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Electronic Health Record–Based Prediction of 1-Year Risk of Incident Cardiac Dysrhythmia: Prospective Case-Finding Algorithm Development and Validation Study

Electronic Health Record–Based Prediction of 1-Year Risk of Incident Cardiac Dysrhythmia: Prospective Case-Finding Algorithm Development and Validation Study

Multimedia Appendix 9 summarizes the 9 laboratory test predictors used in the model: (1) coagulation assay, (2) glomerular filtration rate, (3) carboxyhemoglobin in blood, (4) cardiac troponin T antibodies in blood, (5) blood glucose, (6) creatine kinase, (7) reticulocytes in blood, (8) n-terminal prohormone B-type natriuretic peptide in serum or plasma, and (9) estimated average glucose level.

Yaqi Zhang, Yongxia Han, Peng Gao, Yifu Mo, Shiying Hao, Jia Huang, Fangfan Ye, Zhen Li, Le Zheng, Xiaoming Yao, Zhen Li, Xiaodong Li, Xiaofang Wang, Chao-Jung Huang, Bo Jin, Yani Zhang, Gabriel Yang, Shaun T Alfreds, Laura Kanov, Karl G Sylvester, Eric Widen, Licheng Li, Xuefeng Ling

JMIR Med Inform 2021;9(2):e23606

Prediction of the 1-Year Risk of Incident Lung Cancer: Prospective Study Using Electronic Health Records from the State of Maine

Prediction of the 1-Year Risk of Incident Lung Cancer: Prospective Study Using Electronic Health Records from the State of Maine

To avoid overfitting, the model at the t-th iteration was trained to minimize the following item, where was the prediction of the i-th instance at the t-1-th iteration, and l is a differentiable convex loss function. The term Ω indicates the penalty of the model complexity and is defined as where γ and are parameters controlling penalty for the number of leaves T and magnitude of leaf weights w, respectively.

Xiaofang Bruce Wang, Yan Zhang, Shiying Hao, Le Zheng, Jiayu Liao, Chengyin Ye, Minjie Xia, Oliver Wang, Modi Liu, Ching Ho Weng, Son Q Duong, Bo Jin, Shaun T Alfreds, Frank Stearns, Laura Kanov, Karl G Sylvester, Eric Widen, Doff B McElhinney, Xuefeng B Ling

J Med Internet Res 2019;21(5):e13260

Assessing Statewide All-Cause Future One-Year Mortality: Prospective Study With Implications for Quality of Life, Resource Utilization, and Medical Futility

Assessing Statewide All-Cause Future One-Year Mortality: Prospective Study With Implications for Quality of Life, Resource Utilization, and Medical Futility

The sum term at the t iteration was as seen in Figure 3, where l was a differentiable convex loss function that not only measured the difference between the target yi and the prediction ŷi(t-1) of the i instance at the t-1 iteration but also took the ft to improve the model most into account. The term Ω was set to penalize the complexity of the regression tree functions in avoid of overfitting.

Yanting Bruce Guo, Gang Zheng, Tianyun Fu, Shiying Hao, Chengyin Ye, Le Zheng, Modi Liu, Minjie Xia, Bo Jin, Chunqing Zhu, Oliver Wang, Qian Wu, Devore S Culver, Shaun T Alfreds, Frank Stearns, Laura Kanov, Ajay Bhatia, Karl G Sylvester, Eric Widen, Doff B McElhinney, Xuefeng Bruce Ling

J Med Internet Res 2018;20(6):e10311

Prediction of Incident Hypertension Within the Next Year: Prospective Study Using Statewide Electronic Health Records and Machine Learning

Prediction of Incident Hypertension Within the Next Year: Prospective Study Using Statewide Electronic Health Records and Machine Learning

The model at the t- th iteration was trained to minimize the following objective, where l is a differentiable convex loss function that not only measures the difference between the target yi and the prediction ŷi(t-1) of the i-th instance at the t-1- th iteration but also takes the ƒt that improves the model most into account: L(t)= ∑ni=1l( yi, ŷi(t-1)+ ƒt(xi)) + Ω (ƒt) (2) The term Ω penalizes the complexity of the regression tree functions to avoid issues of overfitting.

Chengyin Bruce Ye, Tianyun Fu, Shiying Hao, Yan Zhang, Oliver Wang, Bo Jin, Minjie Xia, Modi Liu, Xin Zhou, Qian Wu, Yanting Guo, Chunqing Zhu, Yu-Ming Li, Devore S Culver, Shaun T Alfreds, Frank Stearns, Karl G Sylvester, Eric Widen, Doff McElhinney, Xuefeng Ling

J Med Internet Res 2018;20(1):e22

Estimating One-Year Risk of Incident Chronic Kidney Disease: Retrospective Development and Validation Study Using Electronic Medical Record Data From the State of Maine

Estimating One-Year Risk of Incident Chronic Kidney Disease: Retrospective Development and Validation Study Using Electronic Medical Record Data From the State of Maine

Sum of the loss function and the overfitting control term at the t iteration. A workflow chart for the study is shown in Figure 1. To improve computational efficiency, a feature selection process was carried out to determine the features that would go into the model prior to the derivation phase. The selection process was divided into 2 stages: literature review and variance analysis. Features recognized to have an association with CKD in previous literature were extracted as risk factors.

Shiying Bruce Hao, Tianyun Fu, Qian Wu, Bo Jin, Chunqing Zhu, Zhongkai Hu, Yanting Guo, Yan Zhang, Yunxian Yu, Terry Fouts, Phillip Ng, Devore S Culver, Shaun T Alfreds, Frank Stearns, Karl G Sylvester, Eric Widen, Doff B McElhinney, Xuefeng B Ling

JMIR Med Inform 2017;5(3):e21

Web-based Real-Time Case Finding for the Population Health Management of Patients With Diabetes Mellitus: A Prospective Validation of the Natural Language Processing–Based Algorithm With Statewide Electronic Medical Records

Web-based Real-Time Case Finding for the Population Health Management of Patients With Diabetes Mellitus: A Prospective Validation of the Natural Language Processing–Based Algorithm With Statewide Electronic Medical Records

As a result, the inference of DM diagnosis for a codified note was only dependent on the ICD code noted in the structured data, whereas for uncodified notes we trained a random forest model [33,38] to obtain T(f) (Figure 3 (g)), where tn was the n th decision tree in the random forest. At the perspective of hierarchical tree, the model could be considered as a combination of a predetermined tree-based model and a random forest-based model.

Le Bruce Zheng, Yue Wang, Shiying Hao, Andrew Y Shin, Bo Jin, Anh D Ngo, Medina S Jackson-Browne, Daniel J Feller, Tianyun Fu, Karena Zhang, Xin Zhou, Chunqing Zhu, Dorothy Dai, Yunxian Yu, Gang Zheng, Yu-Ming Li, Doff B McElhinney, Devore S Culver, Shaun T Alfreds, Frank Stearns, Karl G Sylvester, Eric Widen, Xuefeng Bruce Ling

JMIR Med Inform 2016;4(4):e37

Real-Time Web-Based Assessment of Total Population Risk of Future Emergency Department Utilization: Statewide Prospective Active Case Finding Study

Real-Time Web-Based Assessment of Total Population Risk of Future Emergency Department Utilization: Statewide Prospective Active Case Finding Study

We obtained two thresholds, T h ,T m , from this mapping. The intent of the model was to stratify the patients from low to high risk allowing the clinicians to target different risk levels for personalized intervention. Field care providers can target different risk groups with different threshold settings as a continuous variable for active case finding.

Zhongkai Hu, Bo Jin, Andrew Y Shin, Chunqing Zhu, Yifan Zhao, Shiying Hao, Le Zheng, Changlin Fu, Qiaojun Wen, Jun Ji, Zhen Li, Yong Wang, Xiaolin Zheng, Dorothy Dai, Devore S Culver, Shaun T Alfreds, Todd Rogow, Frank Stearns, Karl G Sylvester, Eric Widen, Xuefeng B Ling

Interact J Med Res 2015;4(1):e2