Aaron Patzer

Palmetto, Florida, United States Contact Info
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Vital.io: Guides patients during an ER or hospital stay. Advanced AI predicts wait times,…

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Experience & Education

  • Vital Software

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Publications

  • Prediction of Emergency Department Hospital Admission Based on Natural Language Processing and Neural Networks

    Methods Inf Med

    Abstract
    OBJECTIVE:
    To describe and compare logistic regression and neural network modeling strategies to predict hospital admission or transfer following initial presentation to Emergency Department (ED) triage with and without the addition of natural language processing elements.

    METHODS:
    Using data from the National Hospital Ambulatory Medical Care Survey (NHAMCS), a cross-sectional probability sample of United States EDs from 2012 and 2013 survey years, we developed several…

    Abstract
    OBJECTIVE:
    To describe and compare logistic regression and neural network modeling strategies to predict hospital admission or transfer following initial presentation to Emergency Department (ED) triage with and without the addition of natural language processing elements.

    METHODS:
    Using data from the National Hospital Ambulatory Medical Care Survey (NHAMCS), a cross-sectional probability sample of United States EDs from 2012 and 2013 survey years, we developed several predictive models with the outcome being admission to the hospital or transfer vs. discharge home. We included patient characteristics immediately available after the patient has presented to the ED and undergone a triage process. We used this information to construct logistic regression (LR) and multilayer neural network models (MLNN) which included natural language processing (NLP) and principal component analysis from the patient's reason for visit. Ten-fold cross validation was used to test the predictive capacity of each model and receiver operating curves (AUC) were then calculated for each model.

    RESULTS:
    Of the 47,200 ED visits from 642 hospitals, 6,335 (13.42%) resulted in hospital admission (or transfer). A total of 48 principal components were extracted by NLP from the reason for visit fields, which explained 75% of the overall variance for hospitalization. In the model including only structured variables, the AUC was 0.824 (95% CI 0.818-0.830) for logistic regression and 0.823 (95% CI 0.817-0.829) for MLNN. Models including only free-text information generated AUC of 0.742 (95% CI 0.731- 0.753) for logistic regression and 0.753 (95% CI 0.742-0.764) for MLNN. When both structured variables and free text variables were included, the AUC reached 0.846 (95% CI 0.839-0.853) for logistic regression and 0.844 (95% CI 0.836-0.852) for MLNN.

    Other authors
    • Xingyu Zhang
    • Joyce Kim
    • Rachel E. Patzer
    • Stephen R. Pitts
    See publication

Patents

  • System and method for building a script for a web page using an existing script from a similar web page

    Issued US 9,996,441

  • Multiple alignment genome sequence matching processor

    Issued US 6,983,274

  • Feedback cycle detection across non-scan memory elements

    US 6,986,114

  • Replicant simulation

    US 8,161,448

  • System and method for building and repairing a script for retrieval of information from a web site

    US 9,779,007

  • System and method for categorizing credit card transaction data

    US 7,840,456

  • System and method for providing price information

    US 9,286,639

  • Temporal replicant simulation

    US 7,979,820

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