Hospital-Based Medicine

Latest AI and machine learning research in hospital-based medicine for healthcare professionals.

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Machine Learning-Driven Decision-Support System for Nursing Risk Assessment in Post-Discharge Care: A Design Science Approach

Hospital readmissions represent a persistent challenge for healthcare systems, often stemming from inadequate post-discharge monitoring. This study presents a Machine Learning (ML)-driven Clinical Decision Support System (CDSS) designed to enhance nursing risk assessment in post-discharge care. Developed using a Design Science Research Methodology, the artefact integrates a digital questionnaire, ...

Explainable Artificial Intelligence for Prognostic Stratification in Out-of-Hospital Cardiac Arrest Patients Undergoing Extracorporeal Cardiopulmonary Resuscitation

Prognostication in patient with out-of-hospital cardiac arrest (OHCA) underwent extracorporeal cardiopulmonary resuscitation (ECPR) remains challenging due to the complexity of clinical variables. We aimed to develop and interpret artificial intelligence (AI) models for early outcome prediction in OHCA patients treated with ECPR, and to identify clinically meaningful patient subgroups through supe...

Automated Seizure Classification Using Multimodal Large Language Models

Accurately distinguishing between epileptic seizures (ES) and nonepileptic seizures (NES) is a significant clinical challenge that typically requires ...

A medical algorithmic audit framework for evaluating the safety, equity, and quality of an AI Scribe tool in a paediatric developmental assessment clinic

Any tool that can reduce the administrative burden on healthcare providers while preserving safe, accountable and high-quality medical documentation i...

Mining medical narratives on geriatric falls to predict post-fall hospitalization via survival models and large language models

Timely admission to the emergency department is a crucial determinant of patient outcomes. Conversely, unnecessary hospital admissions can overburden ...

Artificial Intelligence-assisted reader evaluation in acute CT head interpretation (AI-REACT): a multireader multicase study

Non-contrast CT head scans (NCCTH) are the most frequently requested cross-sectional imaging in the Emergency Department. While AI tools have been dev...

TARGET-AI: a foundational approach for the targeted deployment of artificial intelligence electrocardiography in the electronic health record

Artificial intelligence (AI) applied to routine electrocardiograms (ECGs) offers promise for screening of structural heart disease (SHD), yet broad cl...

Personalized Fluid Management in Patients with Sepsis and AKI: A Casual Machine Learning Approach

Intravenous (IV) fluids are cornerstone for management of acute kidney injury (AKI) after sepsis but can cause fluid overload. Restrictive fluid strat...

Admission photoplethysmography-based mortality prediction in hospitalized Ugandan children with suspected or confirmed infection: a feasibility study

Sepsis remains a major cause of preventable pediatric hospital deaths in developing countries, with progress hindered by the lack of effective risk id...

Evaluating an LLM-Assisted Workflow for Clinical Documentation: A Pilot Randomized Controlled Trial on Time and Quality

Large language models (LLMs) have been investigated for clinical documentation, with concerns about hallucinations and factual errors. Clinician revie...

Machine Learning Risk Prediction for Prolonged Hospitalization in Frail Older Adults with Multimorbidity

Frailty and multimorbidity are common in older adults and contribute substantially to prolonged hospitalizations, readmissions, and mortality. Yet, ex...

Agentic Generative Artificial Intelligence System for Classification of Pathology-Confirmed Primary Progressive Aphasia Variants

Accurate clinical and pathological diagnoses are essential in neurodegenerative diseases, especially given the emergence of pathology-specific disease...

Clinical Implementation of an AI Algorithm for Substance Misuse Screening in Hospitalized Adults

Manual inpatient screening for substance misuse is labor-intensive and inconsistently applied. Evaluation of artificial intelligence (AI)–assisted scr...

Characterizing Dementia Phenotypes from Unstructured EHR Notes with Generative AI and Interpretable Machine Learning

Dementia encompasses diverse clinical syndromes where diseases of the brain can manifest as impaired cognitive abilities, such as in Alzheimer’s disea...

Mind’s eye: Saccade-related evoked potentials support visual encoding in humans

In active vision, the brain receives and encodes discontinuous streams of visual information gated by saccadic eye movements. Saccadic modulation of n...

A precision health approach to medication management in neurodevelopmental conditions: a model development and validation study using four international cohorts

Psychotropic medications are commonly used for children with neurodevelopmental conditions, but their effectiveness varies, making treatment selection...

Circulating microglia-derived extracellular vesicles predict recovery after rehabilitation in stroke survivors

Timely intensive rehabilitation is crucial to contrast the negative escalation of events that follow a stroke injury, to promote tissue regeneration, ...

Deep learning based ischemic lesion markers on non-contrast head CT compared to CTP and DWI

Quantification of ischemic brain tissue on non-contrast CT (NCCT) in acute ischemic stroke is challenging in the acute setting. To compare the spatial...

Development and validation of Retrieval Augmented Generation (RAG) and GraphRAG for complex clinical cases

Chronic Kidney Disease (CKD) is a progressive condition requiring evidence-based management, but adherence to complex guidelines remains challenging. ...

Multidisciplinary large language model agent teams for precision oncology enhance complex gynecologic oncology decision support

Large language models can help with clinical decision-making tasks. Complex oncology cases are best managed through multidisciplinary tumor boards but...

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