Evidence map›Paper›PMID 36864069›Full record

ArticleScientific reports2023

Transformers for cardiac patient mortality risk prediction from heterogeneous electronic health records.

Emmi Antikainen, Joonas Linnosmaa, Adil Umer, Niku Oksala, Markku Eskola, Mark van Gils, Jussi Hernesniemi, Moncef Gabbouj

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.6field-weighted citation impact, top 3% of its field
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

17 citing papers in PubMed, 38 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Emmi AntikainenVTT Technical Research Centre of Finland Ltd., 33101, Tampere, Finland. emmi.antikainen@gmail.com.
Joonas LinnosmaaVTT Technical Research Centre of Finland Ltd., 33101, Tampere, Finland.
Adil UmerVTT Technical Research Centre of Finland Ltd., 33101, Tampere, Finland.
Niku OksalaFaculty of Medicine and Health Technology, Tampere University, 33720, Tampere, Finland.
Markku EskolaFinnish Cardiovascular Research Center Tampere, 33520, Tampere, Finland.
Mark van GilsFaculty of Medicine and Health Technology, Tampere University, 33720, Tampere, Finland.
Jussi Hernesniemi *Faculty of Medicine and Health Technology, Tampere University, 33720, Tampere, Finland.
Moncef Gabbouj *Faculty of Information Technology and Communication Sciences, Tampere University, 33720, Tampere, Finland.
Tampere University · FIVTT Technical Research Centre of Finland · FITampere University · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With over 17 million annual deaths, cardiovascular diseases (CVDs) dominate the cause of death statistics. CVDs can deteriorate the quality of life drastically and even cause sudden death, all the while inducing massive healthcare costs. This work studied state-of-the-art deep learning techniques to predict increased risk of death in CVD patients, building on the electronic health records (EHR) of over 23,000 cardiac patients. Taking into account the usefulness of the prediction for chronic disease patients, a prediction period of six months was selected. Two major transformer models that rely on learning bidirectional dependencies in sequential data, BERT and XLNet, were trained and compared. To our knowledge, the presented work is the first to apply XLNet on EHR data to predict mortality. The patient histories were formulated as time series consisting of varying types of clinical events, thus enabling the model to learn increasingly complex temporal dependencies. BERT and XLNet achieved an average area under the receiver operating characteristic curve (AUC) of 75.5% and 76.0%, respectively. XLNet surpassed BERT in recall by 9.8%, suggesting that it captures more positive cases than BERT, which is the main focus of recent research on EHRs and transformers.

Indexed as

Cardiovascular DiseasesElectronic Health RecordsDeath, SuddenElectric Power SuppliesHumansQuality of Life

Identifiers

PMID36864069
PMCPMC9978282
OpenAlexW4322760726

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.