{"about":{"site":"https://codewithpapers.app","non_affiliation":"Code with Papers and Syntology are not affiliated with, endorsed by, or sponsored by Papers with Code, Meta, or the pwc-archive mirror.","licence":"CC BY-SA 4.0","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","attribution":"https://codewithpapers.app/attribution","modified":"archive material modified by Syntology; see the attribution page"},"url":"/paper/predicting-icu-in-hospital-mortality-using","title":"Predicting ICU In-Hospital Mortality Using Adaptive Transformer Layer Fusion","arxiv_id":"2506.04924","date":"2025-06-05","proceeding":null,"authors":["Han Wang","Ruoyun He","Guoguang Lao","Ting Liu","Hejiao Luo","Changqi Qin","Hongying Luo","Junmin Huang","Zihan Wei","Lu Chen","Yongzhi Xu","Ziqian Bi","Junhao Song","Tianyang Wang","Chia Xin Liang","Xinyuan Song","Huafeng Liu","Junfeng Hao","Chunjie Tian"],"abstract":"Early identification of high-risk ICU patients is crucial for directing limited medical resources. We introduce ALFIA (Adaptive Layer Fusion with Intelligent Attention), a modular, attention-based architecture that jointly trains LoRA (Low-Rank Adaptation) adapters and an adaptive layer-weighting mechanism to fuse multi-layer semantic features from a BERT backbone. Trained on our rigorous cw-24 (CriticalWindow-24) benchmark, ALFIA surpasses state-of-the-art tabular classifiers in AUPRC while preserving a balanced precision-recall profile. The embeddings produced by ALFIA's fusion module, capturing both fine-grained clinical cues and high-level concepts, enable seamless pairing with GBDTs (CatBoost/LightGBM) as ALFIA-boost, and deep neuro networks as ALFIA-nn, yielding additional performance gains. Our experiments confirm ALFIA's superior early-warning performance, by operating directly on routine clinical text, it furnishes clinicians with a convenient yet robust tool for risk stratification and timely intervention in critical-care settings.","url_abs":"https://arxiv.org/abs/2506.04924v2","url_pdf":"https://arxiv.org/pdf/2506.04924v2.pdf","source":{"archive":"pwc-archive (Hugging Face), CC BY-SA 4.0","snapshot":"2025-07-28","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","row_kind":"abstracts"},"code_links":[{"paper_slug":"predicting-icu-in-hospital-mortality-using","repo_url":"https://github.com/hanziwww/alfia","is_official":1,"mentioned_in_paper":1,"mentioned_in_github":1,"framework":"pytorch","reach":null}],"tasks":[],"methods":[{"method_slug":"attention","method_name":"Attention"},{"method_slug":"attention-dropout","method_name":"Attention Dropout"},{"method_slug":"bert","method_name":"BERT"},{"method_slug":"dense-connections","method_name":"Dense Connections"},{"method_slug":"dropout","method_name":"Dropout"},{"method_slug":"layer-normalization","method_name":"Layer Normalization"},{"method_slug":"linear-layer","method_name":"Linear Layer"},{"method_slug":"linear-warmup-with-linear-decay","method_name":"Linear Warmup With Linear Decay"},{"method_slug":"multi-head-attention","method_name":"Multi-Head Attention"},{"method_slug":"softmax","method_name":"Softmax"},{"method_slug":"wordpiece","method_name":"WordPiece"}],"datasets_introduced":[],"methods_introduced":[],"results":[],"syntology":{"atlas_url":null,"mcp":null,"developers":"https://syntology.ai/developers"},"arxiv_metadata":null,"syntology_extracted_results":null}