The recent release of large-scale healthcare datasets has greatly propelled the research of data-driven deep learning models for healthcare applications. However, due to the nature of such deep black-boxed models, concerns about interpretability, fairness, and biases in healthcare scenarios where human lives are at stake call for a careful and thorough examinations of both datasets and models. In this work, we focus on MIMIC-IV (Medical Information Mart for Intensive Care, version IV), the largest publicly available healthcare dataset, and conduct comprehensive analyses of dataset representation bias as well as interpretability and prediction fairness of deep learning models for in-hospital mortality prediction. In terms of interpretabilty, we observe that (1) the best performing interpretability method successfully identifies critical features for mortality prediction on various prediction models; (2) demographic features are important for prediction. In terms of fairness, we observe that (1) there exists disparate treatment in prescribing mechanical ventilation among patient groups across ethnicity, gender and age; (2) all of the studied mortality predictors are generally fair while the IMV-LSTM (Interpretable Multi-Variable Long Short-Term Memory) model provides the most accurate and unbiased predictions across all protected groups. We further draw concrete connections between interpretability methods and fairness metrics by showing how feature importance from interpretability methods can be beneficial in quantifying potential disparities in mortality predictors.

该研究关注深度学习模型在医疗场景下的可解释性和公平性问题，以MIMIC-IV数据集为例，分析了预测模型的可解释性和预测公平性，并揭示了该数据集中存在的偏差和不平等对策。

MIMIC-IV 数据集上深度学习模型的可解释性和公平性评估