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Machine learning prediction of 1-year mortality in older patients with heart failure: a nationwide, multicenter, prospective cohort study - PubMed

3 months ago
  • #Heart Failure
  • #Machine Learning
  • #Prognosis
  • Study aimed to develop a machine learning model for predicting 1-year mortality in older heart failure patients using functional assessments.
  • Data from the J-Proof HF Registry in Japan, involving 9700 patients aged ≥65, was analyzed.
  • An XGBoost model with 77 predictors achieved an AUC of 0.76, outperforming traditional risk scores like AHEAD and BIOSTAT.
  • Key predictors included functional measures at discharge such as Barthel index, gait speed, and handgrip strength.
  • The model demonstrated improved risk stratification and clinical utility over established scores.
  • Functional status at discharge was highlighted as a critical prognostic indicator for post-discharge care planning.