We present BEEP (Biomedical Evidence-Enhanced Predictions), a novel approach for clinical outcome prediction that retrieves patient-specific medical literature and incorporates it into predictive models. Based on each individual patient's clinical notes, we train language models (LMs) to find relevant papers and fuse them with information from notes to predict outcomes such as in-hospital mortality. We develop methods to retrieve literature based on noisy, information-dense patient notes, and to augment existing outcome prediction models with retrieved papers in a manner that maximizes predictive accuracy. Our approach boosts predictive performance on three important clinical tasks in comparison to strong recent LM baselines, increasing F1 by up to 5 points and precision@Top-K by a large margin of over 25%.
翻译:我们提出了BEEP(Bio Medical Invicture-Envictive-Environments-Environments),这是临床结果预测的一种新颖的方法,可以检索特定病人的医疗文献,并将其纳入预测模型。根据每个病人的临床笔记,我们培训语言模型来寻找相关文件,并将它们与说明中的信息结合起来,以预测住院死亡率等结果。我们开发了方法,以吵闹、信息密集的病人笔记为基础检索文献,并以尽可能提高预测准确性的方式,用回收的论文充实现有结果预测模型。我们的方法提高了三项重要临床任务的预测性能,与最近的LM基准相比,将F1增加5个百分点,将精确度@Top-K增加25%以上。