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Is Regular Re-Training of a Predictive Delirium Model Necessary After Deployment in Routine Care?

机译:在常规护理中部署后必要的预测谵妄模型是否定期重新培训?

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Adoption of electronic medical records in hospitals generates a large amount of data. Health care professionals can easily lose their sight on the important insights of the patients' clinical and medical history. Although machine learning algorithms have already proved their significance in healthcare research, remains a challenge translation and dissemination of fully automated prediction algorithms from research to decision support at the point of care. In this paper, we address the effect of changes in the characteristics of data over time on the performance of deployed models for the use case of predicting delirium in hospitalised patients. We have analysed the stability of models trained with subsets of data from one single year (2012, 2013...2016, respectively), and tested the models with data from 2017. Our results show that in the case of delirium prediction, the models were stable over time, indicating that re-training the models is not necessary e.g. once per year might be more than sufficient.
机译:通过医院的电子医疗记录采用大量数据。医疗保健专业人员可以很容易地对患者临床和医学史的重要见解失去视线。虽然机器学习算法已经证明了它们在医疗研究中的重要性,但仍然是一个挑战翻译和传播全自动预测算法从研究中的决策支持。在本文中,我们解决了在住院患者预测谵妄的使用情况的部署模型的绩效随着时间的推移变化的影响。我们已经分析了从一年内使用数据子集(分别为2016年2016年的数据集的模型的稳定性,并从2017年测试了数据。我们的结果表明,在谵妄预测,模型的情况表明随着时间的推移稳定,表明重新训练模型不是必需的,例如每年一次可能超过足够。

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