MSKT: multimodal data fusion for improved nursing management in hemorrhagic stroke

Background The study aims to address the challenges of nursing decision-making and the optimization of personalized nursing plans in the management of hemorrhagic stroke. Due to the rapid progression and high complexity of hemorrhagic stroke, traditional nursing methods struggle to cope with the cha...

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Main Authors: Ting Zhou, Dandan Li, Jingfang Zuo, Aihua Gu, Li Zhao
Format: Article
Language:English
Published: PeerJ Inc. 2025-06-01
Series:PeerJ Computer Science
Subjects:
Online Access:https://peerj.com/articles/cs-2969.pdf
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author Ting Zhou
Dandan Li
Jingfang Zuo
Aihua Gu
Li Zhao
author_facet Ting Zhou
Dandan Li
Jingfang Zuo
Aihua Gu
Li Zhao
author_sort Ting Zhou
collection DOAJ
description Background The study aims to address the challenges of nursing decision-making and the optimization of personalized nursing plans in the management of hemorrhagic stroke. Due to the rapid progression and high complexity of hemorrhagic stroke, traditional nursing methods struggle to cope with the challenges posed by its high incidence and high disability rate. Methods To address this, we propose an innovative approach based on multimodal data fusion and a non-stationary Gaussian process model. Utilizing multidimensional data from the MIMIC-IV database (including patient medical history, nursing records, laboratory test results, etc.), we developed a hybrid predictive model with a multiscale kernel transformer non-stationary Gaussian process (MSKT-NSGP) architecture to handle non-stationary time-series data and capture the dynamic changes in a patient’s condition. Results The proposed MSKT-NSGP model outperformed traditional algorithms in prediction accuracy, computational efficiency, and uncertainty handling. For hematoma expansion prediction, it achieved 85.5% accuracy, an area under the curve (AUC) of 0.87, and reduced mean squared error (MSE) by 18% compared to the sparse variational Gaussian process (SVGP). With an inference speed of 55 milliseconds per sample, it supports real-time predictions. The model maintained a confidence interval coverage near 95% with narrower widths, indicating precise uncertainty estimation. These results highlight its potential to enhance nursing decision-making, optimize personalized plans, and improve patient outcomes.
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spelling doaj-art-dad0b63468c643cc8fe7e34e4b535e282025-08-20T02:09:37ZengPeerJ Inc.PeerJ Computer Science2376-59922025-06-0111e296910.7717/peerj-cs.2969MSKT: multimodal data fusion for improved nursing management in hemorrhagic strokeTing Zhou0Dandan Li1Jingfang Zuo2Aihua Gu3Li Zhao4Jiangsu Provincial Cancer Hospital, Nanjing, Jiangsu, ChinaJiangsu Provincial Cancer Hospital, Nanjing, Jiangsu, ChinaJiangsu Provincial Cancer Hospital, Nanjing, Jiangsu, ChinaJiangsu Provincial Cancer Hospital, Nanjing, Jiangsu, ChinaSchool of Automation and Software Engineering, Shanxi University, Taiyuan, Shanxi, ChinaBackground The study aims to address the challenges of nursing decision-making and the optimization of personalized nursing plans in the management of hemorrhagic stroke. Due to the rapid progression and high complexity of hemorrhagic stroke, traditional nursing methods struggle to cope with the challenges posed by its high incidence and high disability rate. Methods To address this, we propose an innovative approach based on multimodal data fusion and a non-stationary Gaussian process model. Utilizing multidimensional data from the MIMIC-IV database (including patient medical history, nursing records, laboratory test results, etc.), we developed a hybrid predictive model with a multiscale kernel transformer non-stationary Gaussian process (MSKT-NSGP) architecture to handle non-stationary time-series data and capture the dynamic changes in a patient’s condition. Results The proposed MSKT-NSGP model outperformed traditional algorithms in prediction accuracy, computational efficiency, and uncertainty handling. For hematoma expansion prediction, it achieved 85.5% accuracy, an area under the curve (AUC) of 0.87, and reduced mean squared error (MSE) by 18% compared to the sparse variational Gaussian process (SVGP). With an inference speed of 55 milliseconds per sample, it supports real-time predictions. The model maintained a confidence interval coverage near 95% with narrower widths, indicating precise uncertainty estimation. These results highlight its potential to enhance nursing decision-making, optimize personalized plans, and improve patient outcomes.https://peerj.com/articles/cs-2969.pdfHemorrhagic strokeNursing managementNon-stationary Gaussian processMultiscale Kernel functionPredictive model
spellingShingle Ting Zhou
Dandan Li
Jingfang Zuo
Aihua Gu
Li Zhao
MSKT: multimodal data fusion for improved nursing management in hemorrhagic stroke
PeerJ Computer Science
Hemorrhagic stroke
Nursing management
Non-stationary Gaussian process
Multiscale Kernel function
Predictive model
title MSKT: multimodal data fusion for improved nursing management in hemorrhagic stroke
title_full MSKT: multimodal data fusion for improved nursing management in hemorrhagic stroke
title_fullStr MSKT: multimodal data fusion for improved nursing management in hemorrhagic stroke
title_full_unstemmed MSKT: multimodal data fusion for improved nursing management in hemorrhagic stroke
title_short MSKT: multimodal data fusion for improved nursing management in hemorrhagic stroke
title_sort mskt multimodal data fusion for improved nursing management in hemorrhagic stroke
topic Hemorrhagic stroke
Nursing management
Non-stationary Gaussian process
Multiscale Kernel function
Predictive model
url https://peerj.com/articles/cs-2969.pdf
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AT jingfangzuo msktmultimodaldatafusionforimprovednursingmanagementinhemorrhagicstroke
AT aihuagu msktmultimodaldatafusionforimprovednursingmanagementinhemorrhagicstroke
AT lizhao msktmultimodaldatafusionforimprovednursingmanagementinhemorrhagicstroke