Heart disease risk factors detection from electronic health records using advanced NLP and deep learning techniques

Essam H Houssein1, Rehab E Mohamed2, Abdelmgeid A Ali2

  • 1Faculty of Computers and Information, Minia University, Minia, Egypt. essam.halim@mu.edu.eg.

Scientific Reports
|May 3, 2023
PubMed

Insights

This study introduces a novel method for identifying heart disease risk factors in clinical notes using stacked word embeddings. The advanced natural language processing (NLP) approach significantly improves detection accuracy, aiding in disease prevention and management.

Area of Science:

  • Biomedical Informatics
  • Natural Language Processing
  • Machine Learning

Background:

  • Heart disease is a leading cause of death, necessitating improved risk factor identification for prevention and diagnosis.
  • Current methods for detecting heart disease risk factors in clinical notes are often labor-intensive and incomplete.
  • Automated detection of risk factors is crucial for disease progression modeling and clinical decision-making.

Purpose of the Study:

  • To enhance the identification of heart disease risk factors, diagnoses, and medications in clinical notes.
  • To improve upon existing methods by employing advanced stacked word embedding techniques.
  • To address the limitations of previous approaches in the 2014 i2b2 (Informatics for Integrating Biology and Beyond) challenge.

Main Methods:

  • Utilized stacked word embeddings, combining various embedding types for improved feature representation.
  • Employed BERT and character embeddings (CHARACTER-BERT Embedding) stacking as an advanced technique.
  • Applied these methods to the 2014 i2b2 heart disease risk factors challenge dataset.

Main Results:

  • Achieved a significant F1 score of 93.66% using the proposed stacked embedding model.
  • Demonstrated substantial improvement compared to all previously developed models for the 2014 i2b2 challenge.
  • The CHARACTER-BERT Embedding stacking approach proved highly effective for risk factor detection.

Conclusions:

  • Stacked word embeddings, particularly CHARACTER-BERT Embedding stacking, represent a significant advancement in detecting heart disease risk factors from clinical text.
  • The developed model offers a more accurate and efficient approach to extracting critical health information from clinical narratives.
  • This work contributes to better disease understanding and clinical decision support systems.

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