Title
Identifying Subpopulations Of Septic Patients: A Temporal Data-Driven Approach
Abstract
Sepsis is one of the deadliest diseases in North America and in spite of the vast amount of research on this topic there is still uncertainty in the outcome of sepsis treatments. This study aimed at investigating the informativeness of temporal electronic health records (EHR) in stratifying septic patients and identifying subpopulations of septic patients with similar trajectories and clinical needs. We performed hierarchical clustering and Density Based Spatial Clustering of Applications with Noise (DBSCAN) analyses using data from septic patients in the MIMIC III intensive care unit database. The t-Distributed Stochastic Neighbor Embedding (t-SNE) method was utilized to map patients to a two-dimensional space. We utilized silhouette index and cluster-wise stability assessment by resampling to investigate the validity of the clusters. The hierarchical clustering with Euclidean metric identified twelve clinically recognizable subgroups that demonstrated different characteristics in spite of sharing common conditions. Our results demonstrated that data-driven approaches can help in customizing care platforms for septic patients by identifying similar clinically relevant groups.
Year
DOI
Venue
2021
10.1016/j.compbiomed.2020.104182
COMPUTERS IN BIOLOGY AND MEDICINE
Keywords
DocType
Volume
Hierarchical, DBSCAN, Clustering, Functional data analysis, Longitudinal data, Sepsis, t-SNE
Journal
130
ISSN
Citations 
PageRank 
0010-4825
0
0.34
References 
Authors
0
3
Name
Order
Citations
PageRank
Anis Sharafoddini100.34
Joel A Dubin200.34
Joon Lee3295.54