可解释多标签模型在护理并发症风险识别中的研究现状

Research progress on interpretable multi-label models for identifying nursing-related complication risks

  • 摘要: 患者在治疗和康复过程中可能同时出现多种护理相关并发症,单一结局模型难以呈现这些结局的共现、时序及相互影响。可解释多标签模型(interpretable multi-label model,IMLM)将多标签联合预测与可解释人工智能相结合,可在同一患者层面输出多项风险预测结果,并阐明不同结局的主要预测依据、标签关联或预测不确定性。本文从技术基础、应用场景、主要优势及现存问题等方面,对可解释多标签模型在护理相关并发症风险识别中的研究进展进行综述,以期为护理风险预警和临床决策支持提供参考。

     

    Abstract: During treatment and rehabilitation, patients may experience multiple nursing-related complications concurrently. Conventional single-outcome prediction models are limited in their ability to characterize the co-occurrence, temporal relationships, and interactions among these outcomes. Interpretable multi-label models (IMLMs) integrate multi-label learning with explainable artificial intelligence, enabling simultaneous prediction of multiple complications at the individual patient level while elucidating key predictive features, inter-label dependencies, and prediction uncertainty. This review summarizes recent advances in the application of IMLMs for nursing-related complication risk identification, focusing on their technical foundations, clinical applications, potential advantages, and existing challenges, to provide insights for nursing risk prediction, early warning, and clinical decision support.

     

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