Outcomes-Driven Clinical Phenotyping in Cardiogenic Shock using a Mixture of Experts

Nathan C. Hurley, Alyssa Berkowitz, Frederick Masoudi, Joseph Ross, Nihar Desai, Nilay Shah, Sanket Dhruva, Bobak J. Mortazavi

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Cardiogenic shock (CS) is a deadly and complicated illness. Despite extensive research into its treatment, mortality remains high and has not decreased over time. Patients suffering from CS are highly heterogeneous. Developing an understanding of phenotypes among these patients is crucial for understanding this disease and appropriate treatments for individual patients. In this work, we develop a deep mixture of experts approach to jointly find phenotypes among patients with CS while simultaneously estimating their risk of in-hospital mortality. This model is applied to a cohort of 28,304 patients with CS, predicting in-hospital mortality with an AUROC of 0.85 ± 0.01 and discovering five phenotypes among the population. This approach allows for grouping patients in clinical clusters with different rates of device utilization and different risk of mortality. This approach jointly finds phenotypes within a clinical population and in modeling risk among that population.

Original languageEnglish (US)
Title of host publicationBHI 2021 - 2021 IEEE EMBS International Conference on Biomedical and Health Informatics, Proceedings
PublisherInstitute of Electrical and Electronics Engineers Inc.
ISBN (Electronic)9781665403580
DOIs
StatePublished - 2021
Event2021 IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2021 - Virtual, Online, Greece
Duration: Jul 27 2021Jul 30 2021

Publication series

NameBHI 2021 - 2021 IEEE EMBS International Conference on Biomedical and Health Informatics, Proceedings

Conference

Conference2021 IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2021
Country/TerritoryGreece
CityVirtual, Online
Period7/27/217/30/21

Keywords

  • Cardiology
  • Knowledge engineering
  • Machine learning
  • Medical information systems
  • Neural networks

ASJC Scopus subject areas

  • Artificial Intelligence
  • Computer Science Applications
  • Information Systems and Management
  • Health Informatics
  • Health(social science)

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