TY - GEN
T1 - Stacked Attention-based Networks for Accurate and Interpretable Health Risk Prediction
AU - Liu, Yuxi
AU - Zhang, Zhenhao
AU - Thompson, Campbell
AU - Leibbrandt, Richard
AU - Qin, Shaowen
AU - Yepes, Antonio Jimeno
PY - 2023/8/2
Y1 - 2023/8/2
N2 - Predicting the health risks of patients based on electronic health records (EHRs) has recently attracted considerable research interest. Health risk refers to the probability of the occurrence of a specific health outcome for a specific patient. The predicted risks of a specific health outcome can be used to support decisions by healthcare professionals. Various predictive models have been developed. Compared with traditional machine learning models, deep learning-based models have achieved more promising performance. However, due to the lack of transparency, the acceptance of deep learning-based models are often limited. This paper proposes a Stacked Attention-based Network, SANet, for accurate and interpretable health risk prediction. Two novel attention-based modules, named Convolutional Attention Module and Sequential Attention Module respectively, are designed to capture patient-specific contextual information at both feature and sequence levels. Particularly, Sequential Attention Module can flexibly learn the impact of the time interval between sequential visits and significantly enhance the interpretability and robustness of learning outcomes from sequences. Experimental results on two real-world EHR datasets demonstrate the superior predictive accuracy of our method, as well as interpretability and robustness, compared to existing state-of-the-art methods. The findings extracted by this approach are also empirically confirmed by relevant literature and medical experts.
AB - Predicting the health risks of patients based on electronic health records (EHRs) has recently attracted considerable research interest. Health risk refers to the probability of the occurrence of a specific health outcome for a specific patient. The predicted risks of a specific health outcome can be used to support decisions by healthcare professionals. Various predictive models have been developed. Compared with traditional machine learning models, deep learning-based models have achieved more promising performance. However, due to the lack of transparency, the acceptance of deep learning-based models are often limited. This paper proposes a Stacked Attention-based Network, SANet, for accurate and interpretable health risk prediction. Two novel attention-based modules, named Convolutional Attention Module and Sequential Attention Module respectively, are designed to capture patient-specific contextual information at both feature and sequence levels. Particularly, Sequential Attention Module can flexibly learn the impact of the time interval between sequential visits and significantly enhance the interpretability and robustness of learning outcomes from sequences. Experimental results on two real-world EHR datasets demonstrate the superior predictive accuracy of our method, as well as interpretability and robustness, compared to existing state-of-the-art methods. The findings extracted by this approach are also empirically confirmed by relevant literature and medical experts.
KW - attention mechanism
KW - electronic health record
KW - in-hospital mortality prediction
KW - interpretability
UR - http://www.scopus.com/inward/record.url?scp=85169601501&partnerID=8YFLogxK
U2 - 10.1109/IJCNN54540.2023.10191099
DO - 10.1109/IJCNN54540.2023.10191099
M3 - Conference contribution
AN - SCOPUS:85169601501
T3 - Proceedings of the International Joint Conference on Neural Networks
BT - IJCNN 2023 - International Joint Conference on Neural Networks, Proceedings
PB - Institute of Electrical and Electronics Engineers
T2 - 2023 International Joint Conference on Neural Networks, IJCNN 2023
Y2 - 18 June 2023 through 23 June 2023
ER -