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arXiv 2602.09079cs.LG
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患者风险分层的基础模型用于低风险超重患者

Patient foundation model for risk stratification in low-risk overweight patients

Zephyr AI, Inc.(Zephyr AI公司)

Zachary N. Flamholz, Dillon Tracy, Ripple Khera, Jordan Wolinsky, Nicholas Lee, Nathaniel Tann, Xiao Yin Zhu, Harry Phillips, Jeffrey Sherman

AI总结:

PatientTPP通过整合临床知识和时间序列数据,为低风险超重患者的风险分层提供可解释的通用模型,有效提升心血管相关医疗成本的预测能力。

摘要:

在超重或肥胖患者中实现准确的风险分层对于指导预防性护理和分配高成本治疗如GLP-1受体激动剂至关重要。我们提出了PatientTPP,一种在超过500,000个真实世界临床轨迹上训练的神经时序点过程(TPP)模型,用于从诊断、实验室检查和药物的序列中学习患者表示。我们扩展了现有的TPP建模方法,以包含静态和数值特征,并整合临床知识用于事件编码。PatientTPP的表示支持下游预测任务,包括对低风险个体中与肥胖相关的结局的分类,即使对于在训练过程中未显式建模的事件也是如此。在健康经济评估中,PatientTPP在按未来心血管相关医疗成本分层患者方面优于体重指数,在识别高风险患者方面更加高效。通过建模临床事件的类型和时间,PatientTPP提供了一个可解释、通用的患者风险建模基础,直接应用于与肥胖相关的护理和成本目标。

英文摘要:

Accurate risk stratification in patients with overweight or obesity is critical for guiding preventive care and allocating high-cost therapies such as GLP-1 receptor agonists. We present PatientTPP, a neural temporal point process (TPP) model trained on over 500,000 real-world clinical trajectories to learn patient representations from sequences of diagnoses, labs, and medications. We extend existing TPP modeling approaches to include static and numeric features and incorporate clinical knowledge for event encoding. PatientTPP representations support downstream prediction tasks, including classification of obesity-associated outcomes in low-risk individuals, even for events not explicitly modeled during training. In health economic evaluation, PatientTPP outperformed body mass index in stratifying patients by future cardiovascular-related healthcare costs, identifying higher-risk patients more efficiently. By modeling both the type and timing of clinical events, PatientTPP offers an interpretable, general-purpose foundation for patient risk modeling with direct applications to obesity-related care and cost targeting.

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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