Interdisciplinary development and application of computational methods in informatics for clinical applications.
Author(s): Albers, David, Cato, Kenrick, Layton, Anita, Rossetti, Sarah C
DOI: 10.1093/jamia/ocaf209
Author(s): Albers, David, Cato, Kenrick, Layton, Anita, Rossetti, Sarah C
DOI: 10.1093/jamia/ocaf209
Clinicians currently make decisions about placing an intracranial pressure (ICP) monitor in children with traumatic brain injury (TBI) without the benefit of an accurate clinical decision support tool. The goal of this study was to develop and validate a model that predicts placement of an ICP monitor and updates as new information becomes available.
Author(s): Russell, Seth, DeWitt, Peter E, Helmkamp, Laura, Colborn, Kathryn, Gray, Charlotte, Rebull, Margaret, Sierra, Yamila L, Greer, Rachel, Petruccelli, Lexi, Shankman, Sara, Hankinson, Todd C, Xing, Fuyong, Albers, David J, Bennett, Tellen D
DOI: 10.1093/jamia/ocaf120
Emerging efforts to identify patients at risk of suicide have focused on the development of predictive algorithms for use in healthcare settings. We address a major challenge in effective risk modeling in healthcare settings with insufficient data with which to create and apply risk models. This study aimed to improve risk prediction using transfer learning or data fusion by incorporating risk information from external data sources to augment the data [...]
Author(s): Sacco, Shane J, Chen, Kun, Wang, Fei, Rogers, Steven C, Aseltine, Robert H
DOI: 10.1093/jamia/ocaf126
The integration of predictive models into live clinical care requires scientific testing before implementation to ensure patient safety. We built and technically implemented a model that predicts which patients require an electrocardiogram (ECG) to screen for heart attacks within 10 minutes of their arrival to the Emergency Department. We developed a structured framework for the in vitro to in vivo translation of the model through implementation as clinical decision support [...]
Author(s): Bunney, Gabrielle, Miller, Kate, Graber-Naidich, Anna, Kabeer, Rana, Bloos, Sean M, Wessels, Alexander J, Pasao, Melissa A, Rizvi, Marium, Brown, Ian P, Yiadom, Maame Yaa A B
DOI: 10.1093/jamia/ocaf101
This study aims to enhance the diagnostic process for rare diseases using case-based reasoning (CBR). CBR compares new cases with historical data, utilizing both structured and unstructured clinical data.
Author(s): Noll, Richard, Berger, Alexandra, Facchinello, Carlo, Stratmann, Katharina, Schaaf, Jannik, Storf, Holger
DOI: 10.1093/jamia/ocaf092
Extracting social determinants of health (SDoHs) from medical notes depends heavily on labor-intensive annotations, which are typically task-specific, hampering reusability and limiting sharing. Here, we introduce SDoH-GPT, a novel framework leveraging few-shot learning large language models (LLMs) to automate the extraction of SDoH from unstructured text, aiming to improve both efficiency and generalizability.
Author(s): Consoli, Bernardo, Wang, Haoyang, Wu, Xizhi, Wang, Song, Zhao, Xinyu, Wang, Yanshan, Rousseau, Justin, Hartvigsen, Tom, Shen, Li, Wu, Huanmei, Peng, Yifan, Long, Qi, Chen, Tianlong, Ding, Ying
DOI: 10.1093/jamia/ocaf094
Frequent premature ventricular complexes (PVCs) can lead to adverse health conditions such as cardiomyopathy. The linear correlation between PVC frequency and heart rate (as positive, negative, or neutral) on a 24-hour Holter recording has been proposed as a way to classify patients and guide treatment with beta-blockers. Our objective was to evaluate the robustness of this classification to measurement methodology, different 24-hour periods, and nonlinear dependencies of PVCs on heart [...]
Author(s): Osakwe, Adrien, Wightman, Noah, Deyell, Marc W, Laksman, Zachary, Shrier, Alvin, Bub, Gil, Glass, Leon, Bury, Thomas M
DOI: 10.1093/jamia/ocaf069
To develop an electronic medical record (EMR) data processing tool that confers clinical context to machine learning (ML) algorithms for error handling, bias mitigation, and interpretability.
Author(s): Arora, Mehak, Mortagy, Hassan, Dwarshuis, Nathan, Wang, Jeffrey, Yang, Philip, Holder, Andre L, Gupta, Swati, Kamaleswaran, Rishikesan
DOI: 10.1093/jamia/ocaf058
Heightened muscular effort and breathlessness (dyspnea) are disabling sensory experiences. We sought to improve the current approach of assessing these symptoms only at the maximal effort to new paradigms based on their continuous quantification throughout cardiopulmonary exercise testing (CPET).
Author(s): Hijleh, Abed A, Wang, Sophia, Berton, Danilo C, Neder-Serafini, Igor, Vincent, Sandra, James, Matthew, Domnik, Nicolle, Phillips, Devin, Nery, Luiz E, O'Donnell, Denis E, Neder, J Alberto
DOI: 10.1093/jamia/ocaf051
Report the development of the patient-centered myAURA application and suite of methods designed to aid epilepsy patients, caregivers, and clinicians in making decisions about self-management and care.
Author(s): Correia, Rion Brattig, Rozum, Jordan C, Cross, Leonard, Felag, Jack, Gallant, Michael, Guo, Ziqi, Herr, Bruce W, Min, Aehong, Sanchez-Valle, Jon, Stungis Rocha, Deborah, Valencia, Alfonso, Wang, Xuan, Börner, Katy, Miller, Wendy, Rocha, Luis M
DOI: 10.1093/jamia/ocaf012