Prediction of blood culture outcome using hybrid neural network model based on electronic health records

• Main Authors: Ming Cheng, Xiaolei Zhao, Xianfei Ding, Jianbo Gao, Shufeng Xiong, Yafeng Ren
• Format: Article
• Language: English
• Published: BMC 2020-07-01
• Series: BMC Medical Informatics and Decision Making
• Subjects: Hybrid neural network; Long short-term memory; Electronic health records; Positive blood cultures prediction
• Online Access: http://link.springer.com/article/10.1186/s12911-020-1113-4

Abstract Background Blood cultures are often performed to detect patients who has a serious illness without infections and patients with bloodstream infections. Early positive blood culture prediction is important, as bloodstream infections may cause inflammation of the body, even organ failure or death. However, existing work mainly adopts statistical models with laboratory indicators, and fails to make full use of textual description information from EHRs. Methods We study the problem of positive blood culture prediction by using neural network model. Specifically, we first construct dataset from raw EHRs. Then we propose a hybrid neural network which incorporates attention based Bi-directional Long Short-Term Memory and Autoencoder networks to fully capture the information in EHRs. Results In order to evaluate the proposed method, we constructe a dataset which consists of totally 5963 patients who had one or more blood cultures tests during hospitalization. Experimental results show that the proposed neural model gets 91.23% F-measure for this task. Conclusions The comparison results of different models demonstrated the effectiveness of our model. The proposed model outperformed traditional statistical models.