A latent transfer learning method for estimating hospital-specific post-acute healthcare demands following SARS-CoV-2 infection.

IF 7.4 Q1 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE Patterns Pub Date : 2024-10-24 eCollection Date: 2024-11-08 DOI:10.1016/j.patter.2024.101079
Qiong Wu, Nathan M Pajor, Yiwen Lu, Charles J Wolock, Jiayi Tong, Vitaly Lorman, Kevin B Johnson, Jason H Moore, Christopher B Forrest, David A Asch, Yong Chen
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Abstract

The long-term complications of COVID-19, known as the post-acute sequelae of SARS-CoV-2 infection (PASC), significantly burden healthcare resources. Quantifying the demand for post-acute healthcare is essential for understanding patients' needs and optimizing the allocation of valuable medical resources for disease management. Driven by this need, we developed a heterogeneous latent transfer learning framework (Latent-TL) to generate critical insights for individual health systems in a distributed research network. Latent-TL enhances learning in a specific health system by borrowing information from all other health systems in the network in a data-driven fashion. By identifying subpopulations with varying healthcare needs, our Latent-TL framework can provide more effective guidance for decision-making. Applying Latent-TL to electronic health record (EHR) data from eight health systems in PEDSnet, a national learning health system in the US, revealed four distinct patient subpopulations with heterogeneous post-acute healthcare demands following COVID-19 infections, varying across subpopulations and hospitals.

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用于估计感染 SARS-CoV-2 后医院特定的急性期后医疗保健需求的潜移默化学习方法。
COVID-19 的长期并发症,即 SARS-CoV-2 感染后的急性后遗症 (PASC),大大加重了医疗资源的负担。量化急性期后的医疗需求对于了解患者需求和优化疾病管理中宝贵医疗资源的分配至关重要。在这一需求的驱动下,我们开发了一个异构潜移默化学习框架(Latent-TL),为分布式研究网络中的各个医疗系统提供重要见解。Latent-TL 以数据驱动的方式从网络中的所有其他医疗系统借用信息,从而加强特定医疗系统的学习。通过识别具有不同医疗保健需求的子人群,我们的 Latent-TL 框架可以为决策提供更有效的指导。将 Latent-TL 应用于美国国家学习型医疗系统 PEDSnet 中八个医疗系统的电子健康记录(EHR)数据,发现了四个不同的病人亚群,他们在 COVID-19 感染后有着不同的急性期后医疗保健需求,不同亚群和医院的需求也各不相同。
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来源期刊
Patterns
Patterns Decision Sciences-Decision Sciences (all)
CiteScore
10.60
自引率
4.60%
发文量
153
审稿时长
19 weeks
期刊介绍:
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