Predicting diabetes-related hospitalizations based on electronic health records

OBJECTIVE: To derive a predictive model to identify patients likely to be hospitalized during the following year due to complications attributed to Type II diabetes. METHODS: A variety of supervised machine learning classification methods were tested and a new method that discovers hidden patient clusters in the positive class (hospitalized) was developed while, at the same time, sparse linear support vector machine classifiers were derived to separate positive samples from the negative ones (non-hospitalized). The convergence of the new method was established and theoretical guarantees were proved on how the classifiers it produces generalize to a test set not seen during training. RESULTS: The methods were tested on a large set of patients from the Boston Medical Center - the largest safety net hospital in New England. It is found that our new joint clustering/classification method achieves an accuracy of 89% (measured in terms of area under the ROC Curve) and yields informative clusters which can help interpret the classification results, thus increasing the trust of physicians to the algorithmic output and providing some guidance towards preventive measures. While it is possible to increase accuracy to 92% with other methods, this comes with increased computational cost and lack of interpretability. The analysis shows that even a modest probability of preventive actions being effective (more than 19%) suffices to generate significant hospital care savings. CONCLUSIONS: Predictive models are proposed that can help avert hospitalizations, improve health outcomes and drastically reduce hospital expenditures. The scope for savings is significant as it has been estimated that in the USA alone, about $5.8 billion are spent each year on diabetes-related hospitalizations that could be prevented.Accepted manuscrip

A New Approach to Speeding Up Topic Modeling

Latent Dirichlet allocation (LDA) is a widely-used probabilistic topic modeling paradigm, and recently finds many applications in computer vision and computational biology. In this paper, we propose a fast and accurate batch algorithm, active belief propagation (ABP), for training LDA. Usually batch LDA algorithms require repeated scanning of the entire corpus and searching the complete topic space. To process massive corpora having a large number of topics, the training iteration of batch LDA algorithms is often inefficient and time-consuming. To accelerate the training speed, ABP actively scans the subset of corpus and searches the subset of topic space for topic modeling, therefore saves enormous training time in each iteration. To ensure accuracy, ABP selects only those documents and topics that contribute to the largest residuals within the residual belief propagation (RBP) framework. On four real-world corpora, ABP performs around $10$ to $100$ times faster than state-of-the-art batch LDA algorithms with a comparable topic modeling accuracy.Comment: 14 pages, 12 figure

Block Mixture Model for the Biclustering of Microarray Data

This publication is a representation of what appears in the IEEE Digital Libraries.International audienceAn attractive way to make biclustering of genes and conditions is to adopt a Block Mixture Model (BMM). Approaches based on a BMM operate thanks to a Block Expectation Maximization (BEM) algorithm and/or a Block Classification Expectation Maximization (BCEM) one. The drawback of these approaches is their difficulty to choose a good strategy of initialization of the BEM and BCEM algorithms. This paper introduces existing biclustering approaches adopting a BMM and suggests a new fuzzy biclustering one. Our approach enables to choose a good strategy of initialization of the BEM and BCEM algorithms