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ICU readmission and mortality risk prediction:Generalizability of a multi-hospital model
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作者 Tariq A.Dam Daan de Bruin +4 位作者 Giovanni Cinà Patrick J.Thoral Paul W.G.Elbers Corstiaan A.den Uil Reinier F.Crane 《Journal of Intensive Medicine》 2025年第4期377-384,共8页
Background:Inadvertent intensive care unit(ICU)readmission is associated with longer length of stay and increased mortality.Conversely,delayed ICU discharge may represent inefficient use of resources.To better inform ... Background:Inadvertent intensive care unit(ICU)readmission is associated with longer length of stay and increased mortality.Conversely,delayed ICU discharge may represent inefficient use of resources.To better inform discharge timing,several hospitals have implemented machine learning models to predict readmission risk following discharge.However,these models are typically created locally and may not generalize well to other hospitals or patient populations.A single multi-hospital-based model might provide more accurate predictions and insight into features that are applicable across diverse clinical settings.Methods:This study involved a retrospective multi-center cohort from one academic hospital(Amsterdam University Medical Center[AUMC])and two large teaching hospitals(Maasstad Ziekenhuis[MSZ]and OLVG).Data from the latter two hospitals were combined to create a pooled model,which was tested on the academic hospital dataset.Data relating to all adult ICU patients were included,starting from the implementation of the electronic health record system until the commencement of model development for each hospital.An XGBoost model was trained to predict a composite outcome of readmission or mortality within 7 days and an autoencoder was used as an out-of-distribution(OOD)detector to capture dataset heterogeneity.Results:In total,44,837 patients were available for analysis across the three hospitals.The average readmission rates were 7.1%,6.9%,and 5.9%for MSZ,OLVG,and AUMC,respectively.Performance evaluation of the local models on AUMC data demonstrated weighted area under the receiver operating characteristic curves of 69.7%±0.8%,70.5%±0.5%,and 76.5%±1.9%,respectively,whereas the pooled model achieved a weighted area under the receiver operating characteristic curves of 71.1%±0.7%.The difference between internal and external performance was reduced when cardiac surgery patients were excluded.The key features across models were albumin levels and the use of oxygen therapy.Discussion:A single,multi-hospital-based model performed comparably on external datasets,especially when cardiac surgery patients were excluded.However,when applied externally,model predictions risk being uncalibrated for specific patient subgroups and require careful calibration before implementation.While external models were more stable than local ones over OOD scores,their performance was comparable after excluding cardiac surgery patients.Although pooling data marginally improved performance on external datasets,the incorporation of data from diverse hospitals is likely to provide greater benefits. 展开更多
关键词 Artificial intelligence Intensive care Patient readmission MORTALITY Patient discharge
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The Deep Ritz Method: A Deep Learning-Based Numerical Algorithm for Solving Variational Problems 被引量:86
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作者 Weinan E Bing Yu 《Communications in Mathematics and Statistics》 SCIE 2018年第1期1-12,共12页
We propose a deep learning-based method,the Deep Ritz Method,for numerically solving variational problems,particularly the ones that arise from par-tial differential equations.The Deep Ritz Method is naturally nonline... We propose a deep learning-based method,the Deep Ritz Method,for numerically solving variational problems,particularly the ones that arise from par-tial differential equations.The Deep Ritz Method is naturally nonlinear,naturally adaptive and has the potential to work in rather high dimensions.The framework is quite simple and fits well with the stochastic gradient descent method used in deep learning.We illustrate the method on several problems including some eigenvalue problems. 展开更多
关键词 Deep Ritz Method Variational problems PDE Eigenvalue problems
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Dedicated to Professor Chi-Wang Shu on the occasion of his 60th birthday A Proposal on Machine Learning via Dynamical Systems 被引量:10
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作者 Weinan E 《Communications in Mathematics and Statistics》 SCIE 2017年第1期1-11,共11页
Wediscuss the idea of using continuous dynamicalsystemstomodel generalhigh-dimensional nonlinear functions used in machine learning.We also discuss theconnection with deep learning.
关键词 Deep learning Machine learning Dynamical systems
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Exponential convergence of the deep neural network approximation for analytic functions Dedicated to Professor Ta Tsien Li on the Occasion of His 80th Birthday 被引量:8
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作者 Weinan E Qingcan Wang 《Science China Mathematics》 SCIE CSCD 2018年第10期1733-1740,共8页
We prove that for analytic functions in low dimension, the convergence rate of the deep neural network approximation is exponential.
关键词 neural networks approximation theory analytic functions
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Nash and Stackelberg Differential Games 被引量:1
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作者 Alain BENSOUSSAN Jens FREHSE Jens VOGELGESANG 《Chinese Annals of Mathematics,Series B》 SCIE CSCD 2012年第3期317-332,共16页
A large class of stochastic differential games for several players is considered in this paper.The class includes Nash differential games as well as Stackelberg differential games.A mix is possible.The existence of fe... A large class of stochastic differential games for several players is considered in this paper.The class includes Nash differential games as well as Stackelberg differential games.A mix is possible.The existence of feedback strategies under general conditions is proved.The limitations concern the functionals in which the state and the controls appear separately.This is also true for the state equations.The controls appear in a quadratic form for the payoff and linearly in the state equation.The most serious restriction is the dimension of the state equation,which cannot exceed 2.The reason comes from PDE(partial differential equations) techniques used in studying the system of Bellman equations obtained by Dynamic Programming arguments.In the authors' previous work in 2002,there is not such a restriction,but there are serious restrictions on the structure of the Hamiltonians,which are violated in the applications dealt with in this article. 展开更多
关键词 Stochastic games Bellman equation Nonlinear elliptic and parabolicequations Stochastic differential games HAMILTONIANS
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Mean field limit of a dynamical model of polymer systems
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作者 E Weinan SHEN Hao 《Science China Mathematics》 SCIE 2013年第12期2591-2598,共8页
This paper provides a mathematically rigorous foundation for self-consistent mean field theory of the polymeric physics. We study a new model for dynamics of mono-polymer systems. Every polymer is regarded as a string... This paper provides a mathematically rigorous foundation for self-consistent mean field theory of the polymeric physics. We study a new model for dynamics of mono-polymer systems. Every polymer is regarded as a string of points which are moving randomly as Brownian motions and under elastic forces. Every two points on the same string or on two different strings also interact under a pairwise potential V. The dynamics of the system is described by a system of N coupled stochastic partial differential equations (SPDEs). We show that the mean field limit as N -+ c~ of the system is a self-consistent McKean-Vlasov type equation, under suitable assumptions on the initial and boundary conditions and regularity of V. We also prove that both the SPDE system of the polymers and the mean field limit equation are well-posed. 展开更多
关键词 POLYMERS mean field limit stochastic PDEs McKean-Vlasov equation
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Cauchy-Born Rule and the Stability of Crystalline Solids:Dynamic Problems
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作者 Wei-nan E Ping-bing Ming 《Acta Mathematicae Applicatae Sinica》 SCIE CSCD 2007年第4期529-550,共22页
We study continuum and atomistic models for the elastodynamics of crystalline solids at zero temperature. We establish sharp criterion for the regime of validity of the nonlinear elastic wave equations derived from th... We study continuum and atomistic models for the elastodynamics of crystalline solids at zero temperature. We establish sharp criterion for the regime of validity of the nonlinear elastic wave equations derived from the well-known Cauchy-Born rule. 展开更多
关键词 Crystal elasticity Cauchy-Born rule stability of crystals
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Pole-Based Approximation of the Fermi-Dirac Function
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作者 Lin LIN Jianfeng LU +1 位作者 Lexing YING Weinan E 《Chinese Annals of Mathematics,Series B》 SCIE CSCD 2009年第6期729-742,共14页
Two approaches for the efficient rational approximation of the Fermi-Dirac function are discussed:one uses the contour integral representation and conformal real〉ping,and the other is based on a version of the multip... Two approaches for the efficient rational approximation of the Fermi-Dirac function are discussed:one uses the contour integral representation and conformal real〉ping,and the other is based on a version of the multipole representation of the Fermi-Dirac function that uses only simple poles.Both representations have logarithmic computational complexity.They are of great interest for electronic structure calculations. 展开更多
关键词 Contour integral Fermi-Dirac function Rational approximation
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Effectiveness of Implicit Methods for Stiff Stochastic Differential Equations
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作者 Tiejun Li Assyr Abdulle Weinan E 《Communications in Computational Physics》 SCIE 2008年第2期295-307,共13页
In this paper we study the behavior of a family of implicit numerical methods applied to stochastic differential equations with multiple time scales.We show by a combination of analytical arguments and numerical examp... In this paper we study the behavior of a family of implicit numerical methods applied to stochastic differential equations with multiple time scales.We show by a combination of analytical arguments and numerical examples that implicit methods in general fail to capture the effective dynamics at the slow time scale.This is due to the fact that such implicit methods cannot correctly capture non-Dirac invariant distributions when the time step size is much larger than the relaxation time of the system. 展开更多
关键词 Implicit methods stiff ODE stiff SDE invariant distribution multiscale.
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Sequential Multiscale Modeling Using Sparse Representation
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作者 Carlos J.Garcıa-Cervera Weiqing Ren +1 位作者 Jianfeng Lu Weinan E 《Communications in Computational Physics》 SCIE 2008年第10期1025-1033,共9页
The main obstacle in sequential multiscale modeling is the pre-computation of the constitutive relationwhich often involvesmany independent variables.The constitutive relation of a polymeric fluid is a function of six... The main obstacle in sequential multiscale modeling is the pre-computation of the constitutive relationwhich often involvesmany independent variables.The constitutive relation of a polymeric fluid is a function of six variables,even after making the simplifying assumption that stress depends only on the rate of strain.Precomputing such a function is usually considered too expensive.Consequently the value of sequential multiscale modeling is often limited to“parameter passing”.Here we demonstrate that sparse representations can be used to drastically reduce the computational cost for precomputing functions of many variables.This strategy dramatically increases the efficiency of sequential multiscale modeling,making it very competitive in many situations. 展开更多
关键词 Multiscale modeling sparse grids
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Convergence of a Stochastic Method for the Modeling of Polymeric Fluids 被引量:1
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作者 Weinan E 《Acta Mathematicae Applicatae Sinica》 SCIE CSCD 2002年第4期529-536,共8页
We present a convergence analysis of a stochastic method for numerical modeling of complex fluids using Brownian configuration fields (BCF) for shear flows. The analysis takes into account the special structure of the... We present a convergence analysis of a stochastic method for numerical modeling of complex fluids using Brownian configuration fields (BCF) for shear flows. The analysis takes into account the special structure of the stochastic partial differential equations for shear flows. We establish the optimal rate of convergence. We also analyze the nature of the error by providing its leading order asymptotics. 展开更多
关键词 Brownian Configuration Fields (BCF) convergence analysis dumbbell model
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