1. Zero shot health trajectory prediction using transformer.
- Author
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Renc, Pawel, Jia, Yugang, Samir, Anthony E., Was, Jaroslaw, Li, Quanzheng, Bates, David W., and Sitek, Arkadiusz
- Subjects
DECISION support systems ,COMPUTER software ,RECEIVER operating characteristic curves ,CLINICAL decision support systems ,ARTIFICIAL intelligence ,PATIENT readmissions ,PROBABILITY theory ,DECISION making in clinical medicine ,HOSPITAL mortality ,DESCRIPTIVE statistics ,INTENSIVE care units ,MACHINE learning ,LENGTH of stay in hospitals ,CONFIDENCE intervals ,REGRESSION analysis ,EVALUATION - Abstract
Integrating modern machine learning and clinical decision-making has great promise for mitigating healthcare's increasing cost and complexity. We introduce the Enhanced Transformer for Health Outcome Simulation (ETHOS), a novel application of the transformer deep-learning architecture for analyzing high-dimensional, heterogeneous, and episodic health data. ETHOS is trained using Patient Health Timelines (PHTs)—detailed, tokenized records of health events—to predict future health trajectories, leveraging a zero-shot learning approach. ETHOS represents a significant advancement in foundation model development for healthcare analytics, eliminating the need for labeled data and model fine-tuning. Its ability to simulate various treatment pathways and consider patient-specific factors positions ETHOS as a tool for care optimization and addressing biases in healthcare delivery. Future developments will expand ETHOS' capabilities to incorporate a wider range of data types and data sources. Our work demonstrates a pathway toward accelerated AI development and deployment in healthcare. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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