virginie Lacroix-Hugues, David Darmon

Abstract read
In one paragraph

Article in Journal of biomedical semantics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Raphaël GazzottiUniversité Côte d'Azur, Inria, CNRS, I3S, 2004, route des Lucioles, Sophia-Antipolis, BP 93 06902, France. gazzotti.raphael@gmail.com.
Catherine FaronUniversité Côte d'Azur, Inria, CNRS, I3S, 2004, route des Lucioles, Sophia-Antipolis, BP 93 06902, France.
Fabien GandonUniversité Côte d'Azur, Inria, CNRS, I3S, 2004, route des Lucioles, Sophia-Antipolis, BP 93 06902, France.
Virginie Lacroix-HuguesUniversité Côte d'Azur, RETINES, Département de Médecine Générale, 28, Avenue de Valombrose, Nice, 06107, France.
David DarmonUniversité Côte d'Azur, RETINES, Département de Médecine Générale, 28, Avenue de Valombrose, Nice, 06107, France.ORCID 0000-0002-4425-4163

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence methods applied to electronic medical records (EMRs) hold the potential to help physicians save time by sharpening their analysis and decisions, thereby improving the health of patients. On the one hand, machine learning algorithms have proven their effectiveness in extracting information and exploiting knowledge extracted from data. On the other hand, knowledge graphs capture human knowledge by relying on conceptual schemas and formalization and supporting reasoning. Leveraging knowledge graphs that are legion in the medical field, it is possible to pre-process and enrich data representation used by machine learning algorithms. Medical data standardization is an opportunity to jointly exploit the richness of knowledge graphs and the capabilities of machine learning algorithms.

methodsWe propose to address the problem of hospitalization prediction for patients with an approach that enriches vector representation of EMRs with information extracted from different knowledge graphs before learning and predicting. In addition, we performed an automatic selection of features resulting from knowledge graphs to distinguish noisy ones from those that can benefit the decision making. We report the results of our experiments on the PRIMEGE PACA database that contains more than 600,000 consultations carried out by 17 general practitioners (GPs).

resultsA statistical evaluation shows that our proposed approach improves hospitalization prediction. More precisely, injecting features extracted from cross-domain knowledge graphs in the vector representation of EMRs given as input to the prediction algorithm significantly increases the F1 score of the prediction.

conclusionsBy injecting knowledge from recognized reference sources into the representation of EMRs, it is possible to significantly improve the prediction of medical events. Future work would be to evaluate the impact of a feature selection step coupled with a combination of features extracted from several knowledge graphs. A possible avenue is to study more hierarchical levels and properties related to concepts, as well as to integrate more semantic annotators to exploit unstructured data.

Indexed as

Electronic Health RecordsPattern Recognition, AutomatedAlgorithmsArtificial IntelligenceHospitalizationHumansMachine LearningElectronic medical recordsFeature selectionKnowledge graphPredictive model

Identifiers

PMID35193692
PMCPMC8861628

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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.