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1.
Stud Health Technol Inform ; 272: 55-58, 2020 Jun 26.
Article in English | MEDLINE | ID: mdl-32604599

ABSTRACT

The automated detection of adverse events in medical records might be a cost-effective solution for patient safety management or pharmacovigilance. Our group proposed an information extraction algorithm (IEA) for detecting adverse events in neurosurgery using documents written in a natural rich-in-morphology language. In this paper, we challenge to optimize and evaluate its performance for the detection of any extremity muscle weakness in clinical texts. Our algorithm shows the accuracy of 0.96 and ROC AUC = 0.96 and might be easily implemented in other medical domains.


Subject(s)
Muscle Weakness , Natural Language Processing , Electronic Health Records , Humans , Information Storage and Retrieval , Pharmacovigilance
2.
Stud Health Technol Inform ; 270: 163-167, 2020 Jun 16.
Article in English | MEDLINE | ID: mdl-32570367

ABSTRACT

Identifying adverse events in clinical documents is demanded in retrospective clinical research and prospective monitoring of treatment safety and cost-effectiveness. We proposed and evaluated a few methods of semi-automated muscle weakness detection in preoperative clinical notes for a larger project on predicting paresis by images. The combination of semi-expert and machine learning methods demonstrated maximized sensitivity = 0.860 and specificity = 0.919, and largest AUC = 0.943 with a 95% CI [0.874; 0.991], outperforming each method used individually. Our approaches are expected to be effective for autoshaping a well- verified training dataset for supervised machine learning.


Subject(s)
Muscle Weakness , Natural Language Processing , Electronic Health Records , Humans , Paresis , Prospective Studies , Retrospective Studies
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