Discovering predictive temporal patterns for Acute Kidney Injury from critical care data.

ABSTRACT

Acute Kidney Injury is a severe clinical condition with a high risk of multi-organs complications and mortality. For this reason, early recognition is crucial. Our proposal based on a 3-window framework discovers all hidden regularities, called Approximate Predictive Functional Dependencies, with the aim to enable early recognition of high-risk patients during hospitalization in the Intensive Care Unit (ICU). We evaluated the different severity stages according to the Kidney Disease Improving Global Outcomes (KDIGO) guidelines, building different pathological state patterns, from admission to the discharge from ICU. According to the clinical practice, for each patient, we examined various characteristics expressed as a temporal history of events that may predict a pathological state pattern. We evaluated our proposal exploiting the MIMIC-IV dataset, a collection of Electronic Medical Records from ICU. The obtained results showed promising possibilities to use this type of dependency to support clinical practice.