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http://dx.doi.org/10.9708/jksci.2022.27.12.069

Method of preventing Pressure Ulcer and EMR data preprocess  

Kim, Dowon (Dept. of Computer Science and Engineering, Kangwon National University)
Kim, Minkyu (Dept. of Research and Development, ZIOVISION Co. Ltd)
Kim, Yoon (Dept. of Computer Science and Engineering, Kangwon National University)
Han, Seon-Sook (Dept. of Internal Medicine, Kangwon National University Hospital)
Heo, Jungwon (Dept. of Internal Medicine, Kangwon National University Hospital)
Choi, Hyun-Soo (Dept. of Computer Science and Engineering, Kangwon National University, Dept. of Computer Science and Engineering, Seoul National University of Science and Technology)
Abstract
This paper proposes a method of refining and processing time-series data using Medical Information Mart for Intensive Care (MIMIC-IV) v2.0 data. In addition, the significance of the processing method was validated through a machine learning-based pressure ulcer early warning system using a dataset processed based on the proposed method. The implemented system alerts medical staff in advance 12 and 24 hours before a lesion occurs. In conjunction with the Electronic Medical Record (EMR) system, it informs the medical staff of the risk of a patient's pressure ulcer development in real-time to support a clinical decision, and further, it enables the efficient allocation of medical resources. Among several machine learning models, the GRU model showed the best performance with AUROC of 0.831 for 12 hours and 0.822 for 24 hours.
Keywords
Pressure Ulcer; Time-series; EMR; Deep Learning;
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1 In Sook Cho, H A Park, E J Chung, H S Lee, "Formative Evaluation of Standard Terminology-based Electronic Nursing Record System in Clinical Setting", Journal of Korean Socirety of Medical Informatics, 9(4), pp.413-421, December 2003, DOI: https://doi.org/10.4258/jksmi.2003.9.4.413   DOI
2 Johnson, A., Pollard, T., Shen, L. et al. "MIMIC-III, a freely accessible critical care database", Sci Data 3, 160035, May 2016, DOI: https://doi.org/10.1038/sdata.2016.35   DOI
3 Alistair E W Johnson, David J Stone, Leo A Celi, Tom J Pollard, "The MIMIC Code Repository: enabling reproducibility in critical care research", Journal of the American Medical Informatics Association, 25(1) 32-39, January 2018, DOI: https://doi.org/10.1093/jamia/ocx084   DOI
4 Shengpu Tang, Parmida Davarmanesh, Yanmeng Song, Danai Koutra, Michael W Sjoding, Jenna Wiens, "Democratizing EHR analyses with FIDDLE: a flexible data-driven preprocessing pipeline for structured clinical data", Journal of the American Medical Informatics Association, volume 27(12), December 2020, pp.1921-1934, DOI: https://doi.org/10.1093/jamia/ocaa139   DOI
5 Sanjay Purushotham, Chuizheng Meng, Zhengping Che, Yan Liu, "Benchmarking deep learning models on large healthcare datasets", Journal of Biomedical Informatics, volume 83, pp.112-134, June 2018, DOI: https://doi.org/10.1016/j.jbi.2018.04.007.   DOI
6 Shirly Wang, Matthew B. A. McDermott, Geeticka Chauhan, Marzyeh Ghassemi, Michael C. Hughes, and Tristan Naumann. "MIMIC-Extract: a data extraction, preprocessing, and representation pipeline for MIMIC-III", Association for Computing Machinery, CHIL '20, pp.222-235, April 2020, DOI: https://doi.org/10.1145/3368555.3384469   DOI
7 Walther, F., Heinrich, L., Schmitt, J. et al. "Prediction of inpatient pressure ulcers based on routine healthcare data using machine learning methodology". Sci Rep volume 12(5044), March 2022, DOI: https://doi.org/10.1038/s41598-022-09050-x   DOI
8 Cramer EM, Seneviratne MG, Sharifi H, Ozturk A, Hernandez-Boussard T., "Predicting the Incidence of Pressure Ulcers in the Intensive Care Unit Using Machine Learning", EGEMS, volume 7(1), pp.49, September 2019, DOI: 10.5334/egems.307   DOI
9 Nassar, A.P., Malbouisson, L.S. & Moreno R., "Evaluation of simplified acute physiology score 3 performance: a systematic review of external validation studies", Crit Care 18, R117, June 2014, DOI: https://doi.org/10.1186/cc13911   DOI
10 Chung Hee Lee, Young Hee Sung, Yeon Yi Jung and Jeong Lim Lee. "A Study on the Effects of EMR on Nursing Documentation", Journal of Korean Society of Medical Informatics, volume 6(4), pp.87-97, December 2000, DOI: https://doi.org/10.4258/jksmi.2000.6.4.87   DOI
11 Seul Ki Park, Hyeoun-Ae Park, Hee Hwang, "Development and Evaluation of Electronic Health Record Data-Drived Predictive Models for Pressure Ulcers", J Korean Acad Nurs, volume 49(5), pp.575-585, January 2019, DOI: https://doi.org/10.4040/jkan.2019.49.5.575   DOI
12 Knaus WA, Draper EA, Wagner DP, Zimmerman JE., "APACHE II: a severity of disease classification system", Critical Care Medicine, 13(10), pp.818-829, October 1985, PMID: 3928249   DOI
13 In Sook Cho, Ho Yeoun Yoon, Park Sang Im, Lee Hyun Sook, "Availability of Nursing Data in an Electronic Nursing Tecord System for a Development of a Risk Assessment Tool for Pressure ulcers", Journal of Korean Socirety of Medical Informatics, 14(2), pp.161-168, June 2008, DOI: https://doi.org/10.4258/jksmi.2008.14.2.161   DOI
14 Goldberger, A., Amaral, L., Glass, L., Hausdorff, J., Ivanov, P.C., Mark, R., Mietus, J.E., Moody, G.B., Peng, C.K. and Stanley, H.E., MIMIC-IV (version 2.0), PhysioNet, DOI: https://doi.org/10.13026/7vcr-e114   DOI
15 Simon Lebech Cichosz, Anne-Birgitte Voelsang, Lise Tarnow, John Michael Hasenkam, and Jesper Fleischer, "Prediction of In-Hospital Pressure Ulcer Development", Advances in Wound Care, 8(1), pp.1-6, January 2019, DOI: http://doi.org/10.1089/wound.2018.0803   DOI