A Process Mining Pipeline to Characterize COVID-19 Patients' Trajectories and Identify Relevant Temporal Phenotypes From EHR Data.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_FBA88246050C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A Process Mining Pipeline to Characterize COVID-19 Patients' Trajectories and Identify Relevant Temporal Phenotypes From EHR Data.
Journal
Frontiers in public health
Author(s)
Dagliati A., Gatta R., Malovini A., Tibollo V., Sacchi L., Cascini F., Chiovato L., Bellazzi R.
ISSN
2296-2565 (Electronic)
ISSN-L
2296-2565
Publication state
Published
Issued date
2022
Peer-reviewed
Oui
Volume
10
Pages
815674
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The impact of the COVID-19 pandemic involved the disruption of the processes of care and the need for immediately effective re-organizational procedures. In the context of digital health, it is of paramount importance to determine how a specific patients' population reflects into the healthcare dynamics of the hospital, to investigate how patients' sub-group/strata respond to the different care processes, in order to generate novel hypotheses regarding the most effective healthcare strategies. We present an analysis pipeline based on the heterogeneous collected data aimed at identifying the most frequent healthcare processes patterns, jointly analyzing them with demographic and physiological disease trajectories, and stratify the observed cohort on the basis of the mined patterns. This is a process-oriented pipeline which integrates process mining algorithms, and trajectory mining by topological data analyses and pseudo time approaches. Data was collected for 1,179 COVID-19 positive patients, hospitalized at the Italian Hospital "Istituti Clinici Salvatore Maugeri" in Lombardy, integrating different sources including text admission letters, EHR and hospital infrastructure data. We identified five temporal phenotypes, from laboratory values trajectories, which are characterized by statistically significant different death risk estimates. The process mining algorithms allowed splitting the data in sub-cohorts as function of the pandemic waves and of the temporal trajectories showing statistically significant differences in terms of events characteristics.
Keywords
Algorithms, COVID-19/epidemiology, Electronic Health Records, Humans, Pandemics, Phenotype, COVID-19, Electronic Health Record (EHR), digital health, electronic phenotyping algorithms, healthcare dynamics, precision medicine, process mining, temporal phenotypes
Pubmed
Web of science
Open Access
Yes
Create date
17/06/2022 18:34
Last modification date
23/11/2022 8:17
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