Artificial Intelligence-Based Predictive Model for Early Identification of Postoperative Complications Using Clinical and Functional Indicators
PDF
HTML

Keywords

artificial intelligence
postoperative complications
machine learning
clinical prediction

How to Cite

Zelada Chavarry, D. E., Gonzalez Esparza, E. P., Pajares Wong, C. A., & Leon Vilca, W. E. (2026). Artificial Intelligence-Based Predictive Model for Early Identification of Postoperative Complications Using Clinical and Functional Indicators. Universidad Ciencia Y Tecnología, 30(132), 126-137. https://doi.org/10.47460/uct.v30i132.1113

Abstract

An artificial intelligence-based predictive model was developed for the early identification of postoperative complications using clinical and functional indicators. A total of 10,000 synthetic records from the TERMINET dataset were analyzed using logistic regression, Random Forest, and XGBoost, with stratified data splitting, cross-validation, and discrimination and calibration metrics. The models demonstrated exceptional predictive performance, with perfect classification achieved by logistic regression and Random Forest. SHAP analysis identified sodium, urea nitrogen, creatinine, and INR-related parameters among the main predictors. The findings demonstrate the computational feasibility of the proposed approach; however, the exceptionally high performance warrants cautious interpretation and subsequent external validation using real and independent clinical cohorts.

https://doi.org/10.47460/uct.v30i132.1113
PDF
HTML

References

[1] B. Xue, D. Li, C. Lu, C. R. King, T. Wildes, M. S. Avidan, T. Kannampallil, and J. Abraham, “Use of machine learning to develop and evaluate models using preoperative and intraoperative data to identify risks of postoperative complications,” JAMA Network Open, vol. 4, no. 3, Art. no. e212240, 2021, doi: 10.1001/jamanetworkopen.2021.2240.
[2] K. Merath, J. M. Hyer, R. Mehta et al., “Use of machine learning for prediction of patient risk of postoperative complications after liver, pancreatic, and colorectal surgery,” Journal of Gastrointestinal Surgery, vol. 24, pp. 1843–1851, 2020, doi: 10.1007/s11605-019-04338-2.
[3] P. Thottakkara, T. Ozrazgat-Baslanti, B. B. Hupf, P. Rashidi, P. Pardalos, P. Momcilovic, and A. Bihorac, “Application of machine learning techniques to high-dimensional clinical data to forecast postoperative complications,” PLoS ONE, vol. 11, no. 5, Art. no. e0155705, 2016, doi: 10.1371/journal.pone.0155705.
[4] A. M. Hassan, A. Rajesh, M. Asaad, J. A. Nelson, J. H. Coert, B. J. Mehrara, and C. E. Butler, “Artificial intelligence and machine learning in prediction of surgical complications: Current state, applications, and implications,” The American Surgeon, vol. 89, no. 1, pp. 25–30, 2023.
[5] S. Kokkinakis, E. I. Kritsotakis, and K. Lasithiotakis, “Artificial intelligence in surgical risk prediction,” Journal of Clinical Medicine, vol. 12, no. 12, Art. no. 4016, 2023.
[6] C. Varghese, E. M. Harrison, G. O’Grady, and E. J. Topol, “Artificial intelligence in surgery,” Nature Medicine, vol. 30, no. 5, pp. 1257–1268, 2024, doi: 10.1038/s41591-024-02970-3.
[7] A. Guni, P. Varma, J. Zhang, M. Fehervari, and H. Ashrafian, “Artificial intelligence in surgery: The future is now,” European Surgical Research, vol. 65, no. 1, pp. 22–39, 2024.
[8] A. Bonde, K. M. Varadarajan, N. Bonde et al., “Assessing the utility of deep neural networks in predicting postoperative surgical complications: A retrospective study,” The Lancet Digital Health, vol. 3, no. 8, pp. e471–e485, 2021.
[9] S. Chen, T. Deng, Q. Yang et al., “Development and validation of an explainable machine learning model for predicting postoperative pulmonary complications after lung cancer surgery: A machine learning study,” EClinicalMedicine, vol. 86, 2025.
[10] H. Deng, Z. Eftekhari, C. Carlin et al., “Development and validation of an explainable machine learning model for major complications after cytoreductive surgery,” JAMA Network Open, vol. 5, no. 5, Art. no. e2212930, 2022.
[11] P. Li, S. Gao, Y. Wang et al., “Utilising intraoperative respiratory dynamic features for developing and validating an explainable machine learning model for postoperative pulmonary complications,” British Journal of Anaesthesia, vol. 132, no. 6, pp. 1315–1326, 2024.
[12] N. Kenig, J. Monton Echeverria, and A. Muntaner Vives, “Artificial intelligence in surgery: A systematic review of use and validation,” Journal of Clinical Medicine, vol. 13, no. 23, Art. no. 7108, 2024.
[13] W. T. Stam, L. K. Goedknegt, E. W. Ingwersen, L. J. Schoonmade, E. R. Bruns, and F. Daams, “The prediction of surgical complications using artificial intelligence in patients undergoing major abdominal surgery: A systematic review,” Surgery, vol. 171, no. 4, pp. 1014–1021, 2022.
[14] T. J. Loftus, P. J. Tighe, A. C. Filiberto et al., “Artificial intelligence and surgical decision-making,” JAMA Surgery, vol. 155, no. 2, pp. 148–158, 2020.
[15] D. Lekka, A. Pnevmatikakis, E. Kanavos, B. Gottardelli, A. M. Tudor, P. Cornacchione, M. de Angeli, and A. Bellieni, “TERMINET eHealth post-operation complications synthetic dataset,” Zenodo, Dataset, 2024, doi: 10.5281/zenodo.10885957.
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Downloads

Download data is not yet available.
tangkubanperahu.com
sibolangit.com
siguragura.com
simanindo.com
padarincang.com
kolektor.id
pelukis.id
pancoran.id
jasmani.id
cipanas.id
eksklusif.id
inovatif.id
xenia.id
wamena.id
parapat.id
penatapan.id
balige.id
topthreenews.com
aaatrucksandautowreckings.com
arbirate.com
playoutworlder.com
temeculabluegrass.com
eldesigners.com
cheklani.com
totodal.com
apkcrave.com
bestcarinsurancewsa.com
complidia.com
eveningupdates.com
mcochacks.com
mostcreativeresumes.com
oxcarttavern.com
riceandshinebrunch.com
shoesknowledge.com
aktualinformasi.id
faktadunia.id
gapurainformasi.id
gariscakrawala.id
helvetianews.id
langitcakrawala.id
langitinformasi.id
pintucakrawala.id
wawasancakrawala.id
aktualberita.id
cakrawalafakta.id
pintuinformasi.id
wawasaninformasi.id
horizonberita.id
portalcakrawala.id
spektruminformasi.id
aktualwawasan.id
gerbangfakta.id
infodinamika.id
narsis.id
pansos.id
forensik.id
hardiknas.com
pakcoy.com
http://mostravirtual.aip.pt
ACCSLOT88
accslot88
VIPBET76 VIPBET76 VIPBET76 OLXBET288 OLXBET288 Toto Slot Toto Slot Toto Slot