Applying density-based outlier identifications using multiple datasets for validation of stroke clinical outcomes.

Abstract:

INTRODUCTION:Clinicians commonly use the modified Rankin Scale (mRS) and the Barthel Index (BI) to measure clinical outcome after stroke. These are potential targets in machine learning models for stroke outcome prediction. Therefore, the quality of the measurements is crucial for training and validation of these models. The objective of this study was to apply and evaluate density-based outlier detection methods for identifying potentially incorrect measurements in multiple large stroke datasets to assess the measurement quality. METHOD:We applied three density-based outlier detection methods including density-based spatial clustering of applications (DBSCAN), hierarchical DBSCAN (HDBSCAN) and local outlier factor (LOF) based on a large dataset obtained from a nationwide prospective stroke registry in Taiwan. The testing of each method was done by using four different NINDS funded stroke datasets. RESULT:The DBSCAN achieved a high performance across all mRS values where the highest average accuracy was 99.2 ± 0.7 at mRS of 4 and the lowest average accuracy was 92.0 ± 4.6 at mRS of 3. The LOF also achieved similar performance, however, the HDBSCAN with default parameters setting required further tuning improvement. CONCLUSION:The density-based outlier detection methods were proven to be promising for validation of stroke outcome measures. The outlier detection algorithm developed from a large prospective registry dataset was effectively applied in four different NINDS stroke datasets with high performance results. The tool developed from this detection algorithm can be further applied to real world datasets to increase the data quality in stroke outcome measures.

journal_name

Int J Med Inform

authors

Lin CH,Hsu KC,Johnson KR,Luby M,Fann YC

doi

10.1016/j.ijmedinf.2019.103988

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

103988

eissn

1386-5056

issn

1872-8243

pii

S1386-5056(19)30673-2

journal_volume

132

pub_type

杂志文章
  • Virtual reality for relearning daily living skills.

    abstract::The explosive increase in the power of computers has enabled the creation of fast, interactive 3D environments, sometimes called virtual reality (VR). This technology, often associated with arcade games, is increasingly being used for more serious applications. This paper describes research showing transfer of skills ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(00)00100-3

    authors: Gourlay D,Lun KC,Lee YN,Tay J

    更新日期:2000-12-01 00:00:00

  • The emerging role of cognitive computing in healthcare: A systematic literature review.

    abstract::To assist medical professional in better treatment of diseases, and improve patient outcomes, healthcare has brought about a cognitive computing revolution. The cognitive computing system processes enormous amounts of data instantly to answer specific queries and makes customized intelligent recommendations. Cognitive...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2019.04.024

    authors: Behera RK,Bala PK,Dhir A

    更新日期:2019-09-01 00:00:00

  • Analysis of data about epileptic patients using the GUHA method.

    abstract::In this paper we search for hypotheses on association between the memory quotient and 13 clinical variables examined in a sample of 214 epilepsy patients. We introduce the General Unary Hypotheses Automaton (GUHA) method that automatically generates hypotheses from empirical data by means of computer procedures. Proce...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(97)00035-x

    authors: Zvárová J,Preiss J,Sochorová A

    更新日期:1997-06-01 00:00:00

  • Design and implementation considerations for a personalized patient education system in burn care.

    abstract::Patient education is a significant factor in the provision of health care services, contributing to improved disease management and health care outcomes. Personalization has been suggested as a means for increasing patient education effectiveness and computer-based approaches have been explored as a possible means of ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2004.04.021

    authors: Doupi P,van der Lei J

    更新日期:2005-03-01 00:00:00

  • Electronic health record: design and implementation of a lab test request module.

    abstract:BACKGROUND:The electronic health record (EHR) has become a fundamental tool in health care. The ordering and inclusion of lab tests and results is one of the most frequently requested services by EHR users. We have designed, developed and implemented in Andalusia, an autonomous community in the south of Spain (8.3 mill...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2013.03.006

    authors: Gascón F,Herrera I,Vázquez C,Jiménez P,Jiménez J,Real C,Pérez F

    更新日期:2013-06-01 00:00:00

  • Videoconference compared to telephone in healthcare delivery: A systematic review.

    abstract:INTRODUCTION:Telehealth is an important tool for ensuring accessible healthcare access particularly over geographical distances. Videoconference and telephone are two common telehealth modalities, yet little is known as to the relative advantage of these modalities. Synthesizing evidence as to the impact of these modal...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2018.07.007

    authors: Rush KL,Howlett L,Munro A,Burton L

    更新日期:2018-10-01 00:00:00

  • On the reliability of measurements for a stent positioning simulation system.

    abstract:BACKGROUND AND OBJECTIVE:Computer aided simulations are useful to support the physician in many steps of the surgical activity, but also in pre-surgical patient classification and in post-surgical diagnosis and treatment decisions. At a broader level, computerized technologies and infrastructures permeate every aspect ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2018.12.008

    authors: Tradigo G,Vizza P,Fragomeni G,Veltri P

    更新日期:2019-03-01 00:00:00

  • Impact on medical practice of accessing pharmaceutical records.

    abstract:INTRODUCTION:The pharmaceutical record system (PRS) is a French nationwide centralized electronic database shared among all community pharmacists listing all drugs dispensed by community pharmacists in the last four months. The objective of this study, the Medication Assessment Through Real time Information eXchange - ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ijmedinf.2018.09.010

    authors: Gillibert A,Griffon N,Schuers M,Hardy K,Elmerini A,Letord C,Staccini P,Darmoni SJ,Benichou J,Contributors.

    更新日期:2019-01-01 00:00:00

  • Investigating the determinants of Chinese adult children's intention to use online health information for their aged parents.

    abstract:BACKGROUND:The increasing number of older people and the dissemination of health information via the Internet have emerged and both are challenging to Chinese society. Available online health information highlights the importance of decision making processes, specially in relation to the elderly who almost have no onli...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2017.01.003

    authors: Bao Y,Hoque R,Wang S

    更新日期:2017-06-01 00:00:00

  • Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow.

    abstract:OBJECTIVE:The purpose of this paper is to demonstrate how current visual representations of organizational and technological processes do not fully account for the variability present in everyday practices. We further demonstrate how narrative networks can augment these representations to indicate potential areas for s...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2011.01.005

    authors: Hayes GR,Lee CP,Dourish P

    更新日期:2011-08-01 00:00:00

  • Variation in the use of online clinical evidence: a qualitative analysis.

    abstract:OBJECTIVE:To investigate factors influencing variations in clinicians' use of an online evidence retrieval system. SETTING:Public hospitals in New South Wales, Australia. METHOD:Web log analysis demonstrated considerable variation in rates of evidence use by clinicians at different hospitals. Focus groups and intervi...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(02)00046-1

    authors: Gosling AS,Westbrook JI,Coiera EW

    更新日期:2003-01-01 00:00:00

  • Classifying disease outbreak reports using n-grams and semantic features.

    abstract:INTRODUCTION:This paper explores the benefits of using n-grams and semantic features for the classification of disease outbreak reports, in the context of the BioCaster disease outbreak report text mining system. A novel feature of this work is the use of a general purpose semantic tagger - the USAS tagger - to generat...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2009.03.010

    authors: Conway M,Doan S,Kawazoe A,Collier N

    更新日期:2009-12-01 00:00:00

  • Ontology driven health information systems architectures enable pHealth for empowered patients.

    abstract::The paradigm shift from organization-centered to managed care and on to personal health settings increases specialization and distribution of actors and services related to the health of patients or even citizens before becoming patients. As a consequence, extended communication and cooperation is required between all...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2010.10.004

    authors: Blobel B

    更新日期:2011-02-01 00:00:00

  • Tailored DVDs: a novel strategy for educating racially and ethnically diverse older adults about their medicines.

    abstract:INTRODUCTION:The availability of comprehensive and accurate medication history information in electronic medical records and through electronic prescribing provides the opportunity to create tailored interventions based on individuals' particular medication information needs. To meet the challenges of providing medicat...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2012.09.007

    authors: Lapane KL,Goldman RE,Quilliam BJ,Hume AL,Eaton CB

    更新日期:2012-12-01 00:00:00

  • Medical image compression using DCT-based subband decomposition and modified SPIHT data organization.

    abstract:OBJECTIVE:The work proposed a novel bit-rate-reduced approach for reducing the memory required to store a remote diagnosis and rapidly transmission it. METHOD:In the work, an 8x8 Discrete Cosine Transform (DCT) approach is adopted to perform subband decomposition. Modified set partitioning in hierarchical trees (SPIHT...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2006.07.002

    authors: Chen YY

    更新日期:2007-10-01 00:00:00

  • Core competencies for clinical informaticians: A systematic review.

    abstract:BACKGROUND:Building on initial work carried out by the Faculty of Clinical Informatics (FCI) in the UK, the creation of a national competency framework for Clinical Informatics is required for the definition of clinical informaticians' professional attributes and skills. We aimed to systematically review the academic l...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.ijmedinf.2020.104237

    authors: Davies A,Mueller J,Moulton G

    更新日期:2020-09-01 00:00:00

  • Separate may not be equal: a preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers.

    abstract:OBJECTIVES:Electronic Medical Records (EMR) have the potential to improve the coordination of healthcare in this country, yet the field of psychiatry has lagged behind other medical disciplines in its adoption of EMR. METHODS:Psychiatrists at 18 of the top US hospitals completed an electronic survey detailing whether ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2012.11.007

    authors: Kozubal DE,Samus QM,Bakare AA,Trecker CC,Wong HW,Guo H,Cheng J,Allen PX,Mayer LS,Jamison KR,Kaplin AI

    更新日期:2013-04-01 00:00:00

  • Combining diagnosis and treatment using ASBRU.

    abstract::Traditionally, diagnosis and treatment have been seen as two distinct tasks. Consequently, most approaches to computer supported health care focus on one of the two-mostly on diagnosis or rather on the interpretation of measurements which is much better understood and formalised. However, in practice diagnosis and tre...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(02)00064-3

    authors: Seyfang A,Miksch S,Marcos M

    更新日期:2002-12-18 00:00:00

  • Theorizing the health service usage behavior of family caregivers: a qualitative study of an internet-based intervention.

    abstract:PURPOSE:The purpose of this qualitative study was to improve understanding of family caregivers' use of Web-based intervention support by integrating three theoretical models. The study applied the Anderson's model of health service utilization, Venkatesh's theory of technology acceptance, and Chatman's and Wilson's in...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2011.08.010

    authors: Chiu TM,Eysenbach G

    更新日期:2011-11-01 00:00:00

  • Automation bias: empirical results assessing influencing factors.

    abstract:OBJECTIVE:To investigate the rate of automation bias - the propensity of people to over rely on automated advice and the factors associated with it. Tested factors were attitudinal - trust and confidence, non-attitudinal - decision support experience and clinical experience, and environmental - task difficulty. The par...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2014.01.001

    authors: Goddard K,Roudsari A,Wyatt JC

    更新日期:2014-05-01 00:00:00

  • Research on gender differences in online health communities.

    abstract::With the growing concern about health issues and the emergence of online communities based on user-generated content (UGC), more and more people are participating in online health communities (OHCs) to exchange opinions and health information. This paper aims to examine whether and how male and female users behave dif...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2017.12.019

    authors: Liu X,Sun M,Li J

    更新日期:2018-03-01 00:00:00

  • A computerised information system for the analysis of hospital admission flow and characteristics.

    abstract::This paper presents a computerised information system for the characterisation and analysis of the hospital admission flow of patients. Based on administrative data made available by the Ministry of Health of Brazil (DATASUS-MS), the system allows the representation of patients' flow from residence to hospital, as wel...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(00)00129-5

    authors: de Mello PS,Almeida RM,Pereira WC

    更新日期:2001-04-01 00:00:00

  • The Malaysian Telehealth Flagship Application: a national approach to health data protection and utilisation and consumer rights.

    abstract::Telehealth refers to the integration of information, telecommunication, human-machine interface technologies and health technologies to deliver health care, to promote the heath status of the people and to create health. The Malaysian Telehealth Application will, on completion, provide every resident of the country an...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2003.11.023

    authors: Mohan J,Razali Raja Yaacob R

    更新日期:2004-03-31 00:00:00

  • Search engines, news wires and digital epidemiology: Presumptions and facts.

    abstract:BACKGROUND:Digital epidemiology tries to identify diseases dynamics and spread behaviors using digital traces collected via search engines logs and social media posts. However, the impacts of news on information-seeking behaviors have been remained unknown. METHODS:Data employed in this research provided from two sour...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2018.03.017

    authors: Kaveh-Yazdy F,Zareh-Bidoki AM

    更新日期:2018-07-01 00:00:00

  • A tale of two countries: International comparison of online doctor reviews between China and the United States.

    abstract:BACKGROUND:Worldwide, patients have posted millions of online reviews for their doctors. The rich textual information in the online reviews holds the potential to generate insights into how patients' experience with their doctors differ across nations and how should we use them to improve our health service. OBJECTIVE...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2016.12.007

    authors: Hao H,Zhang K,Wang W,Gao G

    更新日期:2017-03-01 00:00:00

  • Which barriers affect morbidity registration performance of GP trainees and trainers?

    abstract:BACKGROUND:Diagnosis coding percentages in the specialty training of general practitioners (GPs) are generally high, but not perfect, indicating barriers against coding still exist, possibly influencing the validity of data based on electronic patient records (EPRs). OBJECTIVE:To study the relationship between barrier...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2013.02.002

    authors: de Jong J,Visser MR,Wieringa-de Waard M

    更新日期:2013-08-01 00:00:00

  • A wearable approach for intraoperative physiological stress monitoring of multiple cooperative surgeons.

    abstract::It is known that excessive levels of occupational stress affect professionals' technical and non-technical skills and surgeons are no exception. However, very few studies address this problem in neurosurgeons. A system for monitoring cardiovascular strain and autonomic imbalance during intracranial aneurysm procedures...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2019.05.028

    authors: Pimentel G,Rodrigues S,Silva PA,Vilarinho A,Vaz R,Silva Cunha JP

    更新日期:2019-09-01 00:00:00

  • Prevention of prescription errors by computerized, on-line surveillance of drug order entry.

    abstract:AIMS:The present study was undertaken to quantify the impact of computerized drug order entry system (CDOE) connected to the patients' database, on the incidence and type of prescription errors (PEs) in the medical service, and to delineate the causes for remaining errors. METHODS:Drug orders were reviewed daily by a ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2005.03.010

    authors: Oliven A,Michalake I,Zalman D,Dorman E,Yeshurun D,Odeh M

    更新日期:2005-06-01 00:00:00

  • Sensor technologies aiming at fall prevention in institutionalized old adults: a synthesis of current knowledge.

    abstract:BACKGROUND:Falls are a serious health problem in old adults especially in nursing home residents and hospitalized patients. To prevent elderly from falling, sensors have been increasingly used in intramural care settings. However, there is no clear overview of the current used technologies and their results in fall pre...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijmedinf.2013.06.001

    authors: Kosse NM,Brands K,Bauer JM,Hortobagyi T,Lamoth CJ

    更新日期:2013-09-01 00:00:00

  • Health IT and inappropriate utilization of outpatient imaging: A cross-sectional study of U.S. hospitals.

    abstract:OBJECTIVE:To determine whether the use of information technology (IT), measured by Meaningful Use capability, is associated with lower rates of inappropriate utilization of imaging services in hospital outpatient settings. RESEARCH DESIGN:A retrospective cross-sectional analysis of 3332 nonfederal U.S. hospitals using...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2017.10.020

    authors: Appari A,Johnson ME,Anthony DL

    更新日期:2018-01-01 00:00:00