Deep continual learning for medical call incidents text classification under the presence of dataset shifts
View abstract on PubMed
Summary
This summary is machine-generated.This study shows continual learning (CL) effectively adapts deep learning models for prioritizing emergency medical calls. CL techniques significantly improve model performance despite changing data distributions over time.
Area Of Science
- Artificial Intelligence
- Machine Learning
- Medical Informatics
Background
- Emergency Medical Call Incidents (EMCI) require accurate prioritization.
- Dataset shifts can degrade the performance of deep learning models over time.
- Prior research has not extensively explored Continual Learning (CL) for EMCI prioritization using real-world data.
Purpose Of The Study
- To develop and evaluate deep learning classifiers for prioritizing EMCI based on life-threatening levels.
- To assess the impact of dataset shifts on model performance.
- To investigate the effectiveness of various CL strategies in mitigating performance degradation due to dataset shifts.
Main Methods
- Utilized a large dataset of 1,982,746 EMCI instances from Valencia, Spain (2009-2019, excluding 2013).
- Analyzed dataset shifts including prior probability, covariate, and concept shifts.
- Implemented and compared four deep CL strategies (cumulative learning, continual fine-tuning, experience replay, synaptic intelligence) and three baselines (joint training, static approach, single fine-tuning) using DistilBERT models.
Main Results
- Confirmed the presence of prior probability, covariate, and concept shifts in the EMCI dataset.
- Demonstrated statistically significant improvements in F1-score for CL techniques compared to non-continual approaches, indicating enhanced backward and forward knowledge transfer.
- CL strategies effectively adapted deep learning classifiers to evolving data distributions, maintaining stable performance.
Conclusions
- Continual Learning techniques are effective for adapting deep learning models to dynamic data distributions in EMCI prioritization.
- CL ensures the stability and reliability of predictive models for emergency medical services over time.
- This study is the first to apply CL approaches to real-world EMCI data, offering a novel perspective on improving emergency response systems.
Related Concept Videos
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
• Purpose: Documentation in long-term care facilities is critical for interprofessional resident assessment and planning. It ensures that all aspects of a resident's care - from medical needs to daily living assistance - are thoroughly...

