RAIM: Recurrent attentive and intensive model of multimodal patient monitoring data

Yanbo Xu, Siddharth Biswal, Shriprasad R. Deshpande, Kevin O. Maher, Jimeng Sun

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

With the improvement of medical data capturing, vast amount of continuous patient monitoring data, e.g., electrocardiogram (ECG), real-time vital signs and medications, become available for clinical decision support at intensive care units (ICUs). However, it becomes increasingly challenging to model such data, due to high density of the monitoring data, heterogeneous data types and the requirement for interpretable models. Integration of these high-density monitoring data with the discrete clinical events (including diagnosis, medications, labs) is challenging but potentially rewarding since richness and granularity in such multimodal data increase the possibilities for accurate detection of complex problems and predicting outcomes (e.g., length of stay and mortality). We propose Recurrent Attentive and Intensive Model (RAIM) for jointly analyzing continuous monitoring data and discrete clinical events. RAIM introduces an efficient attention mechanism for continuous monitoring data (e.g., ECG), which is guided by discrete clinical events (e.g, medication usage). We apply RAIM in predicting physiological decompensation and length of stay in those critically ill patients at ICU. With evaluations on MIMIC-III Waveform Database Matched Subset, we obtain an AUC-ROC score of 90.18% for predicting decompensation and an accuracy of 86.82% for forecasting length of stay with our final model, which outperforms our six baseline models.

Original languageEnglish (US)
Title of host publicationKDD 2018 - Proceedings of the 24th ACM SIGKDD International Conference on Knowledge Discovery and Data Mining
PublisherAssociation for Computing Machinery
Pages2565-2573
Number of pages9
ISBN (Print)9781450355520
DOIs
StatePublished - Jul 19 2018
Externally publishedYes
Event24th ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, KDD 2018 - London, United Kingdom
Duration: Aug 19 2018Aug 23 2018

Publication series

NameProceedings of the ACM SIGKDD International Conference on Knowledge Discovery and Data Mining

Other

Other24th ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, KDD 2018
CountryUnited Kingdom
CityLondon
Period8/19/188/23/18

Keywords

  • Attention Model
  • Deep Neural Network
  • ECG waveforms
  • Electronic Health Records
  • Intensive Care Units
  • Multimodal
  • Time Series

ASJC Scopus subject areas

  • Software
  • Information Systems

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