[go: up one dir, main page]
More Web Proxy on the site http://driver.im/ skip to main content
10.1145/3459930.3469513acmconferencesArticle/Chapter ViewAbstractPublication PagesbcbConference Proceedingsconference-collections
research-article

KGDAL: knowledge graph guided double attention LSTM for rolling mortality prediction for AKI-D patients

Published: 01 August 2021 Publication History

Abstract

With the rapid accumulation of electronic health record (EHR) data, deep learning (DL) models have exhibited promising performance on patient risk prediction. Recent advances have also demonstrated the effectiveness of knowledge graphs (KG) in providing valuable prior knowledge for further improving DL model performance. However, it is still unclear how KG can be utilized to encode highorder relations among clinical concepts and how DL models can make full use of the encoded concept relations to solve real-world healthcare problems and to interpret the outcomes. We propose a novel knowledge graph guided double attention LSTM model named KGDAL for rolling mortality prediction for critically ill patients with acute kidney injury requiring dialysis (AKI-D). KGDAL constructs a KG-based two-dimension attention in both time and feature spaces. In the experiment with two large healthcare datasets, we compared KGDAL with a variety of rolling mortality prediction models and conducted an ablation study to test the effectiveness, efficacy, and contribution of different attention mechanisms. The results showed that KGDAL clearly outperformed all the compared models. Also, KGDAL-derived patient risk trajectories may assist healthcare providers to make timely decisions and actions. The source code, sample data, and manual of KGDAL are available at https://github.com/lucasliu0928/KGDAL.

References

[1]
Dzmitry Bahdanau, Kyunghyun Cho, and Yoshua Bengio. 2014. Neural machine translation by jointly learning to align and translate. arXiv preprint arXiv:1409.0473 (2014).
[2]
Antoine Bordes, Nicolas Usunier, Alberto Garcia-Duran, Jason Weston, and Ok-sana Yakhnenko. 2013. Translating embeddings for modeling multi-relational data. In Neural Information Processing Systems (NIPS). 1--9.
[3]
Yixin Cao, Xiang Wang, Xiangnan He, Zikun Hu, and Tat-Seng Chua. 2019. Unifying knowledge graph learning and recommendation: Towards a better understanding of user preferences. In The world wide web conference. 151--161.
[4]
Sneha Chaudhari, Gungor Polatkan, Rohan Ramanath, and Varun Mithal. 2019. An attentive survey of attention models. arXiv preprint arXiv:1904.02874 (2019).
[5]
Lakhmir S Chawla, Richard L Amdur, Susan Amodeo, Paul L Kimmel, and Carlos E Palant. 2011. The severity of acute kidney injury predicts progression to chronic kidney disease. Kidney international 79, 12 (2011), 1361--1369.
[6]
Lakhmir S Chawla, Paul W Eggers, Robert A Star, and Paul L Kimmel. 2014. Acute kidney injury and chronic kidney disease as interconnected syndromes. New England Journal of Medicine 371, 1 (2014), 58--66.
[7]
Tianqi Chen and Carlos Guestrin. 2016. Xgboost: A scalable tree boosting system. In Proceedings of the 22nd acm sigkdd international conference on knowledge discovery and data mining. 785--794.
[8]
Kyunghyun Cho, Bart Van Merriënboer, Dzmitry Bahdanau, and Yoshua Bengio. 2014. On the properties of neural machine translation: Encoder-decoder approaches. arXiv preprint arXiv:1409.1259 (2014).
[9]
Edward Choi, Mohammad Taha Bahadori, Andy Schuetz, Walter F Stewart, and Jimeng Sun. 2016. Doctor ai: Predicting clinical events via recurrent neural networks. In Machine learning for healthcare conference. PMLR, 301--318.
[10]
Edward Choi, Mohammad Taha Bahadori, Le Song, Walter F Stewart, and Jimeng Sun. 2017. GRAM: graph-based attention model for healthcare representation learning. In Proceedings of the 23rd ACM SIGKDD international conference on knowledge discovery and data mining. 787--795.
[11]
Henrik Gammelager, Christian Fynbo Christiansen, Martin Berg Johansen, Else Tønnesen, Bente Jespersen, and Henrik Toft Sørensen. 2014. Three-year risk of cardiovascular disease among intensive care patients with acute kidney injury: a population-based cohort study. Critical care 18, 5 (2014), 1--10.
[12]
Michael Heung, Diane E Steffick, Kara Zivin, Brenda W Gillespie, Tanushree Banerjee, Chi-yuan Hsu, Neil R Powe, Meda E Pavkov, Desmond E Williams, Rajiv Saran, et al. 2016. Acute kidney injury recovery pattern and subsequent risk of CKD: an analysis of veterans health administration data. American Journal of Kidney Diseases 67, 5 (2016), 742--752.
[13]
LaTonya J Hickson, Sanjay Chaudhary, Amy W Williams, John J Dillon, Suzanne M Norby, James R Gregoire, Robert C Albright Jr, James T McCarthy, Bjorg Thorsteinsdottir, and Andrew D Rule. 2015. Predictors of outpatient kidney function recovery among patients who initiate hemodialysis in the hospital. American Journal of Kidney Diseases 65, 4 (2015), 592--602.
[14]
Sepp Hochreiter and Jürgen Schmidhuber. 1997. Long short-term memory. Neural computation 9, 8 (1997), 1735--1780.
[15]
Raymond K Hsu and Chi-yuan Hsu. 2016. The role of acute kidney injury in chronic kidney disease. In Seminars in nephrology, Vol. 36. Elsevier, 283--292.
[16]
Areef Ishani, Jay L Xue, Jonathan Himmelfarb, Paul W Eggers, Paul L Kimmel, Bruce A Molitoris, and Allan J Collins. 2009. Acute kidney injury increases risk of ESRD among elderly. Journal of the American Society of Nephrology 20, 1 (2009), 223--228.
[17]
Alistair EW Johnson and Roger G Mark. 2017. Real-time mortality prediction in the Intensive Care Unit. In AMIA Annual Symposium Proceedings, Vol. 2017. American Medical Informatics Association, 994.
[18]
Alistair EW Johnson, Tom J Pollard, Lu Shen, Li-wei H Lehman, Mengling Feng, Mohammad Ghassemi, Benjamin Moody, Peter Szolovits, Leo Anthony Celi, and Roger G Mark. 2016. MIMIC-III, a freely accessible critical care database. Scientific data 3 (2016), 160035.
[19]
Soo Yeon Kim, Saehoon Kim, Joongbum Cho, Young Suh Kim, In Suk Sol, Youngchul Sung, Inhyeok Cho, Minseop Park, Haerin Jang, Yoon Hee Kim, et al. 2019. A deep learning model for real-time mortality prediction in critically ill children. Critical care 23, 1 (2019), 1--10.
[20]
Sebastian Köhler, Michael Gargano, Nicolas Matentzoglu, Leigh C Carmody, David Lewis-Smith, Nicole A Vasilevsky, Daniel Danis, Ganna Balagura, Gareth Baynam, Amy M Brower, et al. 2021. The Human Phenotype Ontology in 2021. Nucleic acids research 49, D1 (2021), D1207--D1217.
[21]
Jay L Koyner, Kyle A Carey, Dana P Edelson, and Matthew M Churpek. 2018. The development of a machine learning inpatient acute kidney injury prediction model. Critical care medicine 46, 7 (2018), 1070--1077.
[22]
Ke Lin, Yonghua Hu, and Guilan Kong. 2019. Predicting in-hospital mortality of patients with acute kidney injury in the ICU using random forest model. International journal of medical informatics 125 (2019), 55--61.
[23]
Lowell J Lo, Alan S Go, Glenn M Chertow, Charles E McCulloch, Dongjie Fan, Juan D Ordoñez, and Chi-yuan Hsu. 2009. Dialysis-requiring acute renal failure increases the risk of progressive chronic kidney disease. Kidney international 76, 8 (2009), 893--899.
[24]
Minh-Thang Luong, Hieu Pham, and Christopher D Manning. 2015. Effective approaches to attention-based neural machine translation. arXiv preprint arXiv:1508.04025 (2015).
[25]
Rakesh Malhotra, Kianoush B Kashani, Etienne Macedo, Jihoon Kim, Josee Bouchard, Susan Wynn, Guangxi Li, Lucila Ohno-Machado, and Ravindra Mehta. 2017. A risk prediction score for acute kidney injury in the intensive care unit. Nephrology Dialysis Transplantation 32, 5 (2017), 814--822.
[26]
Ayodele Odutayo, Christopher X Wong, Michael Farkouh, Douglas G Altman, Sally Hopewell, Connor A Emdin, and Benjamin H Hunn. 2017. AKI and long-term risk for cardiovascular events and mortality. Journal of the American Society of Nephrology 28, 1 (2017), 377--387.
[27]
Peter N Robinson, Sebastian Köhler, Sebastian Bauer, Dominik Seelow, Denise Horn, and Stefan Mundlos. 2008. The Human Phenotype Ontology: a tool for annotating and analyzing human hereditary disease. The American Journal of Human Genetics 83, 5 (2008), 610--615.
[28]
Alexis Sardá-Espinosa. 2019. Time-Series Clustering in R Using the dtwclust Package. The R Journal (2019).
[29]
Abraham Schoe, Ferishta Bakhshi-Raiez, Nicolette de Keizer, Jaap T van Dissel, and Evert de Jonge. 2020. Mortality prediction by SOFA score in ICU-patients after cardiac surgery; comparison with traditional prognostic-models. BMC anesthesiology 20, 1 (2020), 1--8.
[30]
Khaled Shawwa, Erina Ghosh, Stephanie Lanius, Emma Schwager, Larry Eshelman, and Kianoush B Kashani. 2020. Predicting acute kidney injury in critically ill patients using comorbid conditions utilizing machine learning. Clinical Kidney Journal (2020).
[31]
Benjamin Shickel, Patrick James Tighe, Azra Bihorac, and Parisa Rashidi. 2017. Deep EHR: a survey of recent advances in deep learning techniques for electronic health record (EHR) analysis. IEEE journal of biomedical and health informatics 22, 5 (2017), 1589--1604.
[32]
Anima Singh, Girish Nadkarni, Omri Gottesman, Stephen B Ellis, Erwin P Bottinger, and John V Guttag. 2015. Incorporating temporal EHR data in predictive models for risk stratification of renal function deterioration. Journal of biomedical informatics 53 (2015), 220--228.
[33]
Paweena Susantitaphong, Dinna N Cruz, Jorge Cerda, Maher Abulfaraj, Fahad Alqahtani, Ioannis Koulouridis, and Bertrand L Jaber. 2013. World incidence of AKI: a meta-analysis. Clinical Journal of the American Society of Nephrology 8, 9 (2013), 1482--1493.
[34]
Lynda A Szczech, William Harmon, Thomas H Hostetter, Paul E Klotman, Neil R Powe, John R Sedor, Paul Smedberg, and Jonathan Himmelfarb. 2009. World Kidney Day 2009: problems and challenges in the emerging epidemic of kidney disease.
[35]
Charuhas V Thakar, Annette Christianson, Jonathan Himmelfarb, and Anthony C Leonard. 2011. Acute kidney injury episodes and chronic kidney disease risk in diabetes mellitus. Clinical journal of the American Society of Nephrology 6, 11 (2011), 2567--2572.
[36]
Ashish Vaswani, Noam Shazeer, Niki Parmar, Jakob Uszkoreit, Llion Jones, Aidan N Gomez, Lukasz Kaiser, and Illia Polosukhin. 2017. Attention is all you need. arXiv preprint arXiv:1706.03762 (2017).
[37]
Thierry Verplancke, Stijn Van Looy, Dominique Benoit, Stijn Vansteelandt, Pieter Depuydt, Filip De Turck, and Johan Decruyenaere. 2008. Support vector machine versus logistic regression modeling for prediction of hospital mortality in critically ill patients with haematological malignancies. BMC medical informatics and decision making 8, 1 (2008), 1--8.
[38]
Sushrut S Waikar, Ron Wald, Glenn M Chertow, Gary C Curhan, Wolfgang C Winkelmayer, Orfeas Liangos, Marie-Anne Sosa, and Bertrand L Jaber. 2006. Validity of international classification of diseases, ninth revision, clinical modification codes for acute renal failure. Journal of the American Society of Nephrology 17, 6 (2006), 1688--1694.
[39]
Vin-Cent Wu, Che-Hsiung Wu, Tao-Min Huang, Cheng-Yi Wang, Chun-Fu Lai, Chih-Chung Shiao, Chia-Hsui Chang, Shuei-Liong Lin, Yen-Yuan Chen, Yung-Ming Chen, et al. 2014. Long-term risk of coronary events after AKI. Journal of the American Society of Nephrology 25, 3 (2014), 595--605.
[40]
Changchang Yin, Rongjian Zhao, Buyue Qian, Xin Lv, and Ping Zhang. 2019. Domain Knowledge guided deep learning with electronic health records. In 2019 IEEE International Conference on Data Mining (ICDM). IEEE, 738--747.
[41]
Peng Zhou, Wei Shi, Jun Tian, Zhenyu Qi, Bingchen Li, Hongwei Hao, and Bo Xu. 2016. Attention-based bidirectional long short-term memory networks for relation classification. In Proceedings of the 54th annual meeting of the association for computational linguistics (volume 2: Short papers). 207--212.

Cited By

View all
  • (2024)Integrating knowledge graphs into machine learning models for survival prediction and biomarker discovery in patients with non–small-cell lung cancerJournal of Translational Medicine10.1186/s12967-024-05509-922:1Online publication date: 5-Aug-2024
  • (2024)DKGC-LSTM:Fusion of Domain Knowledge to Guide CNN and LSTM for Heart Failure Risk Prediction2024 IEEE International Conference on Medical Artificial Intelligence (MedAI)10.1109/MedAI62885.2024.00078(552-557)Online publication date: 15-Nov-2024
  • (2023)User-Centric Explainability in Healthcare: A Knowledge-Level Perspective of Informed Machine LearningIEEE Transactions on Artificial Intelligence10.1109/TAI.2022.32272254:4(840-857)Online publication date: Aug-2023
  • Show More Cited By

Index Terms

  1. KGDAL: knowledge graph guided double attention LSTM for rolling mortality prediction for AKI-D patients

      Recommendations

      Comments

      Please enable JavaScript to view thecomments powered by Disqus.

      Information & Contributors

      Information

      Published In

      cover image ACM Conferences
      BCB '21: Proceedings of the 12th ACM International Conference on Bioinformatics, Computational Biology, and Health Informatics
      August 2021
      603 pages
      ISBN:9781450384506
      DOI:10.1145/3459930
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

      Sponsors

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      Published: 01 August 2021

      Permissions

      Request permissions for this article.

      Check for updates

      Author Tags

      1. attention mechanism
      2. deep learning
      3. knowledge graph
      4. rolling mortality prediction

      Qualifiers

      • Research-article

      Funding Sources

      Conference

      BCB '21
      Sponsor:

      Acceptance Rates

      Overall Acceptance Rate 254 of 885 submissions, 29%

      Contributors

      Other Metrics

      Bibliometrics & Citations

      Bibliometrics

      Article Metrics

      • Downloads (Last 12 months)53
      • Downloads (Last 6 weeks)5
      Reflects downloads up to 20 Jan 2025

      Other Metrics

      Citations

      Cited By

      View all
      • (2024)Integrating knowledge graphs into machine learning models for survival prediction and biomarker discovery in patients with non–small-cell lung cancerJournal of Translational Medicine10.1186/s12967-024-05509-922:1Online publication date: 5-Aug-2024
      • (2024)DKGC-LSTM:Fusion of Domain Knowledge to Guide CNN and LSTM for Heart Failure Risk Prediction2024 IEEE International Conference on Medical Artificial Intelligence (MedAI)10.1109/MedAI62885.2024.00078(552-557)Online publication date: 15-Nov-2024
      • (2023)User-Centric Explainability in Healthcare: A Knowledge-Level Perspective of Informed Machine LearningIEEE Transactions on Artificial Intelligence10.1109/TAI.2022.32272254:4(840-857)Online publication date: Aug-2023
      • (2023)Rapid Response System Based on Graph Attention Network for Predicting In-Hospital Clinical DeteriorationIEEE Access10.1109/ACCESS.2023.325740611(29091-29100)Online publication date: 2023
      • (2023)A pattern mixture model with long short-term memory network for acute kidney injury predictionJournal of King Saud University - Computer and Information Sciences10.1016/j.jksuci.2023.03.00735:4(172-182)Online publication date: 1-Apr-2023
      • (2022)KIT-LSTM: Knowledge-guided Time-aware LSTM for Continuous Clinical Risk Prediction2022 IEEE International Conference on Bioinformatics and Biomedicine (BIBM)10.1109/BIBM55620.2022.9994931(1086-1091)Online publication date: 6-Dec-2022

      View Options

      Login options

      View options

      PDF

      View or Download as a PDF file.

      PDF

      eReader

      View online with eReader.

      eReader

      Media

      Figures

      Other

      Tables

      Share

      Share

      Share this Publication link

      Share on social media