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arXiv · 1901.04670

Improving Sepsis Treatment Strategies by Combining Deep and Kernel-Based Reinforcement Learning

Xuefeng Peng·Yi Ding·David Wihl·Omer Gottesman·Matthieu Komorowski·Li-wei H. Lehman·Andrew Ross·Aldo Faisal·Finale Doshi-Velez
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Abstract

Sepsis is the leading cause of mortality in the ICU. It is challenging to manage because individual patients respond differently to treatment. Thus, tailoring treatment to the individual patient is essential for the best outcomes. In this paper, we take steps toward this goal by applying a mixture-of-experts framework to personalize sepsis treatment. The mixture model selectively alternates between neighbor-based (kernel) and deep reinforcement learning (DRL) experts depending on patient's current history. On a large retrospective cohort, this mixture-based approach outperforms physician, kernel only, and DRL-only experts.

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Xuefeng Peng, Yi Ding, David Wihl, Omer Gottesman, Matthieu Komorowski, Li-wei H. Lehman, Andrew Ross, Aldo Faisal, Finale Doshi-Velez. 2019-01-15. Improving Sepsis Treatment Strategies by Combining Deep and Kernel-Based Reinforcement Learning. https://arxiv.org/abs/1901.04670

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