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Published on in Vol 14 (2026)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/99361, first published .
Hospital room with patient bed, IV drip, and vital signs monitor displaying heart rate.

Interpretable Recalibration of a Sequential Organ Failure Assessment–Derived Score Using Machine Learning–Guided Optimization: Multicenter Cohort Study

Interpretable Recalibration of a Sequential Organ Failure Assessment–Derived Score Using Machine Learning–Guided Optimization: Multicenter Cohort Study

Juan Dueñas-Ruiz   1, 2 , MSc ;   Yanelis Manzano Nieves   3, 4, 5 , MSc ;   Anny María Hernández Cuello   5, 6, 7 , MD ;   Jaime Azpiazu Saiz   3, 5, 6 , MSc ;   Ancor Sanz-García   8, 9, 10 , PhD ;   Agustín Mayo-Íscar   1, 11, 12, 13 , PhD ;   Francisco Martín-Rodríguez   1, 12, 14 , PhD ;   Isabel de la Torre   15 , PhD

1 Faculty of Medicine, Universidad de Valladolid, Valladolid, Spain

2 Artificial Intelligence Department, CIDAUT Foundation, Valladolid, Spain

3 European University of the Atlantic, Santander, Spain

4 International Iberoamerican University, Campeche, Mexico

5 International University of Cuanza, Cuito, Angola

6 International University Foundation of Colombia, Bogotá, Colombia

7 University of La Romana, La Romana, Dominican Republic

8 Faculty of Health Sciences, Universidad de Castilla la Mancha, Talavera de la Reina, Spain

9 Technological Innovation Applied to Health Research Group (ITAS Group), Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, Spain

10 Health Care Evaluation Research Group (ECUSAL), Instituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), Toledo, Spain

11 Department of Statistics and Operative Research, Faculty of Medicine, University of Valladolid, Valladolid, Spain

12 Valladolid Health Research Institute (IBioVALL), Valladolid, Spain

13 Instituto de Investigación en Matemáticas (IMUVA), Universidad de Valladolid, Valladolid, Spain

14 Emergency Medical Services (SACYL), Valladolid, Spain

15 Department of Signal Theory and Communications, University of Valladolid, Valladolid, Spain

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