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キーワード:
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要旨:
Sepsis is a life-threatening host response to infection that is associated with high mortality, morbidity, and health costs. Its management is highly time-sensitive because each hour of delayed treatment increases mortality due to irreversible organ damage. Meanwhile, despite decades of clinical research, robust biomarkers for sepsis are missing. Therefore, detecting sepsis early by utilizing the affluence of high-resolution intensive care records has become a challenging machine learning problem. Recent advances in deep learning and data mining promise to deliver a powerful set of tools to efficiently address this task. This empirical study proposes two novel approaches for the early detection of sepsis: a deep learning model and a lazy learner that is based on time series distances. Our deep learning model employs a temporal convolutional network that is embedded in a multi-task Gaussian Process adapter framework, making it directly applicable to irregularly-spaced time series data. In contrast, our lazy learner is an ensemble approach that employs dynamic time warping. We frame the timely detection of sepsis as a supervised time series classification task. Consequently, we derive the most recent sepsis definition in an hourly resolution to provide the first fully accessible early sepsis detection environment. Seven hours before sepsis onset, our methods improve area under the precision–recall curve from 0.25 to 0.35 and 0.40, respectively, over the state of the art. This demonstrates that they are well-suited for detecting sepsis in the crucial earlier stages when management is most effective.
