# Construction and clinical visualization application of a predictive model for mortality risk in sepsis patients based on an improved machine learning model

## TL;DR

This study develops a machine learning model to predict sepsis patient mortality and identifies key clinical factors for risk assessment.

## Contribution

The novel contribution is an improved self-evolutionary machine learning model (SWSELM) with high predictive accuracy for sepsis mortality.

## Key findings

- The SWSELM model achieved ROC-AUC of 0.9760 on training data and 0.9387 on test data, outperforming other models.
- NT-proBNP, Lactate, Albumin, Oxygenation Index, and Mean Arterial Pressure were identified as top independent risk factors for sepsis mortality.

## Abstract

To explore the construction and clinical visualization application of a mortality risk prediction model for sepsis patients based on an improved machine learning model.

This retrospective study analyzed 1,050 sepsis patients admitted to Longyou County People’s Hospital between January 2010 and August 2023. Patients were divided into a survival group (n = 877) and a death group (n = 173) based on their 30-day mortality status. Clinical and laboratory data were collected and used as feature variables. A Self-Weighted Self-Evolutionary Learning Model (SWSELM) was developed to identify independent risk factors for sepsis mortality and to create a visualization system for clinical application.

The improved algorithm significantly outperformed other algorithms on 23 standard test functions. The SWSELM model achieved ROC-AUC and PR-AUC values of 0.9760 and 0.9624, respectively, on the training set, and 0.9387 and 0.9390, respectively, on the test set, both significantly higher than those of three other prediction models. The SWSELM model identified 10 important features, with multivariate logistic regression retaining five variables: B-type Natriuretic Peptide Precursor (NT-proBNP), Lactate, Albumin, Oxygenation Index, and Mean Arterial Pressure (MAP) (OR = 4.889, 3.770, 3.083, 1.872, 1.297), consistent with the top five features selected by the SWSELM model.

NT-proBNP, Lactate, Albumin, Oxygenation Index, and Mean Arterial Pressure are independent risk factors for mortality in sepsis patients. This study successfully created a self-evolutionary prediction model using machine learning methods, demonstrating significant clinical application potential and value for broader implementation.