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Transformer-based deep learning model for real-time prediction of intraoperative hypotension using dynamic time-series vital signs: A retrospective study - PubMed

3 hours ago
  • #Transformer Model
  • #Real-time Prediction
  • #Intraoperative Hypotension
  • Developed Transformer-based deep learning model for real-time intraoperative hypotension (IOH) prediction using dynamic vital sign time-series data.
  • Model trained on 319,699 surgical cases from China and externally validated with South Korean data, showing strong performance (AUCs 0.904-0.882).
  • Compared to XGBoost, Transformer had higher recall and better calibration, while XGBoost had higher accuracy and specificity.
  • IOH burden significantly associated with postoperative acute kidney injury (AKI) and acute kidney disease (AKD).
  • Study limited by retrospective design; prospective multicenter validation needed for clinical implementation.