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Publication Name World Journal of Gastroenterology
Manuscript ID 115527
Country China
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Application of machine learning models in predicting the risk of thromboembolic events in patients with nonvariceal gastrointestinal bleeding
Manuscript Source Unsolicited Manuscript
All Author List Chao Lu, Hao-Yang Cheng, Ren-Ke Zhu, Yi-De Zhou, Ke-Fang Sun, Lei Xu, Jian-Zhong Sang, Jiao-E Chen, Chao-Hui Yu, Yu-Lu Qin and Lan Li
Funding Agency and Grant Number
Corresponding Author Lan Li, Chief Physician, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University, No. 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. nalil@zju.edu.cn
Key Words Nonvariceal gastrointestinal bleeding; Thromboembolic event; Machine learning; Categorical boosting; D-dimer
Core Tip This multicenter study developed and validated five machine learning models to predict thromboembolic risk in patients with nonvariceal gastrointestinal bleeding. Using ten key clinical variables identified by categorical boosting and SHapley Additive exPlanations analysis, all models showed superior predictive performance to D-dimer alone, with the categorical boosting model achieving the best calibration and accuracy. These models can help clinicians identify high-risk patients for early intervention while reducing unnecessary monitoring in low-risk individuals.
Citation Lu C, Cheng HY, Zhu RK, Zhou YD, Sun KF, Xu L, Sang JZ, Chen EJ, Yu CH, Qin YL, Li L. Application of machine learning models in predicting the risk of thromboembolic events in patients with nonvariceal gastrointestinal bleeding. World J Gastroenterol 2025; In press
Received
2025-10-21 02:13
Peer-Review Started
2025-10-21 02:13
First Decision by Editorial Office Director
2025-10-30 09:36
Return for Revision
2025-10-30 09:36
Revised
2025-11-10 03:04
Publication Fee Transferred
2025-11-11 14:40
Second Decision by Editor
2025-12-16 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-16 08:04
Articles in Press
2025-12-16 08:04
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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