Enhancing Machine Learning Performance in Cardiac Surgery Icu: Hyperparameter Optimization With Metaheuristic Algorithm Publisher Pubmed

Summary: AI predicts vents? Study ensembles LDA/CatBoost/ANN/XGBoost with SA/GA—boosts sensitivity to 86%. Suggests for ICU prioritization. #AIinMedicine #CriticalCare

Bahrami A¹ ; Rakhshaninejad M¹ ; Ghousi R¹ ; Atashi A^{2, 3}
Source: PLoS ONE Published:2025

Abstract

The healthcare industry is generating a massive volume of data, promising a potential goldmine of information that can be extracted through machine learning (ML) techniques. The Intensive Care Unit (ICU) stands out as a focal point within hospitals and provides a rich source of data for informative analyses. This study examines the cardiac surgery ICU, where the vital topic of patient ventilation takes center stage. In other words, ventilator-supported breathing is a fundamental need within the ICU, and the limited availability of ventilators in hospitals has become a significant issue. A crucial consideration for healthcare professionals in the ICU is prioritizing patients who require ventilators immediately. To address this issue, we developed a prediction model using four ML and deep learning (DL) models—LDA, CatBoost, Artificial Neural Networks (ANN), and XGBoost—that are combined in an ensemble model. We utilized Simulated Annealing (SA) and Genetic Algorithm (GA) to tune the hyperparameters of the ML models constructing the ensemble. The results showed that our approach enhanced the sensitivity of the tuned ensemble model to 85.84%, which are better than the results of the ensemble model without hyperparameter tuning and those achieved using AutoML model. This significant improvement in model performance underscores the effectiveness of our hybrid approach in prioritizing the need for ventilators among ICU patients. © 2025 Bahrami et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.