Does a deep learning model based on convolutional neural networks improve the prediction of heart failure readmission compared to random forest models using unstructured clinical notes?
Deep learning models utilizing unstructured clinical discharge notes outperform traditional random forest machine learning models in predicting heart failure readmissions.
Heart failure hospitalization is a severe burden on healthcare. How to predict and therefore prevent readmission has been a significant challenge in outcomes research. To address this, we propose a deep learning approach to predict readmission from clinical notes. Unlike conventional methods that use structured data for prediction, we leverage the unstructured clinical notes to train deep learning models based on convolutional neural networks (CNN). We then use the trained models to classify and predict potentially high-risk admissions/patients. For evaluation, we trained CNNs using the discharge summary notes in the MIMIC III database. We also trained regular machine learning models based on random forest using the same datasets. The result shows that deep learning models outperform the regular models in prediction tasks. CNN method achieves a F1 score of 0.756 in general readmission prediction and 0.733 in 30-day readmission prediction, while random forest only achieves a F1 score of 0.674 and 0.656 respectively. We also propose a chi-square test based method to interpret key features associated with deep learning predicted readmissions. It reveals clinical insights about readmission embedded in the clinical notes. Collectively, our method can make the human evaluation process more efficient and potentially facilitate the reduction of readmission rates.
Liu et al. (Fri,) studied this question.