Leveraging implicit expert knowledge for non-circular machine learning in sepsis prediction

作者:

Highlights:

• Accurate prediction of sepsis requires grounding in real-world clinical practice.

• Current AI models risk circularity if training and test data are not independent.

• A ground truth is collected from independent expert judgements via a questionnaire.

• Implicit expert knowledge can be collected with high inter-rater reliability.

• AI models trained on this ground-truth data yield state-of-the-art sepsis prediction.

摘要

•Accurate prediction of sepsis requires grounding in real-world clinical practice.•Current AI models risk circularity if training and test data are not independent.•A ground truth is collected from independent expert judgements via a questionnaire.•Implicit expert knowledge can be collected with high inter-rater reliability.•AI models trained on this ground-truth data yield state-of-the-art sepsis prediction.

论文关键词:Machine learning in health care,Sepsis prediction

论文评审过程:Received 17 September 2018, Revised 24 June 2019, Accepted 10 September 2019, Available online 24 September 2019, Version of Record 24 September 2019.

论文官网地址:https://doi.org/10.1016/j.artmed.2019.101725