Transformer-based model for predicting length of stay in intensive care unit in sepsis patients

IntroductionSepsis, a life-threatening condition with a high mortality rate, requires intensive care unit (ICU) admission. The increasing hospitalization rate for patients with sepsis has escalated medical costs due to the strain on ICU resources. Efficient management of ICU resources is critical to...

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Main Authors: Jeesu Kim, Geun-Hyeong Kim, Jae-Woo Kim, Ka Hyun Kim, Jae-Young Maeng, Yong-Goo Shin, Seung Park
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1473533/full
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author Jeesu Kim
Jeesu Kim
Geun-Hyeong Kim
Geun-Hyeong Kim
Jae-Woo Kim
Jae-Woo Kim
Ka Hyun Kim
Ka Hyun Kim
Jae-Young Maeng
Yong-Goo Shin
Seung Park
Seung Park
author_facet Jeesu Kim
Jeesu Kim
Geun-Hyeong Kim
Geun-Hyeong Kim
Jae-Woo Kim
Jae-Woo Kim
Ka Hyun Kim
Ka Hyun Kim
Jae-Young Maeng
Yong-Goo Shin
Seung Park
Seung Park
author_sort Jeesu Kim
collection DOAJ
description IntroductionSepsis, a life-threatening condition with a high mortality rate, requires intensive care unit (ICU) admission. The increasing hospitalization rate for patients with sepsis has escalated medical costs due to the strain on ICU resources. Efficient management of ICU resources is critical to addressing this challenge.MethodsThis study utilized the dataset collected from 521 patients with sepsis at Chungbuk National University Hospital between July 2020 and August 2023. A transformer-based deep learning model was developed to predict ICU length of stay (LOS). The model incorporated global and local input data analysis through classification and feature-wise tokens, based on sequential organ failure assessment (SOFA) criteria. Model performance was evaluated using four-fold cross-validation.ResultsThe proposed model achieved a mean absolute error (MAE) of 2.05 days for predicting ICU LOS. The result demonstrates the ability of the proposed model to provide accurate and reliable predictions.DiscussionThe proposed model offers valuable insights for healthcare resource management by optimizing ICU resource allocation and potentially reducing medical expenses. These findings highlight the applicability of the proposed model to efficient healthcare cost management.
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institution Kabale University
issn 2296-858X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-e97d763d3b8b4556b4550525e45581e22025-01-07T06:40:32ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14735331473533Transformer-based model for predicting length of stay in intensive care unit in sepsis patientsJeesu Kim0Jeesu Kim1Geun-Hyeong Kim2Geun-Hyeong Kim3Jae-Woo Kim4Jae-Woo Kim5Ka Hyun Kim6Ka Hyun Kim7Jae-Young Maeng8Yong-Goo Shin9Seung Park10Seung Park11Medical Artificial Intelligence Center, Chungbuk National University Hospital, Cheongju, Republic of KoreaCollege of Medicine, Chungbuk National University, Cheongju, Republic of KoreaMedical Artificial Intelligence Center, Chungbuk National University Hospital, Cheongju, Republic of KoreaCollege of Medicine, Chungbuk National University, Cheongju, Republic of KoreaMedical Artificial Intelligence Center, Chungbuk National University Hospital, Cheongju, Republic of KoreaCollege of Medicine, Chungbuk National University, Cheongju, Republic of KoreaMedical Artificial Intelligence Center, Chungbuk National University Hospital, Cheongju, Republic of KoreaCollege of Medicine, Chungbuk National University, Cheongju, Republic of KoreaMedical Artificial Intelligence Center, Chungbuk National University Hospital, Cheongju, Republic of KoreaDepartment of Electronics and Information Engineering, Korea University, Sejong, Republic of KoreaCollege of Medicine, Chungbuk National University, Cheongju, Republic of KoreaDepartment of Biomedical Engineering, Chungbuk National University Hospital, Cheongju, Republic of KoreaIntroductionSepsis, a life-threatening condition with a high mortality rate, requires intensive care unit (ICU) admission. The increasing hospitalization rate for patients with sepsis has escalated medical costs due to the strain on ICU resources. Efficient management of ICU resources is critical to addressing this challenge.MethodsThis study utilized the dataset collected from 521 patients with sepsis at Chungbuk National University Hospital between July 2020 and August 2023. A transformer-based deep learning model was developed to predict ICU length of stay (LOS). The model incorporated global and local input data analysis through classification and feature-wise tokens, based on sequential organ failure assessment (SOFA) criteria. Model performance was evaluated using four-fold cross-validation.ResultsThe proposed model achieved a mean absolute error (MAE) of 2.05 days for predicting ICU LOS. The result demonstrates the ability of the proposed model to provide accurate and reliable predictions.DiscussionThe proposed model offers valuable insights for healthcare resource management by optimizing ICU resource allocation and potentially reducing medical expenses. These findings highlight the applicability of the proposed model to efficient healthcare cost management.https://www.frontiersin.org/articles/10.3389/fmed.2024.1473533/fullsepsisintensive care unitlength of staysequential organ failure assessmenttransformertabular data
spellingShingle Jeesu Kim
Jeesu Kim
Geun-Hyeong Kim
Geun-Hyeong Kim
Jae-Woo Kim
Jae-Woo Kim
Ka Hyun Kim
Ka Hyun Kim
Jae-Young Maeng
Yong-Goo Shin
Seung Park
Seung Park
Transformer-based model for predicting length of stay in intensive care unit in sepsis patients
Frontiers in Medicine
sepsis
intensive care unit
length of stay
sequential organ failure assessment
transformer
tabular data
title Transformer-based model for predicting length of stay in intensive care unit in sepsis patients
title_full Transformer-based model for predicting length of stay in intensive care unit in sepsis patients
title_fullStr Transformer-based model for predicting length of stay in intensive care unit in sepsis patients
title_full_unstemmed Transformer-based model for predicting length of stay in intensive care unit in sepsis patients
title_short Transformer-based model for predicting length of stay in intensive care unit in sepsis patients
title_sort transformer based model for predicting length of stay in intensive care unit in sepsis patients
topic sepsis
intensive care unit
length of stay
sequential organ failure assessment
transformer
tabular data
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1473533/full
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