Title
Automatically determining cause of death from verbal autopsy narratives.
Abstract
A verbal autopsy (VA) is a post-hoc written interview report of the symptoms preceding a person’s death in cases where no official cause of death (CoD) was determined by a physician. Current leading automated VA coding methods primarily use structured data from VAs to assign a CoD category. We present a method to automatically determine CoD categories from VA free-text narratives alone. After preprocessing and spelling correction, our method extracts word frequency counts from the narratives and uses them as input to four different machine learning classifiers: naïve Bayes, random forest, support vector machines, and a neural network. For individual CoD classification, our best classifier achieves a sensitivity of.770 for adult deaths for 15 CoD categories (as compared to the current best reported sensitivity of.57), and.662 with 48 WHO categories. When predicting the CoD distribution at the population level, our best classifier achieves.962 cause-specific mortality fraction accuracy for 15 categories and.908 for 48 categories, which is on par with leading CoD distribution estimation methods. Our narrative-based machine learning classifier performs as well as classifiers based on structured data at the individual level. Moreover, our method demonstrates that VA narratives provide important information that can be used by a machine learning system for automated CoD classification. Unlike the structured questionnaire-based methods, this method can be applied to any verbal autopsy dataset, regardless of the collection process or country of origin.
Year
DOI
Venue
2019
10.1186/s12911-019-0841-9
BMC Medical Informatics and Decision Making
Keywords
Field
DocType
Cause of death, Computer-coded verbal autopsy (CCVA), Physician-certified verbal autopsy (PCVA), Machine learning, Natural language processing, Tariff method, Verbal autopsy
Knowledge management,Narrative,Coding (social sciences),Verbal autopsy,Medical emergency,Health informatics,Medicine,Cause of death
Journal
Volume
Issue
ISSN
19
1
1472-6947
Citations 
PageRank 
References 
0
0.34
0
Authors
5
Name
Order
Citations
PageRank
Serena Jeblee151.82
Mireille Gomes200.34
Prabhat Jha310.74
Frank Rudzicz423144.82
Graeme Hirst52258239.35