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Deep Patient Representation of Clinical Notes via Multi-Task Learning for Mortality Prediction

机译:通过多任务学习对死亡率进行深度患者临床表征

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摘要

We propose a deep learning-based multi-task learning (MTL) architecture focusing on patient mortality predictions from clinical notes. The MTL framework enables the model to learn a patient representation that generalizes to a variety of clinical prediction tasks. Moreover, we demonstrate how MTL enables small but consistent gains on a single classification task (e.g., in-hospital mortality prediction) simply by incorporating related tasks (e.g., 30-day and 1-year mortality prediction) into the MTL framework. To accomplish this, we utilize a multi-level Convolutional Neural Network (CNN) associated with a MTL loss component. The model is evaluated with 3, 5, and 20 tasks and is consistently able to produce a higher-performing model than a single-task learning (STL) classifier. We further discuss the effect of the multi-task model on other clinical outcomes of interest, including being able to produce high-quality representations that can be utilized to great effect by simpler models. Overall, this study demonstrates the efficiency and generalizability of MTL across tasks that STL fails to leverage.
机译:我们提出了一种基于深度学习的多任务学习(MTL)架构,重点是根据临床笔记预测患者的死亡率。 MTL框架使模型能够学习概括到各种临床预测任务的患者代表。此外,我们仅通过将相关任务(例如30天和1年死亡率预测)合并到MTL框架中,即可证明MTL如何在单个分类任务(例如医院内死亡率预测)上实现小而一致的收益。为此,我们利用了与MTL损失分量相关联的多级卷积神经网络(CNN)。该模型通过3、5和20个任务进行评估,并且始终能够生成比单任务学习(STL)分类器更高性能的模型。我们进一步讨论了多任务模型对其他感兴趣的临床结局的影响,包括能够产生高质量的表示形式,可以通过简单的模型产生巨大的效果。总的来说,这项研究证明了MTL在STL无法利用的任务上的效率和通用性。

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