Predicting Acute Graft-Versus-Host Disease Using Machine Learning and Longitudinal Vital Sign Data From Electronic Health Records.
Journal:
JCO clinical cancer informatics
PMID:
32083957
Abstract
PURPOSE: Acute graft-versus-host disease (aGVHD) remains a significant complication of allogeneic hematopoietic cell transplantation (HCT) and limits its broader application. The ability to predict grade II to IV aGVHD could potentially mitigate morbidity and mortality. To date, researchers have focused on using snapshots of a patient (eg, biomarkers at a single time point) to predict aGVHD onset. We hypothesized that longitudinal data collected and stored in electronic health records (EHRs) could distinguish patients at high risk of developing aGVHD from those at low risk.
Authors
Keywords
Adolescent
Adult
Aged
Biomarkers
Child
Child, Preschool
Electronic Health Records
Female
Follow-Up Studies
Graft vs Host Disease
Hematologic Neoplasms
Hematopoietic Stem Cell Transplantation
Humans
Infant
Longitudinal Studies
Machine Learning
Male
Middle Aged
Prognosis
Retrospective Studies
ROC Curve
Survival Rate
Transplantation, Homologous
Vital Signs
Young Adult