ArticleScientific reports2024
A novel deep learning algorithm for real-time prediction of clinical deterioration in the emergency department for a multimodal clinical decision support system.
Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Deep learning-based natural language processing for critical care identification in pediatric emergency department.BMC emergency medicine · 2026Article
- Safety-Constrained Agentic AI for Autism Screening: A Multimodal, Clinician-Guided Architecture.Cureus · 2026Article
- From Drops to Decisions: AI/ML-Driven Biofluidics for Clinical Diagnostics and Healthcare Intelligence.Analytical chemistry · 2026Review
- Multimodal artificial intelligence in urologic precision oncology: from algorithm to translational medicine (a systemized narrative review).Frontiers in oncology · 2026Review
- Nurses as guardians of time: the hidden clinical value of continuous care in geriatrics.Frontiers in public health · 2026Review
- From algorithms to operating room: can large language models master China's attending anesthesiology exam? A cross-sectional evaluation.International journal of surgery (London, England) · 2026Article
- Trends in the Japanese National Medical Licensing Examination: Cross-Sectional Study.JMIR medical education · 2025Article
- From conventional scores to explainable AI: a six-method comparative framework for failure prediction in percutaneous nephrolithotomy.World journal of urology · 2025Article
- Personalized federated learning for predicting disability progression in multiple sclerosis using real-world routine clinical data.NPJ digital medicine · 2025Article
- Medical laboratory data-based models: opportunities, obstacles, and solutions.Journal of translational medicine · 2025Review
- Improving prediction accuracy of hospital arrival vital signs using a multi-output machine learning model: a retrospective study of JSAS-registry data.BMC emergency medicine · 2025Article
- Development of a novel artificial intelligence algorithm for interpreting fetal heart rate and uterine activity data in cardiotocography.Frontiers in digital health · 2025Article
- Deep learning for cardiovascular management: optimizing pathways and cost control under diagnosis-related group models.Frontiers in artificial intelligence · 2025Review
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Authors and funding
9 authors.
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Abstract
The array of complex and evolving patient data has limited clinical decision making in the emergency department (ED). This study introduces an advanced deep learning algorithm designed to enhance real-time prediction accuracy for integration into a novel Clinical Decision Support System (CDSS). A retrospective study was conducted using data from a level 1 tertiary hospital. The algorithm's predictive performance was evaluated based on in-hospital cardiac arrest, inotropic circulatory support, advanced airway, and intensive care unit admission. We developed an artificial intelligence (AI) algorithm for CDSS that integrates multiple data modalities, including vitals, laboratory, and imaging results from electronic health records. The AI model was trained and tested on a dataset of 237,059 ED visits. The algorithm's predictions, based solely on triage information, significantly outperformed traditional logistic regression models, with notable improvements in the area under the precision-recall curve (AUPRC). Additionally, predictive accuracy improved with the inclusion of continuous data input at shorter intervals. This study suggests the feasibility of using AI algorithms in diverse clinical scenarios, particularly for earlier detection of clinical deterioration. Future work should focus on expanding the dataset and enhancing real-time data integration across multiple centers to further optimize its application within the novel CDSS.
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