An Interpretable Machine Learning Framework with Clinical Nomogram for Predicting In-Hospital Mortality in Acute Ischemic Stroke Using High-Granularity Bedside Data
This multicenter study developed and validated an interpretable machine learning model integrating granular nursing and emergency department data collected within the first 24 hours to predict in-hospital mortality in acute ischemic stroke (AIS). We analyzed a retrospective cohort of 5,014 adult AIS patients from three tertiary academic centers (2019-2023). Centers A and B (n=3,512) formed the development cohort; Center C (n=1,502) served as the external validation cohort. Sixty-three predictors across seven dom…
A CatBoost model integrating 22 granular nursing and emergency department features collected within the first 24 hours improved early in-hospital mortality prediction for acute ischemic stroke patients, achieving higher discrimination than established ICU scores in both internal and external validation.
Evidence
- Peer-reviewedJournal of Stroke and Cerebrovascular Diseases2026-08-26
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Truvace Impact Record TRV-2026-0919, v1: “An Interpretable Machine Learning Framework with Clinical Nomogram for Predicting In-Hospital Mortality in Acute Ischemic Stroke Using High-Granularity Bedside Data.” Truvace, 2026-08-28. /record/TRV-2026-0919 (accessed at citation time). sha256 69db72576474a0e8…
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