Cited by 45Machine Learning in HealthcareTime Series Analysis and ForecastingElectronic Health Records Systems

Modeling asynchronous event sequences with RNNs

Open access
Wu, Stephen, Liu, Sijia, Sohn, Sunghwan, Moon, Sungrim, Wi, Chung-il, Juhn, Young, Liu, Hongfang·2018·Journal of Biomedical Informatics

Abstract

Sequences of events have often been modeled with computational techniques, but typical preprocessing steps and problem settings do not explicitly address the ramifications of timestamped events. Clinical data, such as is found in electronic health records (EHRs), typically comes with timestamp information. In this work, we define event sequences and their properties: synchronicity, evenness, and co-cardinality; we then show how asynchronous, uneven, and multi-cardinal problem settings can support explicit accountings of relative time. Our evaluation uses the temporally sensitive clinical use case of pediatric asthma, which is a chronic disease with symptoms (and lack thereof) evolving over time. We show several approaches to explicitly incorporating relative time into a recurrent neural network (RNN) model that improve the overall classification of patients into those with no asthma, those with persistent asthma, those in long-term remission, and those who have experienced relapse. We also compare and contrast these results with those in an inpatient intensive care setting.

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  • Techniques and methods exist by which patients can be classified effectively as those who have asthma and those who do not have those in long-term remission.

    “There are techniques and methods by which patients can be classified effectively as those who have asthma and those who do not have those in long-term remission [66].”

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Research works printed but not linked: 5

  1. [2]Amodei D, Anubhai R, Battenberg E, Case C, Casper J, Catanzaro B, Chen J, Chrzanowski M, Coates A, Diamos G, 2015 Deep speech 2: End-to-end speech recognition in english and mandarin. arXiv preprint arXiv:1512.02595. · arXiv
  2. [9]Cui Z, Chen W, Chen Y, 2016 Multi-scale convolutional neural networks for time series classification. arXiv preprint arXiv: 1603 06995.
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  4. [28]Liu J, Zhao K, Kusy B, Wen J. r., Jurdak R, 2015 Temporal embedding in convolutional neural networks for robust learning of abstract snippets. arXiv preprint arXiv:1502.05113. · arXiv
  5. [53]Yi S, Ju J, Yoon M-K, Choi J, 2017 Grouped convolutional neural networks for multivariate time series. arXiv preprint arXiv:1703.09938. · arXiv

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Authors
Wu, S., Liu, S., Sohn, S., Moon, S., Wi, C.-I., Juhn, Y., & Liu, H.
Affiliations
Mayo Clinic (US)
Corresponding author
Wu, Stephen
Venue
Journal of Biomedical Informatics
Publisher
Elsevier BV
Published
2018-07
Volume
83
Pages
167-177
ISSN
1532-0464 (ISSN-L)
OpenAlex
W2806153517
Cited by
45
References
58
Citations by year
2026: 4 · 2025: 6 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 8 · 2020: 7 · 2019: 7
FWCI
3.10
Type
journal article
Language
en
Open access
Locations
  • Journal of Biomedical Informatics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
NIH (R21AI116839, R01LM011934)
Topics
  • Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning in Healthcare
  • Physical Sciences › Computer Science › Signal Processing › Time Series Analysis and Forecasting
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords
recurrent neural networks, electronic health records, childhood asthma, asthma classification, asthma relapse, synchronicity, intensive care, temporal sequence modeling
MeSH terms
Asthma, Child, Child, Preschool, Computer Simulation, Humans, Infant, Intensive Care Units, Recurrence, Neural Networks, Computer, Electronic Health Records

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