ForecastICU: A Prognostic Decision Support System for Timely Prediction of Intensive Care Unit Admission

Jinsung Yoon, Ahmed Alaa, Scott Hu, Mihaela Schaar
Proceedings of The 33rd International Conference on Machine Learning, PMLR 48:1680-1689, 2016.

Abstract

We develop ForecastICU: a prognostic decision support system that monitors hospitalized patients and prompts alarms for intensive care unit (ICU) admissions. ForecastICU is first trained in an offline stage by constructing a Bayesian belief system that corresponds to its belief about how trajectories of physiological data streams of the patient map to a clinical status. After that, ForecastICU monitors a new patient in real-time by observing her physiological data stream, updating its belief about her status over time, and prompting an alarm whenever its belief process hits a predefined threshold (confidence). Using a real-world dataset obtained from UCLA Ronald Reagan Medical Center, we show that ForecastICU can predict ICU admissions 9 hours before a physician’s decision (for a sensitivity of 40% and a precision of 50%). Also, ForecastICU performs consistently better than other state-of-the-art machine learning algorithms in terms of sensitivity, precision, and timeliness: it can predict ICU admissions 3 hours earlier, and offers a 7.8% gain in sensitivity and a 5.1% gain in precision compared to the best state-of-the-art algorithm. Moreover, ForecastICU offers an area under curve (AUC) gain of 22.3% compared to the Rothman index, which is the currently deployed technology in most hospital wards.

Cite this Paper


BibTeX
@InProceedings{pmlr-v48-yoon16, title = {ForecastICU: A Prognostic Decision Support System for Timely Prediction of Intensive Care Unit Admission}, author = {Yoon, Jinsung and Alaa, Ahmed and Hu, Scott and Schaar, Mihaela}, booktitle = {Proceedings of The 33rd International Conference on Machine Learning}, pages = {1680--1689}, year = {2016}, editor = {Balcan, Maria Florina and Weinberger, Kilian Q.}, volume = {48}, series = {Proceedings of Machine Learning Research}, address = {New York, New York, USA}, month = {20--22 Jun}, publisher = {PMLR}, pdf = {http://proceedings.mlr.press/v48/yoon16.pdf}, url = { http://proceedings.mlr.press/v48/yoon16.html }, abstract = {We develop ForecastICU: a prognostic decision support system that monitors hospitalized patients and prompts alarms for intensive care unit (ICU) admissions. ForecastICU is first trained in an offline stage by constructing a Bayesian belief system that corresponds to its belief about how trajectories of physiological data streams of the patient map to a clinical status. After that, ForecastICU monitors a new patient in real-time by observing her physiological data stream, updating its belief about her status over time, and prompting an alarm whenever its belief process hits a predefined threshold (confidence). Using a real-world dataset obtained from UCLA Ronald Reagan Medical Center, we show that ForecastICU can predict ICU admissions 9 hours before a physician’s decision (for a sensitivity of 40% and a precision of 50%). Also, ForecastICU performs consistently better than other state-of-the-art machine learning algorithms in terms of sensitivity, precision, and timeliness: it can predict ICU admissions 3 hours earlier, and offers a 7.8% gain in sensitivity and a 5.1% gain in precision compared to the best state-of-the-art algorithm. Moreover, ForecastICU offers an area under curve (AUC) gain of 22.3% compared to the Rothman index, which is the currently deployed technology in most hospital wards.} }
Endnote
%0 Conference Paper %T ForecastICU: A Prognostic Decision Support System for Timely Prediction of Intensive Care Unit Admission %A Jinsung Yoon %A Ahmed Alaa %A Scott Hu %A Mihaela Schaar %B Proceedings of The 33rd International Conference on Machine Learning %C Proceedings of Machine Learning Research %D 2016 %E Maria Florina Balcan %E Kilian Q. Weinberger %F pmlr-v48-yoon16 %I PMLR %P 1680--1689 %U http://proceedings.mlr.press/v48/yoon16.html %V 48 %X We develop ForecastICU: a prognostic decision support system that monitors hospitalized patients and prompts alarms for intensive care unit (ICU) admissions. ForecastICU is first trained in an offline stage by constructing a Bayesian belief system that corresponds to its belief about how trajectories of physiological data streams of the patient map to a clinical status. After that, ForecastICU monitors a new patient in real-time by observing her physiological data stream, updating its belief about her status over time, and prompting an alarm whenever its belief process hits a predefined threshold (confidence). Using a real-world dataset obtained from UCLA Ronald Reagan Medical Center, we show that ForecastICU can predict ICU admissions 9 hours before a physician’s decision (for a sensitivity of 40% and a precision of 50%). Also, ForecastICU performs consistently better than other state-of-the-art machine learning algorithms in terms of sensitivity, precision, and timeliness: it can predict ICU admissions 3 hours earlier, and offers a 7.8% gain in sensitivity and a 5.1% gain in precision compared to the best state-of-the-art algorithm. Moreover, ForecastICU offers an area under curve (AUC) gain of 22.3% compared to the Rothman index, which is the currently deployed technology in most hospital wards.
RIS
TY - CPAPER TI - ForecastICU: A Prognostic Decision Support System for Timely Prediction of Intensive Care Unit Admission AU - Jinsung Yoon AU - Ahmed Alaa AU - Scott Hu AU - Mihaela Schaar BT - Proceedings of The 33rd International Conference on Machine Learning DA - 2016/06/11 ED - Maria Florina Balcan ED - Kilian Q. Weinberger ID - pmlr-v48-yoon16 PB - PMLR DP - Proceedings of Machine Learning Research VL - 48 SP - 1680 EP - 1689 L1 - http://proceedings.mlr.press/v48/yoon16.pdf UR - http://proceedings.mlr.press/v48/yoon16.html AB - We develop ForecastICU: a prognostic decision support system that monitors hospitalized patients and prompts alarms for intensive care unit (ICU) admissions. ForecastICU is first trained in an offline stage by constructing a Bayesian belief system that corresponds to its belief about how trajectories of physiological data streams of the patient map to a clinical status. After that, ForecastICU monitors a new patient in real-time by observing her physiological data stream, updating its belief about her status over time, and prompting an alarm whenever its belief process hits a predefined threshold (confidence). Using a real-world dataset obtained from UCLA Ronald Reagan Medical Center, we show that ForecastICU can predict ICU admissions 9 hours before a physician’s decision (for a sensitivity of 40% and a precision of 50%). Also, ForecastICU performs consistently better than other state-of-the-art machine learning algorithms in terms of sensitivity, precision, and timeliness: it can predict ICU admissions 3 hours earlier, and offers a 7.8% gain in sensitivity and a 5.1% gain in precision compared to the best state-of-the-art algorithm. Moreover, ForecastICU offers an area under curve (AUC) gain of 22.3% compared to the Rothman index, which is the currently deployed technology in most hospital wards. ER -
APA
Yoon, J., Alaa, A., Hu, S. & Schaar, M.. (2016). ForecastICU: A Prognostic Decision Support System for Timely Prediction of Intensive Care Unit Admission. Proceedings of The 33rd International Conference on Machine Learning, in Proceedings of Machine Learning Research 48:1680-1689 Available from http://proceedings.mlr.press/v48/yoon16.html .

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