Abstract
Objectives
The appropriate care for patients admitted in Intensive care units (ICUs) is becoming increasingly prominent, thus recognizing the use of machine learning models. The real-time prediction of mortality of patients admitted in ICU has the potential for providing the physician with the interpretable results. With the growing crisis including soaring cost, unsafe care, misdirected care, fragmented care, chronic diseases and evolution of epidemic diseases in the domain of healthcare demands the application of automated and real-time data processing for assuring the improved quality of life. The intensive care units (ICUs) are responsible for generating a wealth of useful data in the form of Electronic Health Record (EHR). This data allows for the development of a prediction tool with perfect knowledge backing.
Method
We aimed to build the mortality prediction model on 2012 Physionet Challenge mortality prediction database of 4,000 patients admitted in ICU. The challenges in the dataset, such as high dimensionality, imbalanced distribution and missing values, were tackled with analytical methods and tools via feature engineering and new variable construction. The objective of the research is to utilize the relations among the clinical variables and construct new variables which would establish the effectiveness of 1-Dimensional Convolutional Neural Network (1-D CNN) with constructed features.
Results
Its performance with the traditional machine learning algorithms like XGBoost classifier, Light Gradient Boosting Machine (LGBM) classifier, Support Vector Machine (SVM), Decision Tree (DT), K-Neighbours Classifier (K-NN), and Random Forest Classifier (RF) and recurrent models like Long Short-Term Memory (LSTM) and LSTM-attention is compared for Area Under Curve (AUC). The investigation reveals the best AUC of 0.848 using 1-D CNN model.
Conclusion
The relationship between the various features were recognized. Also, constructed new features using existing ones. Multiple models were tested and compared on different metrics.
Research funding: None declared.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Competing interests: The authors declare no conflict of interest.
Ethical approval: T he conducted research is not related to either human or animal use.
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