Prediction of Hospital Status of COVID-19 Patients from E-Health Records

W. Madill, Nguyen Duy Thong Jase Tran
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Abstract

In the current era of big data, very large amounts of data are generating at a rapid rate from a wide variety of rich data sources. Embedded in these big data are valuable information and knowledge that can be discovered by data science, data mining and machine learning techniques. Electronic health (e-health) records are examples of the big data. With the technological advancements, more healthcare practice has gradually been supported by electronic processes and communication. This enables health informatics, in which computer science meets the healthcare sector to address healthcare and medical problems. As a concrete example, there have been more than 610 millions cumulative cases of coronavirus disease 2019 (COVID-19) worldwide over the past 2.5 years since COVID-19 has declared as a pandemic. As some of these cases require hospitalization. it is important to estimate the demand in hospitalization. Moreover, different levels of hospitalization may require different types of resources (e.g., hospital beds, medical staff). For example, patients admitted into the intensive care unit (ICU) may require assisted ventilation. Hence, in this paper, we present models to make predictions based on e-health records. Specifically, our binary model predicts whether a patient require hospitalization, whereas our multi-class model predicts what level of hospitalization (e.g., regular ward, semi-ICU, ICU) is required by the patient. Our models uses few-shot learning (and may use multi-task learning) with autoencoders (comprising encoders and decoders) and a predictor. Evaluation results on real-life e-health records show the practicality of our models in predicting hospital statuses of COVID-19 cases and the benefits of these models towards effective allocation of resources (e.g., hospital facilities, staff).
基于电子病历的COVID-19患者住院状况预测
在当前的大数据时代,大量的数据正在从各种各样的丰富数据源中快速生成。这些大数据中包含有价值的信息和知识,可以通过数据科学、数据挖掘和机器学习技术发现。电子健康(e-health)记录是大数据的例子。随着技术的进步,越来越多的医疗保健实践逐渐得到电子流程和通信的支持。这使得健康信息学成为可能,其中计算机科学与医疗保健部门相结合,以解决医疗保健和医疗问题。一个具体的例子是,自2019冠状病毒病(COVID-19)被宣布为大流行以来,在过去的2.5年里,全球累计出现了超过6.1亿例COVID-19病例。因为其中一些病例需要住院治疗。估计住院治疗的需求是很重要的。此外,不同程度的住院可能需要不同类型的资源(如医院床位、医务人员)。例如,入住重症监护病房(ICU)的患者可能需要辅助通气。因此,在本文中,我们提出了基于电子健康记录进行预测的模型。具体来说,我们的二元模型预测患者是否需要住院,而我们的多类模型预测患者需要住院的级别(例如,普通病房,半ICU, ICU)。我们的模型使用带有自动编码器(包括编码器和解码器)和预测器的少镜头学习(也可能使用多任务学习)。对现实生活中的电子医疗记录的评估结果表明,我们的模型在预测COVID-19病例的医院状况方面具有实用性,以及这些模型对有效分配资源(例如医院设施、工作人员)的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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