About
Vital.io: Guides patients during an ER or hospital stay. Advanced AI predicts wait times,…
Articles by Aaron
Activity
9K followers
Experience
Education
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Princeton University
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Was pursuing a PhD, passed my quals, was teaching...but then met Sandy Fraser (former CTO of AT&T / Bell Labs) and Ed Zschau (former Congressman, entrepreneur, HBS professor) and dropped out to begin the entrepreneurs journey...
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Publications
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Prediction of Emergency Department Hospital Admission Based on Natural Language Processing and Neural Networks
Methods Inf Med
Abstract
OBJECTIVE:
To describe and compare logistic regression and neural network modeling strategies to predict hospital admission or transfer following initial presentation to Emergency Department (ED) triage with and without the addition of natural language processing elements.
METHODS:
Using data from the National Hospital Ambulatory Medical Care Survey (NHAMCS), a cross-sectional probability sample of United States EDs from 2012 and 2013 survey years, we developed several…Abstract
OBJECTIVE:
To describe and compare logistic regression and neural network modeling strategies to predict hospital admission or transfer following initial presentation to Emergency Department (ED) triage with and without the addition of natural language processing elements.
METHODS:
Using data from the National Hospital Ambulatory Medical Care Survey (NHAMCS), a cross-sectional probability sample of United States EDs from 2012 and 2013 survey years, we developed several predictive models with the outcome being admission to the hospital or transfer vs. discharge home. We included patient characteristics immediately available after the patient has presented to the ED and undergone a triage process. We used this information to construct logistic regression (LR) and multilayer neural network models (MLNN) which included natural language processing (NLP) and principal component analysis from the patient's reason for visit. Ten-fold cross validation was used to test the predictive capacity of each model and receiver operating curves (AUC) were then calculated for each model.
RESULTS:
Of the 47,200 ED visits from 642 hospitals, 6,335 (13.42%) resulted in hospital admission (or transfer). A total of 48 principal components were extracted by NLP from the reason for visit fields, which explained 75% of the overall variance for hospitalization. In the model including only structured variables, the AUC was 0.824 (95% CI 0.818-0.830) for logistic regression and 0.823 (95% CI 0.817-0.829) for MLNN. Models including only free-text information generated AUC of 0.742 (95% CI 0.731- 0.753) for logistic regression and 0.753 (95% CI 0.742-0.764) for MLNN. When both structured variables and free text variables were included, the AUC reached 0.846 (95% CI 0.839-0.853) for logistic regression and 0.844 (95% CI 0.836-0.852) for MLNN.Other authors -
Patents
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System and method for building a script for a web page using an existing script from a similar web page
Issued US 9,996,441
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Multiple alignment genome sequence matching processor
Issued US 6,983,274
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Feedback cycle detection across non-scan memory elements
US 6,986,114
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Replicant simulation
US 8,161,448
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System and method for building and repairing a script for retrieval of information from a web site
US 9,779,007
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System and method for categorizing credit card transaction data
US 7,840,456
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System and method for providing price information
US 9,286,639
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Temporal replicant simulation
US 7,979,820
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