The use of natural language processing for the identification of ageing syndromes including sarcopenia, frailty and falls in electronic healthcare records: a systematic review.
Background Recording and coding of ageing syndromes in hospital records is known to be suboptimal. Natural Language Processing algorithms may be useful to identify diagnoses in electronic healthcare records to improve the recording and coding of these ageing syndromes, but the feasibility and diagno...
| Publicado en: | Age & Ageing Vol. 53; no. 7; pp. 1 - 12 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=178718749&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 178718749 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2024 vid: 53 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 178718749 10.1093/ageing/afae135 ppf: 1 ppct: 11 formats: tig: atl: The use of natural language processing for the identification of ageing syndromes including sarcopenia, frailty and falls in electronic healthcare records: a systematic review. aug: au: Osman, Mo Cooper, Rachel Sayer, Avan A Witham, Miles D affil: AGE Research Group , Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University , Newcastle upon Tyne , UK NIHR Newcastle Biomedical Research Centre, Newcastle upon Tyne NHS Foundation Trust, Cumbria Northumberland Tyne and Wear NHS Foundation Trust and Newcastle University , Newcastle upon Tyne , UK su: Aging Research funding Frail elderly CINAHL database Natural language processing Meta-analysis Systematic reviews MEDLINE Electronic health records Online information services Sarcopenia Accidental falls Algorithms sug: subj: Aging Research funding Frail elderly CINAHL database Natural language processing Meta-analysis Systematic reviews MEDLINE Electronic health records Online information services Sarcopenia Accidental falls Algorithms keyword: ageing syndromes electronic healthcare records informatics natural language processing older people systematic review ageing syndromes electronic healthcare records informatics natural language processing older people systematic review ab: Background Recording and coding of ageing syndromes in hospital records is known to be suboptimal. Natural Language Processing algorithms may be useful to identify diagnoses in electronic healthcare records to improve the recording and coding of these ageing syndromes, but the feasibility and diagnostic accuracy of such algorithms are unclear. Methods We conducted a systematic review according to a predefined protocol and in line with Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Searches were run from the inception of each database to the end of September 2023 in PubMed, Medline, Embase, CINAHL, ACM digital library, IEEE Xplore and Scopus. Eligible studies were identified via independent review of search results by two coauthors and data extracted from each study to identify the computational method, source of text, testing strategy and performance metrics. Data were synthesised narratively by ageing syndrome and computational method in line with the Studies Without Meta-analysis guidelines. Results From 1030 titles screened, 22 studies were eligible for inclusion. One study focussed on identifying sarcopenia, one frailty, twelve falls, five delirium, five dementia and four incontinence. Sensitivity (57.1%–100%) of algorithms compared with a reference standard was reported in 20 studies, and specificity (84.0%–100%) was reported in only 12 studies. Study design quality was variable with results relevant to diagnostic accuracy not always reported, and few studies undertaking external validation of algorithms. Conclusions Current evidence suggests that Natural Language Processing algorithms can identify ageing syndromes in electronic health records. However, algorithms require testing in rigorously designed diagnostic accuracy studies with appropriate metrics reported. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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