Artificial intelligence (AI) shows promise in predicting acute kidney injury (AKI), but clinical adoption needs interpretability and transportability. This study uses the US PCORnet platform to develop an AKI prediction model and assess its transportability across six health systems. Results show cross-site performance deterioration, caused by heterogeneity of risk factors. A method to predict AI model transportability is derived, accelerating external AI model adaptation in hospitals.
Publisher
Nature Communications
Published On
Nov 09, 2020
Authors
Xing Song, Alan S. L. Yu, John A. Kellum, Lemuel R. Waitman, Michael E. Matheny, Steven Q. Simpson, Yong Hu, Mei Liu
Tags
acute kidney injury
artificial intelligence
predictive modeling
transportability
health systems
risk factors
clinical adoption
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