Clinicians prescribe antibiotics by looking at the patient's health record with an experienced eye. However, the therapy might be rendered futile if the patient has drug resistance. Determining drug resistance requires time-consuming laboratory-level testing while applying clinicians' heuristics in an automated way is difficult due to the categorical or binary medical events that constitute health records. In this paper, we propose a novel framework for rapid clinical intervention by viewing health records as graphs whose nodes are mapped from medical events and edges as correspondence between events in given a time window. A novel graph-based model is then proposed to extract informative features and yield automated drug resistance analysis from those high-dimensional and scarce graphs. The proposed method integrates multi-task learning into a common feature extracting graph encoder for simultaneous analyses of multiple drugs as well as stabilizing learning. On a massive dataset comprising over 110,000 patients with urinary tract infections, we verify the proposed method is capable of attaining superior performance on the drug resistance prediction problem. Furthermore, automated drug recommendations resemblant to laboratory-level testing can also be made based on the model resistance analysis.
翻译:临床医生通过以有经验的眼睛观察病人的健康记录而开具抗生素。然而,如果病人具有抗药性,治疗可能会变得徒劳无益。 确定抗药性需要花费时间的实验室一级测试,同时以自动化的方式应用临床医生的休养症是困难的,因为构成健康记录的绝对或二元医疗事件是困难的。在本文中,我们提出了一个快速临床干预的新框架,将健康记录作为图表,其节点来自医疗事件和边缘的图解,作为给定时间窗口中的事件之间的对应。然后提出了一个基于图表的新型模型,从这些高维和稀有的图表中提取信息特征并产生自动的抗药性分析。拟议方法将多任务学习纳入一个通用的特征提取图解码,用于同时分析多种药物和稳定学习。在由110 000多名尿道感染病人组成的大规模数据集上,我们核实拟议方法能够达到抗药性预测问题的优异性性。此外,也可以根据模型抗药性分析,对实验室一级测试自动的药物建议进行再组合。