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Main Authors: Lu, Jiaying, Brown, Stephanie R., Liu, Songyuan, Zhao, Shifan, Dong, Kejun, Bold, Del, Fundora, Michael, Aljiffry, Alaa, Fedorov, Alex, Grunwell, Jocelyn, Hu, Xiao
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2502.07158
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author Lu, Jiaying
Brown, Stephanie R.
Liu, Songyuan
Zhao, Shifan
Dong, Kejun
Bold, Del
Fundora, Michael
Aljiffry, Alaa
Fedorov, Alex
Grunwell, Jocelyn
Hu, Xiao
author_facet Lu, Jiaying
Brown, Stephanie R.
Liu, Songyuan
Zhao, Shifan
Dong, Kejun
Bold, Del
Fundora, Michael
Aljiffry, Alaa
Fedorov, Alex
Grunwell, Jocelyn
Hu, Xiao
contents Early prediction of pediatric cardiac arrest (CA) is critical for timely intervention in high-risk intensive care settings. We introduce PedCA-FT, a novel transformer-based framework that fuses tabular view of EHR with the derived textual view of EHR to fully unleash the interactions of high-dimensional risk factors and their dynamics. By employing dedicated transformer modules for each modality view, PedCA-FT captures complex temporal and contextual patterns to produce robust CA risk estimates. Evaluated on a curated pediatric cohort from the CHOA-CICU database, our approach outperforms ten other artificial intelligence models across five key performance metrics and identifies clinically meaningful risk factors. These findings underscore the potential of multimodal fusion techniques to enhance early CA detection and improve patient care.
format Preprint
id arxiv_https___arxiv_org_abs_2502_07158
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Early Risk Prediction of Pediatric Cardiac Arrest from Electronic Health Records via Multimodal Fused Transformer
Lu, Jiaying
Brown, Stephanie R.
Liu, Songyuan
Zhao, Shifan
Dong, Kejun
Bold, Del
Fundora, Michael
Aljiffry, Alaa
Fedorov, Alex
Grunwell, Jocelyn
Hu, Xiao
Machine Learning
Artificial Intelligence
Early prediction of pediatric cardiac arrest (CA) is critical for timely intervention in high-risk intensive care settings. We introduce PedCA-FT, a novel transformer-based framework that fuses tabular view of EHR with the derived textual view of EHR to fully unleash the interactions of high-dimensional risk factors and their dynamics. By employing dedicated transformer modules for each modality view, PedCA-FT captures complex temporal and contextual patterns to produce robust CA risk estimates. Evaluated on a curated pediatric cohort from the CHOA-CICU database, our approach outperforms ten other artificial intelligence models across five key performance metrics and identifies clinically meaningful risk factors. These findings underscore the potential of multimodal fusion techniques to enhance early CA detection and improve patient care.
title Early Risk Prediction of Pediatric Cardiac Arrest from Electronic Health Records via Multimodal Fused Transformer
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2502.07158