Self-Supervised Predictive Coding with Multimodal Fusion for Patient Deterioration Prediction in Fine-grained Time Resolution

Kwanhyung Lee; John Won; Heejung Hyun; Sangchul Hahn; Edward Choi; Joohyung Lee

Home/Archive/arXiv

arXiv · 2210.16598

Self-Supervised Predictive Coding with Multimodal Fusion for Patient Deterioration Prediction in Fine-grained Time Resolution

Kwanhyung Lee·John Won·Heejung Hyun·Sangchul Hahn·Edward Choi·Joohyung Lee

View original source ↗Read source document ↗Export metadata ↓

Abstract

Accurate time prediction of patients' critical events is crucial in urgent scenarios where timely decision-making is important. Though many studies have proposed automatic prediction methods using Electronic Health Records (EHR), their coarse-grained time resolutions limit their practical usage in urgent environments such as the emergency department (ED) and intensive care unit (ICU). Therefore, in this study, we propose an hourly prediction method based on self-supervised predictive coding and multi-modal fusion for two critical tasks: mortality and vasopressor need prediction. Through extensive experiments, we prove significant performance gains from both multi-modal fusion and self-supervised predictive regularization, most notably in far-future prediction, which becomes especially important in practice. Our uni-modal/bi-modal/bi-modal self-supervision scored 0.846/0.877/0.897 (0.824/0.855/0.886) and 0.817/0.820/0.858 (0.807/0.81/0.855) with mortality (far-future mortality) and with vasopressor need (far-future vasopressor need) prediction data in AUROC, respectively.

Explore related subjects

cs.LG

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

Kwanhyung Lee, John Won, Heejung Hyun, Sangchul Hahn, Edward Choi, Joohyung Lee. 2023-04-13. Self-Supervised Predictive Coding with Multimodal Fusion for Patient Deterioration Prediction in Fine-grained Time Resolution. https://arxiv.org/abs/2210.16598

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

Online Regularized Statistical Learning in Reproducing Kernel Hilbert Space With Non-Stationary Data

We study recursive regularized learning algorithms in the reproducing kernel Hilbert space (RKHS) with non-stationary online data streams. We introduce the concept of a random Tikhonov regularization path and decompose the tracking error of the algorithm's output for the regularization path into random difference equations in RKHS. We show that the tracking error vanishes in mean square and almost surely if the regularization path is slowly time-varying. Then, leveraging the monotonicity of inverse operators and the spectral decomposition of compact operators, and introducing the RKHS persistence of excitation condition, we develop a dominated convergence method to prove the mean square and almost sure consistency between the regularization path and the unknown function to be learned. Especially, for independent and non-identically distributed data streams, the mean square and almost sure consistency between the algorithm's output and the unknown function is achieved if the input data's marginal probability measures are slowly time-varying and the average measure over each fixed-length time period is uniformly above a strictly positive finite Borel measure.

cs.LG↗

arXiv2026

Reflective Policy Optimization

On-policy reinforcement learning methods, like Trust Region Policy Optimization (TRPO) and Proximal Policy Optimization (PPO), often demand extensive data per update, leading to sample inefficiency. This paper introduces Reflective Policy Optimization (RPO), a novel on-policy extension that amalgamates past and future state-action information for policy optimization. This approach empowers the agent for introspection, allowing modifications to its actions within the current state. Theoretical analysis confirms that policy performance is monotonically improved and contracts the solution space, consequently expediting the convergence procedure. Empirical results demonstrate RPO's feasibility and efficacy in two reinforcement learning benchmarks, culminating in superior sample efficiency. The source code of this work is available at https://github.com/Edgargan/RPO.

cs.LG↗

arXiv2026

Transductive Off-policy Proximal Policy Optimization

Proximal Policy Optimization (PPO) is a popular model-free reinforcement learning algorithm, esteemed for its simplicity and efficacy. However, due to its inherent on-policy nature, its proficiency in harnessing data from disparate policies is constrained. This paper introduces a novel off-policy extension to the original PPO method, christened Transductive Off-policy PPO (ToPPO). Herein, we provide theoretical justification for incorporating off-policy data in PPO training and prudent guidelines for its safe application. Our contribution includes a novel formulation of the policy improvement lower bound for prospective policies derived from off-policy data, accompanied by a computationally efficient mechanism to optimize this bound, underpinned by assurances of monotonic improvement. Comprehensive experimental results across six representative tasks underscore ToPPO's promising performance.

cs.LG↗