Abstract
Clinical EHR data is naturally heterogeneous, where it contains abundant sub-phenotype. Such diversity creates challenges for outcome prediction using a machine learning model since it leads to high intra-class variance. To address this issue, we propose a supervised pre-Training model with a unique embedded k-nearest-neighbor positive sampling strategy. We demonstrate the enhanced performance value of this framework theoretically and show that it yields highly competitive experimental results in predicting patient mortality in real-world COVID-19 EHR data with a total of over 7,000 patients admitted to a large, urban health system. Our method achieves a better AUROC prediction score of 0.872, which outperforms the alternative pre-Training models and traditional machine learning methods. Additionally, our method performs much better when the training data size is small (345 training instances).
| Original language | English (US) |
|---|---|
| Title of host publication | Proceedings of the 13th ACM International Conference on Bioinformatics, Computational Biology and Health Informatics, BCB 2022 |
| Publisher | Association for Computing Machinery, Inc |
| ISBN (Electronic) | 9781450393867 |
| DOIs | |
| State | Published - Aug 7 2022 |
| Externally published | Yes |
| Event | 13th ACM International Conference on Bioinformatics, Computational Biology and Health Informatics, BCB 2022 - Chicago, United States Duration: Aug 7 2022 → Aug 8 2022 |
Publication series
| Name | Proceedings of the 13th ACM International Conference on Bioinformatics, Computational Biology and Health Informatics, BCB 2022 |
|---|
Conference
| Conference | 13th ACM International Conference on Bioinformatics, Computational Biology and Health Informatics, BCB 2022 |
|---|---|
| Country/Territory | United States |
| City | Chicago |
| Period | 8/7/22 → 8/8/22 |
Bibliographical note
Publisher Copyright:© 2022 ACM.
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Intra-class variance
- Mortality prediction
- Pre-Training
- Self-supervised learning
- Sub-phenotype
- Supervised contrastive learning
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