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dc:titleHospital Admission Classification of Cardiac Patients Utilizing Metaheuristics-Optimized Two Tier Framework
dc:creatorDabić, Petar
dc:creatorPetrovic, Jovan
dc:creatorZivkovic, Miodrag
dc:creatorZivkovic, Tamara
dc:creatorSimic, Vladimir
dc:creatorPamucar, Dragan
dc:creatorDobrojevic, Milos
dc:creatorBacanin, Nebojsa
dc:subjectmetaheuristic optimization
dc:subjectconvolutional neural networks
dc:subjectLightGBM
dc:subjectCatBoost
dc:subjectmulti-class classification
dc:subjectexplainable AI
dc:subjectclinical decision support
dc:descriptionAccurate evaluation of a cardiac patient’s risk at the point of hospital entry is critical for efficient triage and ensuring timely, suitable medical intervention. This study aims to forecast a range of clinical outcomes by leveraging admission data from a cardiac care unit, utilizing a refined and optimized machine learning approach. This research introduces a hybrid architecture that integrates convolutional neural networks (CNNs) with advanced machine learning classifiers, namely light gradient boosting machine (LightGBM) and categorical boosting (CatBoost), further enhanced through metaheuristic optimization techniques to maximize their performance. The proposed two-tiered design organizes feature extraction and final decision modeling into a coherent pipeline tailored for multi-class hospital admission classification. A comprehensive evaluation using a real-world hospital admission dataset demonstrates the framework’s effectiveness on a real-world, publicly available hospital admission dataset, supporting its utility for multi-class cardiac outcome prediction. Three experiments were conducted using publicly available datasets, where the best-performing models achieved a peak classification accuracy of 99.79%. Furthermore, explainable AI techniques were employed to interpret model predictions, offering actionable insights that can guide future data acquisition and strengthen the accurate classification of cardiac patients.
dc:publisherSpringer Nature
dc:date2025
dc:typeinfo:eu-repo/semantics/article
dc:typeinfo:eu-repo/semantics/publishedVersion
dc:identifierhttps://stomatoloskifakultet.rs/nauka/publikacija/880
dc:identifierDOI 10.1007/s44196-025-01127-5
dc:identifierISSN 1875-6883
dc:sourceInternational Journal of Computational Intelligence Systems 19(35): 14-36
dc:languageen
dc:rightsinfo:eu-repo/semantics/closedAccess
dc:rightsSva prava zadržana