NarrTBI: A Transformer Encoder for Detecting Sports-Related Head Injury from Emergency Department Narratives in the NEISS Database
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更新:2026-11-10 16:32:23 浏览:8次
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摘要
Surveillance of sport-related traumatic brain injury (TBI) depends on diagnosis and body-part codes that clinicians assign at the emergency department, while the free-text narrative written at the same visit is rarely used. We tested how well a Transformer encoder trained from scratch can recognise coded TBI (concussion or internal head injury) from the narrative alone. The data are 75,636 sports and recreation narratives from the 2025 National Electronic Injury Surveillance System, of which 8,040 (10.6%) carry the CDC-style TBI code pair. The diagnosis statement that clinicians append to 99.9% of narratives was cut before training, because an earlier run that removed it only when followed by a colon left the label partly readable. On 11,346 held-out narratives the Transformer reached ROC-AUC 0.966 (95% CI 0.962–0.970) and PR-AUC 0.798 (0.775–0.821). A TF-IDF logistic regression scored slightly higher (0.972 and 0.808); the paired ROC-AUC difference was −0.006 (−0.008 to −0.004). Masking explicit TBI words lowered the Transformer only to 0.963, so the signal lies mainly in how the injury is described. At 90% specificity the Transformer found 89.4% of coded TBI.
关键词
traumatic brain injury, concussion, clinical narratives, NEISS, Transformer encoder, text classification, injury surveillance
稿件作者
Dr.Praveen A
Kerala;Kannur University
BINTHU MATHAVAN
Chennai;CENTRAL UNIVERSITY OF TAMILNADU
Soumya Joseph
Christ University Bangalore
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