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April 19, 2020JMIR Medical Informatics45 citationsOpen Access

Artificial Intelligence–Based Multimodal Risk Assessment Model for Surgical Site Infection (AMRAMS): Development and Validation Study

WCWeijia ChenZLZhijun LüLYLijue You

Structured PICO

Does an AI-based multimodal risk assessment model (AMRAMS) improve accuracy in predicting surgical site infections compared to conventional machine learning methods and the NNIS risk index?

P
Population
Patients at risk for surgical site infections (SSIs) with available EMR data and preoperative notes
I
Intervention
Artificial Intelligence-Based Multimodal Risk Assessment Model (AMRAMS) utilizing EMR data, deep learning methods (CNN and self-attention network), and semantic embeddings of preoperative notes
C
Comparator
Conventional machine learning methods and the NNIS risk index
O
Outcome
Accuracy of surgical site infection risk assessment

An AI-based multimodal risk assessment model using EMR data and deep learning improves the accuracy of predicting surgical site infections compared to the traditional NNIS risk index.

Abstract

Our AMRAMS based on EMR data and deep learning methods-CNN and self-attention network-had significant advantages in terms of accuracy compared with other conventional machine learning methods and the NNIS risk index. Moreover, the semantic embeddings of preoperative notes improved the model performance further. Our models could replace the NNIS risk index to provide personalized guidance for the preoperative intervention of SSIs. Through this case, we offered an easy-to-implement solution for building multimodal RAMs for other similar scenarios.

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Cite This Study

Chen et al. (2020) studied this question.

synapsesocial.com/papers/69d6c0b8733a2b54c8aa82d2https://doi.org/10.2196/18186
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