KTI-RNN: Recognition of Heart Failure from Clinical Notes

Although deep learning methods have recently attracted considerable attention in the medical field, analyzing large-scale electronic health record data is still a difficult task. In particular, the accurate recognition of heart failure is a key technology for doctors to make reasonable treatment decisions. This study uses data from the Medical Information Mart for Intensive Care database. Compared with structured data, unstructured data contain abundant patient information. However, this type of data has unsatisfactory characteristics, e.g., many colloquial vocabularies and sparse content. To solve these problems, we propose the KTI-RNN model for unstructured data recognition. The proposed model overcomes sparse content and obtains good classification results. The term frequency-inverse word frequency (TF-IWF) model is used to extract the keyword set. The latent dirichlet allocation (LDA) model is adopted to extract the topic word set. These models enable the expansion of the medical record text content. Finally, we embed the global attention mechanism and gating mechanism between the bidirectional recurrent neural network (BiRNN) model and the output layer. We call it gated-attention-BiRNN (GA-BiRNN) and use it to identify heart failure from extensive medical texts. Results show that the F1 score of the proposed KTI-RNN model is 85.57%, and the accuracy rate of the proposed KTI-RNN model is 85.59%.