# MSKT: multimodal data fusion for improved nursing management in hemorrhagic stroke

**Authors:** Ting Zhou, Dandan Li, Jingfang Zuo, Aihua Gu, Li Zhao

PMC · DOI: 10.7717/peerj-cs.2969 · PeerJ Computer Science · 2025-06-20

## TL;DR

This paper introduces a new model for better nursing care in hemorrhagic stroke by combining multimodal data and advanced prediction techniques.

## Contribution

The novel MSKT-NSGP model uses multimodal data fusion and a non-stationary Gaussian process to improve nursing decision-making for hemorrhagic stroke.

## Key findings

- The MSKT-NSGP model achieved 85.5% accuracy in predicting hematoma expansion.
- It reduced mean squared error by 18% compared to the SVGP model.
- The model provides real-time predictions with 55 milliseconds inference speed and precise uncertainty estimation.

## Abstract

The study aims to address the challenges of nursing decision-making and the optimization of personalized nursing plans in the management of hemorrhagic stroke. Due to the rapid progression and high complexity of hemorrhagic stroke, traditional nursing methods struggle to cope with the challenges posed by its high incidence and high disability rate.

To address this, we propose an innovative approach based on multimodal data fusion and a non-stationary Gaussian process model. Utilizing multidimensional data from the MIMIC-IV database (including patient medical history, nursing records, laboratory test results, etc.), we developed a hybrid predictive model with a multiscale kernel transformer non-stationary Gaussian process (MSKT-NSGP) architecture to handle non-stationary time-series data and capture the dynamic changes in a patient’s condition.

The proposed MSKT-NSGP model outperformed traditional algorithms in prediction accuracy, computational efficiency, and uncertainty handling. For hematoma expansion prediction, it achieved 85.5% accuracy, an area under the curve (AUC) of 0.87, and reduced mean squared error (MSE) by 18% compared to the sparse variational Gaussian process (SVGP). With an inference speed of 55 milliseconds per sample, it supports real-time predictions. The model maintained a confidence interval coverage near 95% with narrower widths, indicating precise uncertainty estimation. These results highlight its potential to enhance nursing decision-making, optimize personalized plans, and improve patient outcomes.

## Linked entities

- **Diseases:** hemorrhagic stroke (MONDO:1060199)

## Full-text entities

- **Diseases:** hemorrhagic stroke (MESH:D000083302), hematoma (MESH:D006406)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12193459/full.md

## References

25 references — full list in the complete paper: https://tomesphere.com/paper/PMC12193459/full.md

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Source: https://tomesphere.com/paper/PMC12193459