arXiv Statistics ML

Random Hazard Forests

Random Hazard Forests (RHF) is a survival tree ensemble that models how a patient's hazard changes over continuous time as new measurements arrive. RHF directly estimates a nonparametric hazard likelihood for predictable covariate processes, using an efficient working model to guide tree construction and then estimating flexible time‑varying hazards at each terminal node. By routing each tree based on the covariate state immediately before each time point, RHF can handle irregular and asynchronous covariate updates, and averaging across trees yields a pathwise hazard estimate that accurately captures changing risk in simulations and an intensive‑care application.

arXiv AI
Oct 28

Learning response-aware patient dynamics for respiratory support

The paper introduces a response‑aware patient dynamics model that explicitly captures how respiratory support alters a patient’s short‑term physiological trajectory. By decomposing predicted physiological change into baseline dynamics and support‑associated deviations anchored to room‑air reference, the model updates latent patient states across a forecast horizon. Experiments on ICU cohorts from two institutions show that the model matches baseline trajectory predictions overall and consistently improves performance when physiological states are changing.

By Xiaolei Lu, Shamim Nemati
arXiv AI
Sep 10

PGP-Clinical-TimeKAN: Prior-Guided Joint Probabilistic Forecasting of Clinical Trajectories

PGP-Clinical-TimeKAN is a trajectory-first framework for joint probabilistic forecasting of multivariate physiological data, combining missingness-aware temporal encoders, a soft organ-system prior, patient-specific relations, nonlinear Kolmogorov‑Arnold messages, and a low‑rank multivariate Student‑t head. Evaluated on a MIMIC‑IV cohort of 6,882 patients, it achieves the second‑lowest normalized MAE and the lowest RMSE among 13 models, while providing calibrated probabilistic forecasts with empirical coverage at 50%, 80%, and 95% intervals. Ablation studies show that relational structure is critical for performance, and increasing covariance rank improves likelihood but not point accuracy. whyItMatters":"The model demonstrates that joint trajectory forecasting can yield highly accurate, calibrated predictions of physiological trajectories, offering a potentially inspectable intermediate task for clinical deterioration prediction."

By Weizhi Nie, Rihao Chang, Weijie Wang, Yuting Su
arXiv Machine Learning
Oct 7

SepsisLens: Structure-Preserving Sequence Modelling for Decomposable Early Sepsis Warning

SepsisLens is a new model for early sepsis warning that preserves the structure of individual physiological signals while predicting risk. It uses observation-aware representations to encode each variable’s dynamics and a shared temporal encoder to maintain variable axes, then composes multi-horizon risk through a StructuredRiskHead that includes variable-level and organ-level components. The model was evaluated on three public ICU cohorts and one private-hospital cohort, achieving strong discrimination and lower alert burden at matched recall on MIMIC-IV, with ablations confirming the design choices.

By Yikun Ou, Wei Li
arXiv Machine Learning
Sep 22

A Patient World Model for Early Forecasting of Digital Health Campaign Outcomes: Capabilities and Limits

The paper introduces a compact patient world model that forecasts digital health campaign outcomes by maintaining a latent state per patient and learning exposure‑conditioned dynamics. Evaluated on a large US campaign dataset, the model predicts new‑to‑brand prescription volume with low relative error (2.9% at week‑4 cutoff) compared to much higher errors from baseline classifiers. The study also shows that dense next‑exposure supervision is crucial for accurate forecasts when conversions are rare and highlights limitations in interpreting exposure‑conditioned rollouts causally.

By Yunlong Wang