LGJun 3, 2023
Identifying Subgroups of ICU Patients Using End-to-End Multivariate Time-Series Clustering Algorithm Based on Real-World Vital Signs DataTongyue Shi, Zhilong Zhang, Wentie Liu et al.
This study employed the MIMIC-IV database as data source to investigate the use of dynamic, high-frequency, multivariate time-series vital signs data, including temperature, heart rate, mean blood pressure, respiratory rate, and SpO2, monitored first 8 hours data in the ICU stay. Various clustering algorithms were compared, and an end-to-end multivariate time series clustering system called Time2Feat, combined with K-Means, was chosen as the most effective method to cluster patients in the ICU. In clustering analysis, data of 8,080 patients admitted between 2008 and 2016 was used for model development and 2,038 patients admitted between 2017 and 2019 for model validation. By analyzing the differences in clinical mortality prognosis among different categories, varying risks of ICU mortality and hospital mortality were found between different subgroups. Furthermore, the study visualized the trajectory of vital signs changes. The findings of this study provide valuable insights into the potential use of multivariate time-series clustering systems in patient management and monitoring in the ICU setting.
80.6AIApr 29
When to Vote, When to Rewrite: Disagreement-Guided Strategy Routing for Test-Time ScalingZhimin Lin, Yixin Ji, Jinpeng Li et al.
Large Reasoning Models (LRMs) achieve strong performance on mathematical reasoning tasks but remain unreliable on challenging instances. Existing test-time scaling methods, such as repeated sampling, self-correction, and tree search, improve performance at the cost of increased computation, yet often exhibit diminishing returns on hard problems. We observe that output disagreement is strongly correlated with instance difficulty and prediction correctness, providing a useful signal for guiding instance-level strategy selection at test time. Based on this insight, we propose a training-free framework that formulates test-time scaling as an instance-level routing problem, rather than allocating more computation within a single strategy, dynamically selecting among different scaling strategies based on output disagreement. The framework applies lightweight resolution for consistent cases, majority voting for moderate disagreement, and rewriting-based reformulation for highly ambiguous instances. Experiments on seven mathematical benchmarks and three models show that our method improves accuracy by 3% - 7% while reducing sampling cost compared to existing approaches.