PRISM: Mitigating EHR Data Sparsity via Learning from Missing Feature Calibrated Prototype Patient Representations

Fuente: arXiv
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Autori principali: Zhu, Yinghao, Wang, Zixiang, He, Long, Xie, Shiyun, Zheng, Xiaochen, Ma, Liantao, Pan, Chengwei
Natura: Preprint
Pubblicazione: 2023
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author Zhu, Yinghao
Wang, Zixiang
He, Long
Xie, Shiyun
Zheng, Xiaochen
Ma, Liantao
Pan, Chengwei
author_facet Zhu, Yinghao
Wang, Zixiang
He, Long
Xie, Shiyun
Zheng, Xiaochen
Ma, Liantao
Pan, Chengwei
contents Electronic Health Records (EHRs) contain a wealth of patient data; however, the sparsity of EHRs data often presents significant challenges for predictive modeling. Conventional imputation methods inadequately distinguish between real and imputed data, leading to potential inaccuracies of patient representations. To address these issues, we introduce PRISM, a framework that indirectly imputes data by leveraging prototype representations of similar patients, thus ensuring compact representations that preserve patient information. PRISM also includes a feature confidence learner module, which evaluates the reliability of each feature considering missing statuses. Additionally, PRISM introduces a new patient similarity metric that accounts for feature confidence, avoiding over-reliance on imprecise imputed values. Our extensive experiments on the MIMIC-III, MIMIC-IV, PhysioNet Challenge 2012, eICU datasets demonstrate PRISM's superior performance in predicting in-hospital mortality and 30-day readmission tasks, showcasing its effectiveness in handling EHR data sparsity. For the sake of reproducibility and further research, we have publicly released the code at https://github.com/yhzhu99/PRISM.
format Preprint
id arxiv_https___arxiv_org_abs_2309_04160
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle PRISM: Mitigating EHR Data Sparsity via Learning from Missing Feature Calibrated Prototype Patient Representations
Zhu, Yinghao
Wang, Zixiang
He, Long
Xie, Shiyun
Zheng, Xiaochen
Ma, Liantao
Pan, Chengwei
Machine Learning
Artificial Intelligence
Electronic Health Records (EHRs) contain a wealth of patient data; however, the sparsity of EHRs data often presents significant challenges for predictive modeling. Conventional imputation methods inadequately distinguish between real and imputed data, leading to potential inaccuracies of patient representations. To address these issues, we introduce PRISM, a framework that indirectly imputes data by leveraging prototype representations of similar patients, thus ensuring compact representations that preserve patient information. PRISM also includes a feature confidence learner module, which evaluates the reliability of each feature considering missing statuses. Additionally, PRISM introduces a new patient similarity metric that accounts for feature confidence, avoiding over-reliance on imprecise imputed values. Our extensive experiments on the MIMIC-III, MIMIC-IV, PhysioNet Challenge 2012, eICU datasets demonstrate PRISM's superior performance in predicting in-hospital mortality and 30-day readmission tasks, showcasing its effectiveness in handling EHR data sparsity. For the sake of reproducibility and further research, we have publicly released the code at https://github.com/yhzhu99/PRISM.
title PRISM: Mitigating EHR Data Sparsity via Learning from Missing Feature Calibrated Prototype Patient Representations
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2309.04160