Evidence map›Paper›PMID 36440460›Full record

ArticleFrontiers in digital health2022

Multi-dimensional patient acuity estimation with longitudinal EHR tokenization and flexible transformer networks.

Benjamin Shickel, Brandon Silva, Tezcan Ozrazgat-Baslanti, Yuanfang Ren, Kia Khezeli, Ziyuan Guan, Patrick J Tighe, Azra Bihorac, Parisa Rashidi

Abstract read
In one paragraph

Article in Frontiers in digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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  8. Dynamic Delirium Prediction in the Intensive Care Unit using Machine Learning on Electronic Health Records.... IEEE-EMBS International Conference on Biomedical and Health Informatics. IEEE-EMBS International Conference on Biomedical and Health Informatics · 2023
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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

9 authors.

Benjamin ShickelDepartment of Medicine, University of Florida, Gainesville, FL, United States.
Brandon SilvaDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, United States.
Tezcan Ozrazgat-BaslantiDepartment of Medicine, University of Florida, Gainesville, FL, United States.
Yuanfang RenDepartment of Medicine, University of Florida, Gainesville, FL, United States.
Kia KhezeliDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, United States.
Ziyuan GuanDepartment of Medicine, University of Florida, Gainesville, FL, United States.
Patrick J TigheDepartment of Anesthesiology, University of Florida, Gainesville, FL, United States.
Azra BihoracDepartment of Medicine, University of Florida, Gainesville, FL, United States.
Parisa RashidiDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, United States.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Bridge2AI: Patient-Focused Collaborative Hospital Repository Uniting Standards (CHoRUS) for Equitable AIOT2OD032701 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI BIHORAC, AZRA, CLERMONT, GILLES · 2022 to 2025
$24.6M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Integrating data, algorithms and clinical reasoning for surgical risk assessmentR01GM110240 · NIGMS · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2016 to 2025
$5.1M
(MEnD-AKI) Multicenter Implementation of an Electronic Decision Support System for Drug-associated AKIR01DK121730 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BIHORAC, AZRA, KANE-GILL, SANDRA L · 2021 to 2025
$3.2M
ADAPT: Autonomous Delirium Monitoring and Adaptive PreventionR01NS120924 · NINDS · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2021 to 2025
$2.9M
Intelligent Intensive Care Unit (I2CU): Pervasive Sensing and Artificial Intelligence for Augmented Clinical Decision-makingR01EB029699 · NIBIB · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2021 to 2024
$2.4M
The circadian clock protein BMAL and post-translational regulation of ENaC in the kidneyR01DK123078 · NIDDK · UNIVERSITY OF FLORIDA · PI ALLI, ABDEL AYUBE · 2020 to 2024
$1.7M
Perioperative Cognitive Anesthesia Network Extension for Socially Vulnerable Older AdultsK07AG073468 · NIA · UNIVERSITY OF FLORIDA · PI TIGHE, PATRICK J · 2021 to 2025
$774k
Development and Validation of Computational Algorithms to Assess Kidney Health in Electronic Health RecordsK01DK120784 · NIDDK · UNIVERSITY OF FLORIDA · PI OZRAZGAT BASLANTI, TEZCAN · 2020 to 2023
$580k
Autonomous Pain Recognition in Non-Verbal and Critically Ill PatientsR21EB027344 · NIBIB · UNIVERSITY OF FLORIDA · PI RASHIDI, PARISA · 2019 to 2022
$577k
NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427NIA NIH HHS K07 AG073468NIBIB NIH HHS R01 EB029699NIBIB NIH HHS R21 EB027344NIDDK NIH HHS K01 DK120784NIDDK NIH HHS R01 DK121730NIDDK NIH HHS R01 DK123078NIGMS NIH HHS R01 GM110240NIH HHS OT2 OD032701NINDS NIH HHS R01 NS120924
6 · The paper itself

Abstract

Transformer model architectures have revolutionized the natural language processing (NLP) domain and continue to produce state-of-the-art results in text-based applications. Prior to the emergence of transformers, traditional NLP models such as recurrent and convolutional neural networks demonstrated promising utility for patient-level predictions and health forecasting from longitudinal datasets. However, to our knowledge only few studies have explored transformers for predicting clinical outcomes from electronic health record (EHR) data, and in our estimation, none have adequately derived a health-specific tokenization scheme to fully capture the heterogeneity of EHR systems. In this study, we propose a dynamic method for tokenizing both discrete and continuous patient data, and present a transformer-based classifier utilizing a joint embedding space for integrating disparate temporal patient measurements. We demonstrate the feasibility of our clinical AI framework through multi-task ICU patient acuity estimation, where we simultaneously predict six mortality and readmission outcomes. Our longitudinal EHR tokenization and transformer modeling approaches resulted in more accurate predictions compared with baseline machine learning models, which suggest opportunities for future multimodal data integrations and algorithmic support tools using clinical transformer networks.

Indexed as

clinical decision supportcritical caredeep learningelectronic health recordspatient acuitytransformer

Identifiers

PMID36440460
PMCPMC9682245

What OpenQuestion holds

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LicenceCC BY
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.