Generic medical concept embedding and time decay for diverse patient outcome prediction tasks

Autor: Yupeng Li, Wei Dong, Boshu Ru, Adam Black, Xinyuan Zhang, Yuanfang Guan
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: iScience, Vol 25, Iss 9, Pp 104880- (2022)
Druh dokumentu: article
ISSN: 2589-0042
DOI: 10.1016/j.isci.2022.104880
Popis: Summary: Many fields, including Natural Language Processing (NLP), have recently witnessed the benefit of pre-training with large generic datasets to improve the accuracy of prediction tasks. However, there exist key differences between the longitudinal healthcare data (e.g., claims) and NLP tasks, which make the direct application of NLP pre-training methods to healthcare data inappropriate. In this article, we developed a pre-training scheme for longitudinal healthcare data that leverages the pairing of medical history and a future event. We then conducted systematic evaluations of various methods on ten patient-level prediction tasks encompassing adverse events, misdiagnosis, disease risks, and readmission. In addition to substantially reducing model size, our results show that a universal medical concept embedding pretrained with generic big data as well as carefully designed time decay modeling improves the accuracy of different downstream prediction tasks.
Databáze: Directory of Open Access Journals