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Machine learning improves prediction of death risk in hospitalized cirrhosis patients

AI Predicts Cirrhosis Patient Deaths With Unprecedented Accuracy

Machine Learning Outperforms Traditional Methods in Risk Assessment

Hospitalized patients with cirrhosis facing a critical prognosis can now be identified with greater precision, thanks to an advanced machine learning model. This innovative tool promises to revolutionize patient care by enabling more effective triage and resource allocation.

Revolutionary Risk Stratification

Researchers have found that a machine learning approach, specifically random forest analysis, significantly surpasses conventional methods in predicting mortality risk for hospitalized individuals diagnosed with cirrhosis. This groundbreaking discovery was detailed in a new publication within the esteemed journal *Gastroenterology*.

“This gives us a crystal ball – it helps hospital teams, transplant centers, GI and ICU services to triage and prioritize patients more effectively.”

Dr. Jasmohan S. Bajaj, study’s corresponding author

Global Data, Local Impact

The model’s efficacy was demonstrated through an analysis of data from 121 hospitals worldwide, as part of the CLEARED consortium. Crucially, its performance remained consistent across both high-income and low-income nations, underscoring its broad applicability. Further validation using United States veterans’ data confirmed its enduring accuracy.

Scalable and Practical Tool

The predictive tool proved robust even when its complexity was reduced to just 15 key variables, making it highly practical for clinical settings. Patients were effectively categorized into distinct high-risk and low-risk groups, indicating the model’s scalability and real-world utility. An interactive demonstration of the model is available at https://silveys.shinyapps.io/app_cleared/.

Broader Research Context

This study is part of a trio of recent publications focusing on critical aspects of liver disease management in leading American Gastroenterological Association journals. One of these papers offers a global consensus on organ failure, including liver involvement in cirrhosis patients. Another study pinpointed specific blood markers and complications that critically influence the likelihood of in-hospital death among those with liver failure.

According to the World Health Organization, liver disease tragically claims over 1 million lives annually, with alcohol abuse, viral hepatitis, and delayed diagnoses being primary contributors (WHO). “Liver disease is one of the most underappreciated causes of death worldwide – alcohol, viral hepatitis, and late diagnoses are major drivers,” stated Dr. Bajaj. “When someone is hospitalized, it’s often because everything upstream – prevention, screening, primary care – has already failed.”

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