Improving suicide risk prediction via targeted data fusion: proof of concept using medical claims data
| Autor: | Yan Li, Robert H. Aseltine, Chang Su, Steven C. Rogers, Fei Wang, Kun Chen, Wanwan Xu |
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| Rok vydání: | 2021 |
| Předmět: |
Linkage (software)
Source data Framingham Risk Score Computer science business.industry Health Informatics Sample (statistics) Research and Applications Machine learning computer.software_genre Sensor fusion Suicidal Ideation Suicide Predictive Value of Tests Risk Factors Proof of concept Humans Artificial intelligence Diagnosis code Child Transfer of learning business Delivery of Health Care computer |
| Zdroj: | J Am Med Inform Assoc |
| ISSN: | 1527-974X 1067-5027 |
| Popis: | Objective Reducing suicidal behavior among patients in the healthcare system requires accurate and explainable predictive models of suicide risk across diverse healthcare settings. Materials and Methods We proposed a general targeted fusion learning framework that can be used to build a tailored risk prediction model for any specific healthcare setting, drawing on information fusion from a separate more comprehensive dataset with indirect sample linkage through patient similarities. As a proof of concept, we predicted suicide-related hospitalizations for pediatric patients in a limited statewide Hospital Inpatient Discharge Dataset (HIDD) fused with a more comprehensive medical All-Payer Claims Database (APCD) from Connecticut. Results We built a suicide risk prediction model for the source data (APCD) and calculated patient risk scores. Patient similarity scores between patients in the source and target (HIDD) datasets using their demographic characteristics and diagnosis codes were assessed. A fused risk score was generated for each patient in the target dataset using our proposed targeted fusion framework. With this model, the averaged sensitivities at 90% and 95% specificity improved by 67% and 171%, and the positive predictive values for the combined fusion model improved 64% and 135% compared to the conventional model. Discussion and Conclusions We proposed a general targeted fusion learning framework that can be used to build a tailored predictive model for any specific healthcare setting. Results from this study suggest we can improve the performance of predictive models in specific target settings without complete integration of the raw records from external data sources. |
| Databáze: | OpenAIRE |
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