Explainable artificial intelligence model to predict acute critical illness from electronic health records

التفاصيل البيبلوغرافية
العنوان: Explainable artificial intelligence model to predict acute critical illness from electronic health records
المؤلفون: Lauritsen, Simon Meyer, Kristensen, Mads, Olsen, Mathias Vassard, Larsen, Morten Skaarup, Lauritsen, Katrine Meyer, Jørgensen, Marianne Johansson, Lange, Jeppe, Thiesson, Bo
سنة النشر: 2019
المجموعة: Computer Science
Statistics
مصطلحات موضوعية: Computer Science - Artificial Intelligence, Computer Science - Machine Learning, Statistics - Applications, Statistics - Machine Learning
الوصف: We developed an explainable artificial intelligence (AI) early warning score (xAI-EWS) system for early detection of acute critical illness. While maintaining a high predictive performance, our system explains to the clinician on which relevant electronic health records (EHRs) data the prediction is grounded. Acute critical illness is often preceded by deterioration of routinely measured clinical parameters, e.g., blood pressure and heart rate. Early clinical prediction is typically based on manually calculated screening metrics that simply weigh these parameters, such as Early Warning Scores (EWS). The predictive performance of EWSs yields a tradeoff between sensitivity and specificity that can lead to negative outcomes for the patient. Previous work on EHR-trained AI systems offers promising results with high levels of predictive performance in relation to the early, real-time prediction of acute critical illness. However, without insight into the complex decisions by such system, clinical translation is hindered. In this letter, we present our xAI-EWS system, which potentiates clinical translation by accompanying a prediction with information on the EHR data explaining it.
نوع الوثيقة: Working Paper
URL الوصول: http://arxiv.org/abs/1912.01266
رقم الانضمام: edsarx.1912.01266
قاعدة البيانات: arXiv