ForecastICU: A Prognostic Decision Support System for Timely Prediction of Intensive Care Unit Admission

We develop ForecastICU: a prognostic decision support system that monitors hospitalized patients and prompts alarms for intensive care unit (ICU) admissions. ForecastICU is first trained in an offline stage by constructing a Bayesian belief system that corresponds to its belief about how trajectories of physiological data streams of the patient map to a clinical status. After that, ForecastICU monitors a new patient in real-time by observing her physiological data stream, updating its belief about her status over time, and prompting an alarm whenever its belief process hits a predefined threshold (confidence). Using a real-world dataset obtained from UCLA Ronald Reagan Medical Center, we show that ForecastICU can predict ICU admissions 9 hours before a physician’s decision (for a sensitivity of 40% and a precision of 50%). Also, ForecastICU performs consistently better than other state-ofthe-art machine learning algorithms in terms of sensitivity, precision, and timeliness: it can predict ICU admissions 3 hours earlier, and offers a 7.8% gain in sensitivity and a 5.1% gain in precision compared to the best state-of-the-art algorithm. Moreover, ForecastICU offers an area under curve (AUC) gain of 22.3% compared to the Rothman index, which is the currently deployed technology in most hospital wards. Proceedings of the 33 rd International Conference on Machine Learning, New York, NY, USA, 2016. JMLR: W&CP volume 48. Copyright 2016 by the author(s).