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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 JMIR+Med+Inform 2021 ; 9 (1): e24207 Nephropedia Template TP
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Federated Learning of Electronic Health Records to Improve Mortality Prediction in Hospitalized Patients With COVID-19: Machine Learning Approach #MMPMID33400679
Vaid A; Jaladanki SK; Xu J; Teng S; Kumar A; Lee S; Somani S; Paranjpe I; De Freitas JK; Wanyan T; Johnson KW; Bicak M; Klang E; Kwon YJ; Costa A; Zhao S; Miotto R; Charney AW; Bottinger E; Fayad ZA; Nadkarni GN; Wang F; Glicksberg BS
JMIR Med Inform 2021[Jan]; 9 (1): e24207 PMID33400679show ga
BACKGROUND: Machine learning models require large datasets that may be siloed across different health care institutions. Machine learning studies that focus on COVID-19 have been limited to single-hospital data, which limits model generalizability. OBJECTIVE: We aimed to use federated learning, a machine learning technique that avoids locally aggregating raw clinical data across multiple institutions, to predict mortality in hospitalized patients with COVID-19 within 7 days. METHODS: Patient data were collected from the electronic health records of 5 hospitals within the Mount Sinai Health System. Logistic regression with L1 regularization/least absolute shrinkage and selection operator (LASSO) and multilayer perceptron (MLP) models were trained by using local data at each site. We developed a pooled model with combined data from all 5 sites, and a federated model that only shared parameters with a central aggregator. RESULTS: The LASSO(federated) model outperformed the LASSO(local) model at 3 hospitals, and the MLP(federated) model performed better than the MLP(local) model at all 5 hospitals, as determined by the area under the receiver operating characteristic curve. The LASSO(pooled) model outperformed the LASSO(federated) model at all hospitals, and the MLP(federated) model outperformed the MLP(pooled) model at 2 hospitals. CONCLUSIONS: The federated learning of COVID-19 electronic health record data shows promise in developing robust predictive models without compromising patient privacy.