Beyond electronic health record data: leveraging natural language processing and machine learning to uncover cognitive insights from patient-nurse verbal communications.

Journal: Journal of the American Medical Informatics Association : JAMIA
PMID:

Abstract

BACKGROUND: Mild cognitive impairment and early-stage dementia significantly impact healthcare utilization and costs, yet more than half of affected patients remain underdiagnosed. This study leverages audio-recorded patient-nurse verbal communication in home healthcare settings to develop an artificial intelligence-based screening tool for early detection of cognitive decline.

Authors

  • Maryam Zolnoori
    Columbia University School of Nursing, New York, NY.
  • Ali Zolnour
    Columbia University Irving Medical Center, New York, NY 10032, United States.
  • Sasha Vergez
    Center for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY.
  • Sridevi Sridharan
    Center for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY.
  • Ian Spens
    Center for Home Care Policy & Research, VNS Health, New York, NY 10017, United States.
  • Maxim Topaz
    Division of General Internal Medicine and Primary Care, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • James M Noble
    Taub Institute for Research on Alzheimer's Disease and the Aging Brain, G.H. Sergievsky Center and Department of Neurology, Columbia University Irving Medical Center, New York, New York, USA.
  • Suzanne Bakken
    Columbia University, School of Nursing, New York, NY, USA; Columbia University, Department of Biomedical Informatics, New York, NY, USA; Columbia University, Data Science Institute, New York, NY, USA. Electronic address: sbh22@cumc.columbia.edu.
  • Julia Hirschberg
    Department of Computer Science, Columbia University, New York, NY 10027, USA. julia@cs.columbia.edu.
  • Kathryn Bowles
  • Nicole Onorato
    Center for Home Care Policy and Research, Visiting Nurse Service of New York, New York, NY. Electronic address: Nicole.Onorato@vnsny.org.
  • Margaret V McDonald
    The Visiting Nurse Service of New York, New York, NY, USA.