Table 1 Performance of the zero-shot Flan-T5 model in identifying postpartum hemorrhage (PPH) concepts in discharge summaries.
From: Zero-shot interpretable phenotyping of postpartum hemorrhage using large language models
Concept (n) | Sensitivity | Specificity | PPV | Binary F1 | Accuracy |
|---|---|---|---|---|---|
Laceration (n = 421) | 0.976 | 0.996 | 0.993 | 0.984 | 0.989 |
Bakri balloon (n = 46) | 0.957 | 1.000 | 1.000 | 0.978 | 0.998 |
Cesarean delivery (n = 470) | 0.983 | 0.970 | 0.957 | 0.970 | 0.975 |
Methylergonovine (n = 104) | 0.952 | 0.996 | 0.961 | 0.957 | 0.992 |
Placenta previa (n = 170) | 0.982 | 0.986 | 0.923 | 0.952 | 0.986 |
Fresh frozen plasma (n = 79) | 0.962 | 0.995 | 0.938 | 0.950 | 0.993 |
Carboprost (n = 49) | 0.898 | 0.999 | 0.978 | 0.936 | 0.995 |
Misoprostol as a uterotonic (n = 112) | 0.938 | 0.991 | 0.913 | 0.925 | 0.986 |
Hysterectomy (n = 55) | 0.982 | 0.993 | 0.871 | 0.923 | 0.992 |
O’Leary sutures (n = 12) | 0.917 | 0.999 | 0.917 | 0.917 | 0.998 |
Uterine atony (n = 107) | 0.850 | 0.999 | 0.989 | 0.915 | 0.986 |
Retained products of conception (n = 102) | 0.892 | 0.993 | 0.929 | 0.910 | 0.985 |
Direct mention of PPH (n = 362) | 0.881 | 0.963 | 0.914 | 0.897 | 0.938 |
Packed red blood cells (n = 165) | 0.945 | 0.971 | 0.843 | 0.891 | 0.968 |
Abruption of the placenta (n = 47) | 0.915 | 0.994 | 0.860 | 0.887 | 0.991 |
Coagulation disorders (n = 44) | 0.795 | 0.996 | 0.897 | 0.843 | 0.989 |
Cryoprecipitate (n = 29) | 1.000 | 0.990 | 0.725 | 0.841 | 0.991 |
Dilation and curettage (n = 122) | 0.762 | 0.990 | 0.894 | 0.823 | 0.966 |
Platelets (n = 29) | 1.000 | 0.986 | 0.644 | 0.784 | 0.986 |
Placenta accreta spectrum (n = 45) | 0.822 | 0.987 | 0.712 | 0.763 | 0.980 |
Manual extraction of placenta (n = 110) | 0.782 | 0.972 | 0.741 | 0.761 | 0.954 |
PPH due to surgical causes (n = 27) | 0.741 | 0.983 | 0.513 | 0.606 | 0.978 |
Uterine rupture (n = 5) | 1.000 | 0.992 | 0.357 | 0.526 | 0.992 |
Concept (n) | Sensitivity | PPV | Note Acc. | ||
Estimated blood loss (n = 212) | 0.745 | 0.905 | 0.951 |