AAAI Publications, Twenty-Ninth AAAI Conference on Artificial Intelligence

Font Size: 
A Multivariate Timeseries Modeling Approach to Severity of Illness Assessment and Forecasting in ICU with Sparse, Heterogeneous Clinical Data
Marzyeh Ghassemi, Marco A.F. Pimentel, Tristan Naumann, Thomas Brennan, David A. Clifton, Peter Szolovits, Mengling Feng

Last modified: 2015-02-10

Abstract


The ability to determine patient acuity (or severity of illness) has immediate practical use for clinicians. We evaluate the use of multivariate timeseries modeling with the multi-task Gaussian process (GP) models using noisy, incomplete, sparse, heterogeneous and unevenly-sampled clinical data, including both physiological signals and clinical notes. The learned multi-task GP (MTGP) hyperparameters are then used to assess and forecast patient acuity. Experiments were conducted with two real clinical data sets acquired from ICU patients: firstly, estimating cerebrovascular pressure reactivity, an important indicator of secondary damage for traumatic brain injury patients, by learning the interactions between intracranial pressure and mean arterial blood pressure signals, and secondly, mortality prediction using clinical progress notes. In both cases, MTGPs provided improved results: an MTGP model provided better results than single-task GP models for signal interpolation and forecasting (0.91 vs 0.69 RMSE), and the use of MTGP hyperparameters obtained improved results when used as additional classification features (0.812 vs 0.788 AUC).

Keywords


Multivariate timeseries modeling; Modeling of sparse and heterogeneous data; clinical data modeling; severity of illness assessment; Multi-task Guassian Process

Full Text: PDF