对大规模医疗事件数据上不同预测模型的特征选择方法进行基准测试

Fan Zhang , Chunjie Luo , Chuanxin Lan , Jianfeng Zhan
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引用次数: 1

摘要

随着电子病历(EHR)技术的发展,产生了大量的数字化临床数据。基于这些数据,开发了许多方法来提高临床预测的性能。在这些方法中,深度神经网络(DNN)通过使用许多患者实例和事件(特征)来证明其准确性。然而,每个针对患者的事件都需要时间和金钱。在做出决定之前收集太多的特征是令人难以忍受的,特别是对于时间紧迫的任务,如死亡率预测。因此,使用尽可能少的临床事件进行高精度预测是至关重要的,这使得特征选择成为一个关键问题。本文详细介绍了各种特征选择方法的基准测试结果,将不同的分类和回归算法应用于临床预测任务,包括死亡率预测、住院时间预测和ICD-9代码组预测。我们在实验中使用了公开可用的数据集,重症监护医疗信息市场III (MIMIC-III)。我们的研究结果表明,基于遗传算法(GA)的方法仅在少数特征上表现良好,并且优于其他方法。此外,对于死亡率预测任务,遗传算法为一个分类器选择的特征子集也可以用于其他分类器,同时获得良好的性能。
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Benchmarking feature selection methods with different prediction models on large-scale healthcare event data

With the development of the Electronic Health Record (EHR) technique, vast volumes of digital clinical data are generated. Based on the data, many methods are developed to improve the performance of clinical predictions. Among those methods, Deep Neural Networks (DNN) have been proven outstanding with respect to accuracy by employing many patient instances and events (features). However, each patient-specific event requires time and money. Collecting too many features before making a decision is insufferable, especially for time-critical tasks such as mortality prediction. So it is essential to predict with high accuracy using as minimal clinical events as possible, which makes feature selection a critical question. This paper presents detailed benchmarking results of various feature selection methods, applying different classification and regression algorithms for clinical prediction tasks, including mortality prediction, length of stay prediction, and ICD-9 code group prediction. We use the publicly available dataset, Medical Information Mart for Intensive Care III (MIMIC-III), in our experiments. Our results show that Genetic Algorithm (GA) based methods perform well with only a few features and outperform others. Besides, for the mortality prediction task, the feature subset selected by GA for one classifier can also be used to others while achieving good performance.

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