Faculty, Staff and Student Publications

Authors

    Language

    English

    Publication Date

    6-1-2024

    Journal

    Proceedings. IEEE International Conference on Healthcare Informatics Journal

    DOI

    10.1109/ichi61247.2024.00025

    PMID

    39726987

    PMCID

    PMC11670123

    PubMedCentral® Posted Date

    12-26-2024

    PubMedCentral® Full Text Version

    Author MSS

    Abstract

    Multivariate clinical time series data, such as those contained in Electronic Health Records (EHR), often exhibit high levels of irregularity, notably, many missing values and varying time intervals. Existing methods usually construct deep neural network architectures that combine recurrent neural networks and time decay mechanisms to model variable correlations, impute missing values, and capture the impact of varying time intervals. The complete data matrices thus obtained from the imputation task are used for downstream risk prediction tasks. This study aims to achieve more desirable imputation and prediction accuracy by performing both tasks simultaneously. We present a new multi-task deep neural network that incorporates the imputation task as an auxiliary task while performing risk prediction tasks. We validate the method on clinical time series imputation and in-hospital mortality prediction tasks using two publicly available EHR databases. The experimental results show that our method outperforms state-of-the-art imputation-prediction methods by significant margins. The results also empirically demonstrate that the incorporation of time decay mechanisms is a critical factor for superior imputation and prediction performance. The novel deep imputation-prediction network proposed in this study provides more accurate imputation and prediction results with EHR data. Future work should focus on developing more effective time decay mechanisms for simultaneously enhancing the imputation and prediction performance of multi-task learning models.

    Keywords

    Electronic Health Record, Multi-Task Learning, Temporal Representation Learning, Irregularly Sampled Multivariate Time Series

    Published Open-Access

    yes

    Share

    COinS
     
     

    To view the content in your browser, please download Adobe Reader or, alternately,
    you may Download the file to your hard drive.

    NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.