论文标题
使用临床文本测量镰状细胞疾病的疼痛
Measuring Pain in Sickle Cell Disease using Clinical Text
论文作者
论文摘要
镰状细胞病(SCD)是人类红细胞的遗传性疾病。 SCD中发生的并发症(例如疼痛,中风和器官衰竭)被困在畸形,谨慎的红细胞中被困在小血管中。特别是,已知急性疼痛是SCD的主要症状。 SCD疼痛的阴险性和主观性质导致医生(MPS)在疼痛评估中面临挑战。因此,准确鉴定SCD患者疼痛的标志物对于疼痛管理至关重要。基于SCD患者的疼痛水平对临床记录进行分类,使MPS可以提供适当的治疗方法。我们提出了一个二元分类模型,以预测临床笔记的疼痛相关性和一个多类分类模型,以预测疼痛水平。尽管我们的四个二进制机器学习(ML)分类器的性能是可比的,但决策树的性能是多类分类任务的最佳性能,以F-MEASION实现0.70。我们的结果表明,潜在的临床文本分析和机器学习为镰状细胞患者的疼痛管理提供了信息。
Sickle Cell Disease (SCD) is a hereditary disorder of red blood cells in humans. Complications such as pain, stroke, and organ failure occur in SCD as malformed, sickled red blood cells passing through small blood vessels get trapped. Particularly, acute pain is known to be the primary symptom of SCD. The insidious and subjective nature of SCD pain leads to challenges in pain assessment among Medical Practitioners (MPs). Thus, accurate identification of markers of pain in patients with SCD is crucial for pain management. Classifying clinical notes of patients with SCD based on their pain level enables MPs to give appropriate treatment. We propose a binary classification model to predict pain relevance of clinical notes and a multiclass classification model to predict pain level. While our four binary machine learning (ML) classifiers are comparable in their performance, Decision Trees had the best performance for the multiclass classification task achieving 0.70 in F-measure. Our results show the potential clinical text analysis and machine learning offer to pain management in sickle cell patients.