AI-BASED RISK STRATIFICATION MODELS IN EMERGENCY MEDICINE
Keywords:
artificial intelligence, risk stratification, emergency medicine, machine learning, patient prioritization, clinical decision support, explainable AI.Abstract
Emergency departments face high patient volumes and diverse clinical presentations, making rapid risk assessment essential. Traditional triage methods often rely on limited indicators and may miss complex risk patterns. This study examines AI-based risk stratification models for emergency medicine, using demographic, clinical, laboratory, and vital sign data. Machine learning algorithms, including random forests, gradient boosting, and neural networks, were trained and validated to predict patient risk. Performance was evaluated with accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve (AUC). Results show that AI models outperform conventional scoring tools in identifying high-risk patients requiring urgent care. The integration of explainable AI enhances transparency and clinical interpretability. These findings indicate that AI-driven risk stratification can improve patient prioritization, optimize resource use, and support timely decision-making in emergency care.
References
Ferrer, K. et al. Machine learning for risk stratification in the emergency department (MARS‑ED) study protocol: a pilot randomized trial. Scand J Trauma Resusc Emerg Med. 2024; This article describes the protocol for implementation of an ML‑based mortality risk model in emergency care.
Hung, M. T., et al. Risk stratification of chest pain in the emergency department using artificial intelligence applied to electrocardiograms. BMJ Open (2025). Demonstrates neural network‑based AI outperforming conventional predictors for short‑term cardiac outcomes in ED patients.
Mahmood, S. S., et al. Artificial intelligence and machine learning in emergency medicine: a narrative review. This review outlines AI/ML applications in emergency care, including triage, risk stratification, and operational improvements.
Patel, A. R., et al. Use of Machine Learning to Develop a Risk‑Stratification Tool for Emergency Department Patients with Acute Heart Failure. Am J Emerg Med. 2020. Highlights improvement in risk prediction using ML‑based models compared with conventional methods.
Glickman, M. E., et al. The role of AI in emergency department triage: an integrative systematic review. This systematic review examines performance and implementation challenges of AI/ML models in ED triage and risk assessment.
Greysen, S. R., et al. Automating risk stratification for geriatric syndromes in the emergency department. J Am Geriatr Soc. 2023. Explores automated AI‑based tools for identifying high‑risk older adults in emergency settings.
Maxsudov, V. G., Bazarbayev, M. I., Ermetov, E. Y., & Norbutayeva, M. Q. (2020). Types of physical education and the technologies of organization of matters in the modern education system. European Journal of Research and Reflection in Educational Sciences Vol, 8(9).
Махсудов, В. Г. (2017). Гармоник тебранишларни инновацион технологиялар асосида ўрганиш («Кейс-стади»,«Ассесмент»,«Венн диаграммаси» мисолида). Современное образование (Узбекистан), (7), 11-16.
Maxsudov, V. G. (2018). Improvement of the methodological basics of training of the section «Mechanical oscillations» in higher educational institutions (Doctoral dissertation, Dissertation.–Tashkent: 2018. https://scholar. google. com/citations).
Zuparov, I. B., Ibragimova, M. N., Norbutayeva, M. K., Otaxonov, P. E., Normamatov, S. F., Safarov, U. Q., & Maxsudov, V. G. (2023). Modern directions and perspectives of using medical information systems. Switzerland: Innovations in technology and science education, 1218-1233.
Maxsudov, V. G., Ermetov, E. Y., & Jo, Z. R. rayeva. Types of physical education and the technologies of organization of matters in the modern education system. Fan, ta‘lim va amaliyot integratsiyasi 2022. Vol. 4. P29-34.
Maxsudov, V. G. (2018). Improvement of the methodological basics of training of the section «Mechanical oscillations» in higher educational institutions (Doctoral dissertation, Dissertation.–Tashkent).