{"id":"https://openalex.org/W7135050840","doi":"https://doi.org/10.31449/inf.v50i9.12162","title":"DL-PRWarnNeuro: A Transformer-Based Deep Learning Framework for Multimodal Patient Deterioration Prediction in Neurological Intensive Care","display_name":"DL-PRWarnNeuro: A Transformer-Based Deep Learning Framework for Multimodal Patient Deterioration Prediction in Neurological Intensive Care","publication_year":2026,"publication_date":"2026-03-12","ids":{"openalex":"https://openalex.org/W7135050840","doi":"https://doi.org/10.31449/inf.v50i9.12162"},"language":null,"primary_location":{"id":"doi:10.31449/inf.v50i9.12162","is_oa":true,"landing_page_url":"https://doi.org/10.31449/inf.v50i9.12162","pdf_url":"https://www.informatica.si/index.php/informatica/article/download/12162/6572","source":{"id":"https://openalex.org/S4210173311","display_name":"Informatica","issn_l":"0350-5596","issn":["0350-5596","1854-3871"],"is_oa":true,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310314525","host_organization_name":"Slovenian Society Informatika","host_organization_lineage":["https://openalex.org/P4310314525"],"host_organization_lineage_names":["Slovenian Society Informatika"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Informatica","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.informatica.si/index.php/informatica/article/download/12162/6572","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5128802291","display_name":"Man Hua","orcid":null},"institutions":[{"id":"https://openalex.org/I4210158179","display_name":"Yellow River Institute of Hydraulic Research","ror":"https://ror.org/0506q7a98","country_code":"CN","type":"government","lineage":["https://openalex.org/I4210155611","https://openalex.org/I4210158179"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Man Hua","raw_affiliation_strings":["Zhengzhou Yellow River Nursing Vocational College, Zhengzhou 450066, Henan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Zhengzhou Yellow River Nursing Vocational College, Zhengzhou 450066, Henan, China","institution_ids":["https://openalex.org/I4210158179"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5128802291"],"corresponding_institution_ids":["https://openalex.org/I4210158179"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.27181997,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"50","issue":"9","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.9146999716758728,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.9146999716758728,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.04690000042319298,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.013700000010430813,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intensive-care","display_name":"Intensive care","score":0.6819999814033508},{"id":"https://openalex.org/keywords/intensive-care-unit","display_name":"Intensive care unit","score":0.6327999830245972},{"id":"https://openalex.org/keywords/deep-learning","display_name":"Deep learning","score":0.6223000288009644},{"id":"https://openalex.org/keywords/alarm","display_name":"ALARM","score":0.4934000074863434},{"id":"https://openalex.org/keywords/reliability","display_name":"Reliability (semiconductor)","score":0.48890000581741333},{"id":"https://openalex.org/keywords/convolutional-neural-network","display_name":"Convolutional neural network","score":0.4429999887943268},{"id":"https://openalex.org/keywords/vital-signs","display_name":"Vital signs","score":0.4426000118255615}],"concepts":[{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.6819999814033508},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.6327999830245972},{"id":"https://openalex.org/C108583219","wikidata":"https://www.wikidata.org/wiki/Q197536","display_name":"Deep learning","level":2,"score":0.6223000288009644},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5293999910354614},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4961000084877014},{"id":"https://openalex.org/C2779119184","wikidata":"https://www.wikidata.org/wiki/Q294350","display_name":"ALARM","level":2,"score":0.4934000074863434},{"id":"https://openalex.org/C43214815","wikidata":"https://www.wikidata.org/wiki/Q7310987","display_name":"Reliability (semiconductor)","level":3,"score":0.48890000581741333},{"id":"https://openalex.org/C81363708","wikidata":"https://www.wikidata.org/wiki/Q17084460","display_name":"Convolutional neural network","level":2,"score":0.4429999887943268},{"id":"https://openalex.org/C2776890885","wikidata":"https://www.wikidata.org/wiki/Q1067560","display_name":"Vital signs","level":2,"score":0.4426000118255615},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.40070000290870667},{"id":"https://openalex.org/C2779843651","wikidata":"https://www.wikidata.org/wiki/Q7390335","display_name":"SIGNAL (programming language)","level":2,"score":0.34200000762939453},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3395000100135803},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.33709999918937683},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.32499998807907104},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.320499986410141},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3174999952316284},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3077999949455261},{"id":"https://openalex.org/C34585555","wikidata":"https://www.wikidata.org/wiki/Q1368723","display_name":"Learning curve","level":2,"score":0.28450000286102295},{"id":"https://openalex.org/C175079658","wikidata":"https://www.wikidata.org/wiki/Q7312165","display_name":"Remote patient monitoring","level":2,"score":0.2777999937534332},{"id":"https://openalex.org/C2994302464","wikidata":"https://www.wikidata.org/wiki/Q1774706","display_name":"Care pathway","level":3,"score":0.26980000734329224},{"id":"https://openalex.org/C192209626","wikidata":"https://www.wikidata.org/wiki/Q190909","display_name":"Focus (optics)","level":2,"score":0.2630000114440918},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.2614000141620636}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.31449/inf.v50i9.12162","is_oa":true,"landing_page_url":"https://doi.org/10.31449/inf.v50i9.12162","pdf_url":"https://www.informatica.si/index.php/informatica/article/download/12162/6572","source":{"id":"https://openalex.org/S4210173311","display_name":"Informatica","issn_l":"0350-5596","issn":["0350-5596","1854-3871"],"is_oa":true,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310314525","host_organization_name":"Slovenian Society Informatika","host_organization_lineage":["https://openalex.org/P4310314525"],"host_organization_lineage_names":["Slovenian Society Informatika"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Informatica","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.31449/inf.v50i9.12162","is_oa":true,"landing_page_url":"https://doi.org/10.31449/inf.v50i9.12162","pdf_url":"https://www.informatica.si/index.php/informatica/article/download/12162/6572","source":{"id":"https://openalex.org/S4210173311","display_name":"Informatica","issn_l":"0350-5596","issn":["0350-5596","1854-3871"],"is_oa":true,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310314525","host_organization_name":"Slovenian Society Informatika","host_organization_lineage":["https://openalex.org/P4310314525"],"host_organization_lineage_names":["Slovenian Society Informatika"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Informatica","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7135050840.pdf","grobid_xml":"https://content.openalex.org/works/W7135050840.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Monitoring":[0],"vital":[1],"signs":[2],"is":[3,28,59,70,87,105],"extremely":[4],"important":[5,120],"in":[6,19,42,152,157,163,176],"neurological":[7,43,184],"intensive":[8,44,185],"care,":[9],"as":[10],"even":[11],"minor":[12],"changes":[13],"can":[14],"indicate":[15,170],"a":[16,32,149,154],"significant":[17],"decline":[18],"the":[20,53,62,118,123,127,133,136,144,146,164],"patient's":[21],"condition.":[22],"The":[23,101],"purpose":[24],"of":[25,103],"this":[26],"work":[27],"to":[29,37,65,77,89,143],"develop":[30],"DL-PRWarnNeuro,":[31],"deep":[33],"learning":[34],"model":[35],"intended":[36],"provide":[38],"early,":[39],"accurate":[40],"alerts":[41],"care":[45,186],"settings":[46],"by":[47,72],"leveraging":[48],"patient":[49],"signal":[50,81],"data":[51],"from":[52],"MIMIC-IV":[54],"dataset.":[55],"A":[56],"convolutional":[57],"layer":[58],"incorporated":[60],"into":[61],"model's":[63],"architecture":[64],"extract":[66],"local":[67],"patterns.":[68],"This":[69],"followed":[71],"transformer-based":[73],"attentive":[74],"layers,":[75],"designed":[76],"focus":[78],"on":[79],"crucial":[80],"fluctuations.":[82],"During":[83],"training,":[84],"Focal":[85],"Loss":[86],"used":[88],"address":[90],"class":[91],"imbalance":[92],"between":[93],"typical,":[94],"stable":[95],"states":[96],"and":[97,113,132,159,179],"rare,":[98],"critical":[99],"events.":[100],"performance":[102],"DL-PRWarnNeuro":[104],"tested":[106],"against":[107],"baseline":[108],"models,":[109],"including":[110],"LSTM":[111],"classifiers":[112],"standard":[114],"threshold-based":[115],"monitoring.":[116],"Among":[117],"most":[119],"indicators":[121],"are":[122],"early":[124,165],"detection":[125,166],"rate,":[126],"False":[128],"Alarm":[129],"Rate":[130],"(FAR),":[131],"Area":[134],"Under":[135],"Receiver":[137],"Operating":[138],"Characteristics":[139],"curve":[140],"(AUROC).":[141],"Compared":[142],"baselines,":[145],"results":[147],"show":[148],"14%":[150],"increase":[151,162],"AUROC,":[153],"22%":[155],"decrease":[156],"FAR,":[158],"an":[160,174],"18%":[161],"rate.":[167],"These":[168],"findings":[169],"that":[171],"there":[172],"was":[173],"improvement":[175],"clinical":[177],"reliability":[178],"support":[180],"for":[181,183],"decisions":[182],"unit":[187],"monitors.":[188]},"counts_by_year":[],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2026-03-13T00:00:00"}