Toward More Predictive Models by Leveraging Multimodal Data

Data is often composed of structured and unstructured data. Both forms of data have information that can be exploited by machine learning models to increase their prediction performance on a task. However, integrating the features from both these data forms is a hard, complicated task. This is all the more true for models which operate on time-constraints. Time-constrained models are machine learning models that work on input where time causality has to be maintained such as predicting something in the future based on past data. Most previous work does not have a dedicated pipeline that is generalizable to different tasks and domains, especially under time-constraints. In this work, we present a systematic, domain-agnostic pipeline for integrating features from structured and unstructured data while maintaining time causality for building models. We focus on the healthcare and consumer market domain and perform experiments, preprocess data, and build models to demonstrate the generalizability of the pipeline. More specifically, we focus on the task of identifying patients who are at risk of an imminent ICU admission. We use our pipeline to solve this task and show how augmenting unstructured data with structured data improves model performance. We found that by combining structured and unstructured data we can get a performance improvement of up to 8.5

A novel and reliable framework of patient deterioration prediction in Intensive Care Unit based on long short-term memory-recurrent neural network

The clinical investigation explored that early recognition and intervention are crucial for preventing clinical deterioration in patients in Intensive Care units (ICUs). Deterioration of patients is predictable and can be preventable if early risk factors are recognized and developed in the clinical setting. Timely detection of deterioration in ICU patients may also lead to better health management. In this paper, a new model was proposed based on Long Short-Term Memory-Recurrent Neural Network (LSTM-RNN) to predict deterioration of ICU patients. An optimisation model based on a modified genetic algorithm (GA) has also been proposed in this study to optimize the observation window, prediction window, and the number of neurons in hidden layers to increase accuracy, AUROC, and minimize test loss. The experimental results demonstrate that the prediction model proposed in this study acquired a significantly better classification performance compared with many other studies that used deep learning models in their works. Our proposed model was evaluated for two tasks: mortality and sudden transfer of patients to ICU. Our results show that the proposed model could predict deterioration before one hour of onset and outperforms other models. In this study, the proposed predictive model is implemented using the state-of-the-art graphical processing unit (GPU) virtual machine provided by Google Colaboratory. Moreover, the study uses a novel time-series approach, which is minute-by-minute. This novel approach enables the proposed model to obtain highly accurate results (i.e., an AUROC of 0.933 and an accuracy of 0.921). This study utilizes the individual and combined effectiveness of different types of variables (i.e., vital signs, laboratory measurements, GCS, and demographic data). In this study, data was extracted from MIMIC-III database. The ad-hoc frameworks proposed by previous studies can be improved by the novel and reliable prediction framework proposed in this research, which will result in predictions of more accurate performance. The proposed predictive model could reduce the required observation window (i.e., a reduction of 83%) for the prediction task while improving the performance. In fact, the proposed significant small size of observation window could obtain higher results which outperformed all previous works that utilize different sizes of observation window (i.e., 48 hours and 24 hours). Moreover, this research demonstrates the ability of the proposed predictive model to achieve accurate results (>80%) on 'raw' data in an experimental work. This shows that the rule-based pre-processing of clinical features is unnecessary for deep learning predictive models

Intelligent Biosignal Processing in Wearable and Implantable Sensors

This reprint provides a collection of papers illustrating the state-of-the-art of smart processing of data coming from wearable, implantable or portable sensors. Each paper presents the design, databases used, methodological background, obtained results, and their interpretation for biomedical applications. Revealing examples are brain–machine interfaces for medical rehabilitation, the evaluation of sympathetic nerve activity, a novel automated diagnostic tool based on ECG data to diagnose COVID-19, machine learning-based hypertension risk assessment by means of photoplethysmography and electrocardiography signals, Parkinsonian gait assessment using machine learning tools, thorough analysis of compressive sensing of ECG signals, development of a nanotechnology application for decoding vagus-nerve activity, detection of liver dysfunction using a wearable electronic nose system, prosthetic hand control using surface electromyography, epileptic seizure detection using a CNN, and premature ventricular contraction detection using deep metric learning. Thus, this reprint presents significant clinical applications as well as valuable new research issues, providing current illustrations of this new field of research by addressing the promises, challenges, and hurdles associated with the synergy of biosignal processing and AI through 16 different pertinent studies. Covering a wide range of research and application areas, this book is an excellent resource for researchers, physicians, academics, and PhD or master students working on (bio)signal and image processing, AI, biomaterials, biomechanics, and biotechnology with applications in medicine

Front-Line Physicians' Satisfaction with Information Systems in Hospitals

Day-to-day operations management in hospital units is difficult due to continuously varying situations, several actors involved and a vast number of information systems in use. The aim of this study was to describe front-line physicians' satisfaction with existing information systems needed to support the day-to-day operations management in hospitals. A cross-sectional survey was used and data chosen with stratified random sampling were collected in nine hospitals. Data were analyzed with descriptive and inferential statistical methods. The response rate was 65 % (n = 111). The physicians reported that information systems support their decision making to some extent, but they do not improve access to information nor are they tailored for physicians. The respondents also reported that they need to use several information systems to support decision making and that they would prefer one information system to access important information. Improved information access would better support physicians' decision making and has the potential to improve the quality of decisions and speed up the decision making process.Peer reviewe