Tailoring treatment for severely ill patients is crucial yet challenging to achieve optimal healthcare outcomes. Recent advances in reinforcement learning offer promising personalized treatment recommendations. However, they often rely solely on a patient's current physiological state, which may not accurately represent the true health status of the patient. This limitation hampers policy learning and evaluation, undermining the effectiveness of the treatment. In this study, we propose Deep Attention Q-Network for personalized treatment recommendation, leveraging the Transformer architecture within a deep reinforcement learning framework to efficiently integrate historical observations of patients. We evaluated our proposed method on two real-world datasets: sepsis and acute hypotension patients, demonstrating its superiority over state-of-the-art methods. The source code for our model is available at https://github.com/stevenmsm/RL-ICU-DAQN.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216720PMC
http://dx.doi.org/10.1109/icdmw60847.2023.00048DOI Listing

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