Title
An Interpretable Deep-Learning Model For Early Prediction Of Sepsis In The Emergency Department
Abstract
Sepsis is a life-threatening condition with high mortality rates and expensive treatment costs. Early prediction of sepsis improves survival in septic patients. In this paper, we report our top-performing method in the 2019 DII National Data Science Challenge to predict onset of sepsis 4 h before its diagnosis on electronic health records of over 100,000 unique patients in emergency departments. A long short-term memory (LSTM)-based model with event embedding and time encoding is leveraged to model clinical time series and boost prediction performance. Attention mechanism and global max pooling techniques are utilized to enable interpretation for the deep-learning model. Our model achieved an average area under the curve of 0.892 and was selected as one of the winners of the challenge for both prediction accuracy and clinical interpretability. This study paves the way for future intelligent clinical decision support, helping to deliver early, life-saving care to the bedside of septic patients.
Year
DOI
Venue
2021
10.1016/j.patter.2020.100196
PATTERNS
Keywords
DocType
Volume
DII challenge,deep learning,emergency department,interpretability,sepsis prediction
Journal
2
Issue
ISSN
Citations 
2
2666-3899
0
PageRank 
References 
Authors
0.34
0
6
Name
Order
Citations
PageRank
Dongdong Zhang110.75
Changchang Yin200.34
Katherine M Hunold300.34
Xiaoqian Jiang400.68
Jeffrey M Caterino500.34
Ping Zhang618922.62