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arXiv 2210.02490cs.LGcs.AI

利用深度学习分析NIH N3C和RECOVER项目的历史诊断代码数据以确定长新冠风险因素

Analyzing historical diagnosis code data from NIH N3C and RECOVER Programs using deep learning to determine risk factors for Long Covid

University of Virginia(弗吉尼亚大学);NIH(美国国立卫生研究院)

Saurav Sengupta, Johanna Loomba, Suchetha Sharma, Donald E. Brown, Lorna Thorpe, Melissa A Haendel, Christopher G Chute, Stephanie Hong

AI总结:

本文提出一种可解释的深度学习模型,利用N3C历史诊断代码预测长新冠风险,准确率达70.48%,并通过GradCAM识别关键诊断代码及其时间趋势。

摘要:

严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)感染后遗症(PASC)或长新冠(Long COVID)是一种新兴的医疗状况,已在多名COVID-19检测阳性的患者中观察到。历史电子健康记录(EHR),如诊断代码、实验室结果和临床笔记,已被利用深度学习进行分析,并用于预测未来的临床事件。在本文中,我们提出了一种可解释的深度学习方法来分析来自国家COVID队列协作组(N3C)的历史诊断代码数据,以找出导致发展为长新冠的风险因素。利用我们的深度学习方法,我们能够根据每位患者首次COVID阳性检测或诊断后长达45天的时间顺序诊断代码列表,预测患者是否患有长新冠,准确率达到70.48%。随后,我们使用梯度加权类激活映射(GradCAM)检查训练好的模型,为每个输入诊断分配一个分数。得分最高的诊断被认为是对患者做出正确预测最重要的。我们还提出了一种方法来总结我们队列中每位患者的这些顶级诊断,并观察其时间趋势,以确定哪些代码有助于阳性长新冠诊断。

英文摘要:

Post-acute sequelae of SARS-CoV-2 infection (PASC) or Long COVID is an emerging medical condition that has been observed in several patients with a positive diagnosis for COVID-19. Historical Electronic Health Records (EHR) like diagnosis codes, lab results and clinical notes have been analyzed using deep learning and have been used to predict future clinical events. In this paper, we propose an interpretable deep learning approach to analyze historical diagnosis code data from the National COVID Cohort Collective (N3C) to find the risk factors contributing to developing Long COVID. Using our deep learning approach, we are able to predict if a patient is suffering from Long COVID from a temporally ordered list of diagnosis codes up to 45 days post the first COVID positive test or diagnosis for each patient, with an accuracy of 70.48\%. We are then able to examine the trained model using Gradient-weighted Class Activation Mapping (GradCAM) to give each input diagnoses a score. The highest scored diagnosis were deemed to be the most important for making the correct prediction for a patient. We also propose a way to summarize these top diagnoses for each patient in our cohort and look at their temporal trends to determine which codes contribute towards a positive Long COVID diagnosis.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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