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New research · Internal Medicine
PeerJ · 3h
AI / informaticsPeerJ · 2026

A machine learning-based risk prediction model for Hospitalized patients with deep vein thrombosis.

Xue Wang, Xiakai Chen, Jun Mao … Jingjie Song
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Internal MedicineAI / informatics

Random Forest model predicted deep vein thrombosis risk with strong discrimination.

A machine learning-based risk prediction model for Hospitalized patients with deep vein thrombosis.

Xue Wang … Jingjie Song
PeerJ · 2026
Background

Deep vein thrombosis (deep vein thrombosis) is a common thrombotic condition with substantial morbidity when not identified early.

Purpose

To develop and internally validate a machine learning model using routinely available clinical and laboratory indicators for early risk prediction of deep vein thrombosis, and to identify the most influential predictors using model explainability techniques.

Methods

We retrospectively analyzed clinical data from 231 patients evaluated at the Fifth Affiliated Hospital of Southern Medical University between January 2017 and June 2024.

n = 231 patients
AUC = 0.874
Results
AUC = 0.874
higher scores mean better prediction of deep vein thrombosis risk, near-strong for this model
n = 231 patients
More results

Least Absolute Shrinkage and Selection Operator selected seven predictors: hemoglobin, platelet count, leukocyte count, fibrinogen, prothrombin time, D-dimer (d-dimer), and glucose.

More results

In the Random Forest model, D-dimer had the highest feature-importance contribution; SHAP analysis confirmed d-dimer as the dominant risk driver and characterized the directions and relative effects of other features.

“
Conclusion · 1 of 2

We developed an internally validated machine learning model for early deep vein thrombosis risk prediction using seven routine clinical variables; Random Forest achieved the best performance and identified D-dimer as the most influential predictor.

Conclusion · 2 of 2

This model may support earlier identification and intervention for patients at risk of deep vein thrombosis, pending external validation and prospective evaluation.

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