改进机器学习模型,提升痴呆患者尿路感染早期检测的准确率与公平性。
Urinary Tract Infection Detection in Digital Remote Monitoring: Strategies for Managing Participant-Specific Prediction Complexity
- 通过损失依赖聚类优化多层感知机,应对个体数据差异。
- 精度从48.92%提升至72.60%,敏感度从27.44%升至70.52%。
- 特别改善性别公平性,适合临床远程监测场景使用。
尿路感染(UTI)对痴呆患者(PLWD)构成重大健康威胁,早期发现至关重要。本研究基于以往利用机器学习分析居家活动与生理数据检测UTI的方法,进一步优化多层感知机(MLP)模型,以应对家庭环境差异并提升预测性别公平性,引入多任务学习思想。提出三种新模型设计:特征聚类、损失依赖聚类和参与者ID嵌入,并与基线MLP对比。结果表明,损失依赖型MLP表现最优:验证集精度由48.92%提升至72.60%,敏感度从27.44%增至70.52%,同时显著改善了跨性别公平性。研究证明,优化后的模型能更可靠、公正地实现对痴呆患者的早期UTI风险预警,助力临床及时干预。
原文摘要 · Abstract (English)
Urinary tract infections (UTIs) are a significant health concern, particularly for people living with dementia (PLWD), as they can lead to severe complications if not detected and treated early. This study builds on previous work that utilised machine learning (ML) to detect UTIs in PLWD by analysing in-home activity and physiological data collected through low-cost, passive sensors. The current research focuses on improving the performance of previous models, particularly by refining the Multilayer Perceptron (MLP), to better handle variations in home environments and improve sex fairness in predictions by making use of concepts from multitask learning. This study implemented three primary model designs: feature clustering, loss-dependent clustering, and participant ID embedding which were compared against a baseline MLP model. The results demonstrated that the loss-dependent MLP achieved the most significant improvements, increasing validation precision from 48.92% to 72.60% and sensitivity from 27.44% to 70.52%, while also enhancing model fairness across sexes. These findings suggest that the refined models offer a more reliable and equitable approach to early UTI detection in PLWD, addressing participant-specific data variations and enabling clinicians to detect and screen for UTI risks more effectively, thereby facilitating earlier and more accurate treatment decisions.
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