Faculty, Staff and Student Publications

Language

English

Publication Date

6-1-2024

Journal

Proceedings of the IEEE International Conference on Healthcare Informatics

DOI

10.1109/ichi61247.2024.00009

PMID

39698046

PMCID

PMC11654828

PubMedCentral® Posted Date

12-18-2024

PubMedCentral® Full Text Version

Author MSS

Abstract

Predictive analytics using Electronic Health Records (EHRs) have become an active research area in recent years, especially with the development of deep learning techniques. A popular EHR data analysis paradigm in deep learning is patient representation learning, which aims to learn a condensed mathematical representation of individual patients. However, EHR data are often inherently irregular, i.e., data entries were captured at different times as well as with different contents due to the individualized needs of each patient. Most of the work focused on the provision of deep neural networks with attention mechanisms that generate complete patient representations that can be readily used for downstream prediction tasks. However, such approaches fail to take patient similarity into account, which is generally used in clinical reasoning scenarios. This study presents a new Contrastive Graph Similarity Network for similarity calculation among patients in large EHR datasets. Particularly, we apply graph-based similarity analysis that explicitly extracts the clinical characteristics of each patient and aggregates the information of similar patients to generate rich patient representations. Experimental results on real-world EHR databases demonstrate the effectiveness and superiority of our method for the task of vital signs imputation and ICU patient deterioration prediction.

Keywords

Patient Similarity Calculation, Patient Representation Learning, Graph Contrastive Learning

Published Open-Access

yes

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