Prediction of Patient-specific Acute Hypotensive Episodes in ICU Using Deep Models
Bibliographic record
Abstract
Forecasting acute hypotensive episodes (AHE) in intensive care patients has been of recent interest to researchers in the healthcare domain. Advance warning of an impending AHE may give care providers additional information to help mitigate the negative clinical impact of a serious event such as an AHE or prompt a search for an evolving disease process. However, the currently accepted definition of AHE is restrictive does not account for inter-patient variability. In this paper, we propose a novel definition of an AHE based on patient-specific features of blood pressure recordings. Next, we utilize a deep learning-based method to predict the onset of an AHE from multiple physiological readings for different definitions of the prediction task including variable input and gap lengths. Using a cohort of 538 patients, our model was able to successfully predict the onset of an AHE with an accuracy and AUC score of 0.80 and 0.87 respectively. Compared to a baseline logistic regression model, our model outperforms the baseline in most of the definitions of the prediction task.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".