Classification of Clinical Notes from a Heart Failure Telehealth Network...33rd Medical Informatics Europe Conference (MIE2023), May 22-25, 2023, Gothenburg, Sweden

Heart failure is a common chronic disease which is associated with high re-hospitalization and mortality rates. Within the telemedicine-assisted transitional care disease management program HerzMobil, monitoring data such as daily measured vital parameters and various other heart failure related dat...

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Published in:Studies in Health Technology & Informatics Vol. 302; pp. 803 - 808
Main Authors: WIESMÜLLER, Fabian, LAUSCHENSKI, Aaron, BAUMGARTNER, Martin, HAYN, Dieter, KREINER, Karl, FETZ, Bettina, BRUNELLI, Luca, PÖLZL, Gerhard, PFEIFER, Bernhard, NEURURER, Sabrina, SCHREIER, Günter
Format: proceedings research tables/charts Journal Article
Published: Sage Publications Inc. 2023
Online Access:View this record in EBSCOhost
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      dt: 2023
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Classification of Clinical Notes from a Heart Failure Telehealth Network...33rd Medical Informatics Europe Conference (MIE2023), May 22-25, 2023, Gothenburg, Sweden
      aug:
        au:
          WIESMÜLLER, Fabian
          LAUSCHENSKI, Aaron
          BAUMGARTNER, Martin
          HAYN, Dieter
          KREINER, Karl
          FETZ, Bettina
          BRUNELLI, Luca
          PÖLZL, Gerhard
          PFEIFER, Bernhard
          NEURURER, Sabrina
          SCHREIER, Günter
        affil: Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria
      sug:
        subj:
          Heart Failure Mortality
          Documentation
          Natural Language Processing
          Machine Learning
          Telehealth
          Transitional Care
          Disease Management
          Program Evaluation
          Human
          Congresses and Conferences Sweden
          Sweden
          Physicians
          Nurses
          Interrater Reliability
          Algorithms
          kappa Statistic
          Descriptive Statistics
      ab: Heart failure is a common chronic disease which is associated with high re-hospitalization and mortality rates. Within the telemedicine-assisted transitional care disease management program HerzMobil, monitoring data such as daily measured vital parameters and various other heart failure related data are collected in a structured way. Additionally, involved healthcare professionals communicate with one another via the system using free-text clinical notes. Since manual annotation of such notes is too time-consuming for routine care applications, an automated analysis process is needed. In the present study, we established a ground truth classification of 636 randomly selected clinical notes from HerzMobil based on annotations of 9 experts with different professional background (2 physicians, 4 nurses, and 3 engineers). We analyzed the influence of the professional background on the inter annotator reliability and compared the results with the accuracy of an automated classification algorithm. We found significant differences depending on the profession and on the category. These results indicate that different professional backgrounds should be considered when selecting annotators in such scenarios.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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