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arXiv 提交日期: 2026-03-17
📄 Abstract - Federated Learning with Multi-Partner OneFlorida+ Consortium Data for Predicting Major Postoperative Complications

Background: This study aims to develop and validate federated learning models for predicting major postoperative complications and mortality using a large multicenter dataset from the OneFlorida Data Trust. We hypothesize that federated learning models will offer robust generalizability while preserving data privacy and security. Methods: This retrospective, longitudinal, multicenter cohort study included 358,644 adult patients admitted to five healthcare institutions, who underwent 494,163 inpatient major surgical procedures from 2012-2023. We developed and internally and externally validated federated learning models to predict the postoperative risk of intensive care unit (ICU) admission, mechanical ventilation (MV) therapy, acute kidney injury (AKI), and in-hospital mortality. These models were compared with local models trained on data from a single center and central models trained on a pooled dataset from all centers. Performance was primarily evaluated using area under the receiver operating characteristics curve (AUROC) and the area under the precision-recall curve (AUPRC) values. Results: Our federated learning models demonstrated strong predictive performance, with AUROC scores consistently comparable or superior performance in terms of AUROC and AUPRC across all outcomes and sites. Our federated learning models also demonstrated strong generalizability, with comparable or superior performance in terms of both AUROC and AUPRC compared to the best local learning model at each site. Conclusions: By leveraging multicenter data, we developed robust, generalizable, and privacy-preserving predictive models for major postoperative complications and mortality. These findings support the feasibility of federated learning in clinical decision support systems.

顶级标签: medical machine learning systems
详细标签: federated learning clinical prediction postoperative complications healthcare data privacy-preserving ml 或 搜索:

利用多合作伙伴OneFlorida+联盟数据进行联邦学习以预测重大术后并发症 / Federated Learning with Multi-Partner OneFlorida+ Consortium Data for Predicting Major Postoperative Complications


1️⃣ 一句话总结

这项研究利用来自多个医疗中心的真实数据,开发了一种名为联邦学习的隐私保护人工智能模型,该模型在不共享原始数据的情况下,能有效预测患者术后发生严重并发症和死亡的风险,且预测能力与集中训练的传统模型相当甚至更优。

源自 arXiv: 2603.16723