Nunzio Zotti, Guglielmo Arzilli, Francesco Baglivo, Luigi De Angelis, Andrea Porretta, Caterina Rizzo
{"title":"在医院出院单上使用自然语言处理来监测手术部位的感染:在教学医院进行回访研究。","authors":"Nunzio Zotti, Guglielmo Arzilli, Francesco Baglivo, Luigi De Angelis, Andrea Porretta, Caterina Rizzo","doi":"10.1701/4573.45800","DOIUrl":null,"url":null,"abstract":"<p><p>An AI system based on NLP and machine learning has been developed to identify surgical site infections (SSIs) from hospital discharge letters. After advanced pre-processing and imbalance handling, BERT-FT achieved the best performance (F1=0.79), outperforming TF-IDF and W2V. Large language models (LLMs) showed limitations. The system could support semi-automatic SSI surveillance, with prospects for optimisation in translations, prompts, and infrastructure.</p>","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 10","pages":"611-612"},"PeriodicalIF":0.0000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sorveglianza delle infezioni del sito chirurgico tramite applicazione di natural language processing su lettere di dimissione ospedaliera: studio retrospettivo presso un ospedale universitario.\",\"authors\":\"Nunzio Zotti, Guglielmo Arzilli, Francesco Baglivo, Luigi De Angelis, Andrea Porretta, Caterina Rizzo\",\"doi\":\"10.1701/4573.45800\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>An AI system based on NLP and machine learning has been developed to identify surgical site infections (SSIs) from hospital discharge letters. After advanced pre-processing and imbalance handling, BERT-FT achieved the best performance (F1=0.79), outperforming TF-IDF and W2V. Large language models (LLMs) showed limitations. The system could support semi-automatic SSI surveillance, with prospects for optimisation in translations, prompts, and infrastructure.</p>\",\"PeriodicalId\":20887,\"journal\":{\"name\":\"Recenti progressi in medicina\",\"volume\":\"116 10\",\"pages\":\"611-612\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Recenti progressi in medicina\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1701/4573.45800\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Recenti progressi in medicina","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1701/4573.45800","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Sorveglianza delle infezioni del sito chirurgico tramite applicazione di natural language processing su lettere di dimissione ospedaliera: studio retrospettivo presso un ospedale universitario.
An AI system based on NLP and machine learning has been developed to identify surgical site infections (SSIs) from hospital discharge letters. After advanced pre-processing and imbalance handling, BERT-FT achieved the best performance (F1=0.79), outperforming TF-IDF and W2V. Large language models (LLMs) showed limitations. The system could support semi-automatic SSI surveillance, with prospects for optimisation in translations, prompts, and infrastructure.
期刊介绍:
Giunta ormai al sessantesimo anno, Recenti Progressi in Medicina continua a costituire un sicuro punto di riferimento ed uno strumento di lavoro fondamentale per l"ampliamento dell"orizzonte culturale del medico italiano. Recenti Progressi in Medicina è una rivista di medicina interna. Ciò significa il recupero di un"ottica globale e integrata, idonea ad evitare sia i particolarismi della informazione specialistica sia la frammentazione di quella generalista.