Benefit-aware early prediction of health outcomes on multivariate EEG time series

J Biomed Inform. 2023 Mar:139:104296. doi: 10.1016/j.jbi.2023.104296. Epub 2023 Feb 1.

Abstract

Given a cardiac-arrest patient being monitored in the ICU (intensive care unit) for brain activity, how can we predict their health outcomes as early as possible? Early decision-making is critical in many applications, e.g. monitoring patients may assist in early intervention and improved care. On the other hand, early prediction on EEG data poses several challenges: (i) earliness-accuracy trade-off; observing more data often increases accuracy but sacrifices earliness, (ii) large-scale (for training) and streaming (online decision-making) data processing, and (iii) multi-variate (due to multiple electrodes) and multi-length (due to varying length of stay of patients) time series. Motivated by this real-world application, we present BeneFitter that infuses the incurred savings from an early prediction as well as the cost from misclassification into a unified domain-specific target called benefit. Unifying these two quantities allows us to directly estimate a single target (i.e. benefit), and importantly, (a) is efficient and fast, with training time linear in the number of input sequences, and can operate in real-time for decision-making, (b) can handle multi-variate and variable-length time-series, suitable for patient data, and (c) is effective, providing up to 2× time-savings with equal or better accuracy as compared to competitors.

Keywords: EEG; Early classification; Multivariate time series.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Awareness*
  • Electroencephalography
  • Humans
  • Intensive Care Units*
  • Outcome Assessment, Health Care
  • Time Factors