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Background: Early recognition and timely intervention for AKI in critically ill patients were crucial to reduce morbidity and mortality. This study aimed to use biomarkers to construct a optimal machine learning model for early prediction of AKI in critically ill patients within seven days., Methods: The prospective cohort study enrolled 929 patients altogether who were admitted in ICU including 680 patients in training set (Jiefang Campus) and 249 patients in external testing set (Binjiang Campus). After performing strict inclusion and exclusion criteria, 421 patients were selected in training set for constructing predictive model and 167 patients were selected in external testing for evaluating the predictive performance of resulting model. Urine and blood samples were collected for kidney injury associated biomarkers detection. Baseline clinical information and laboratory data of the study participants were collected. We determined the average prediction efficiency of six machine learning models through 10-fold cross validation., Results: In total, 78 variables were collected when admission in ICU and 43 variables were statistically significant between AKI and non-AKI cohort. Then, 35 variables were selected as independent features for AKI by univariate logistic regression. Spearman correlation analysis was used to remove two highly correlated variables. Three ranking methods were used to explore the influence of 33 variables for further determining the best combination of variables. The gini importance ranking method was found to be applicable for variables filtering. The predictive performance of AKIML pred which constructed by the XGBoost algorithm was the best among six machine learning models. When the AKIML pred included the nine features (NGAL, IGFBP7, sCysC, CAF22, KIM-1, NT-proBNP, IL-6, IL-18 and L-FABP) with the highest influence ranking, its model had the best prediction performance, with an AUC of 0.881 and an accuracy of 0.815 in training set, similarly, with an AUC of 0.889 and an accuracy of 0.846 in validation set. Moreover, the performace was slightly outperformed in testing set with an AUC of 0.902 and an accuracy of 0.846. The SHAP algorithm was used to interpret the prediction results of AKIML pred . The web-calculator of AKIML pred was shown for predicting AKI with more convenient(https://www.xsmartanalysis.com/model/list/predict/model/html?mid=8065&symbol=11gk693982SU6AE1ms21). AKIML pred was better than the optimal model built with only routine tests for predicting AKI in critically ill patients within 7 days., Conclusion: The model AKIML pred constructed by the XGBoost algorithm with selecting the nine most influential biomarkers in the gini importance ranking method had the best performance in predicting AKI in critically ill patients within 7 days. This data-driven predictive model will help clinicians to make quick and accurate diagnosis., (Copyright © 2024 Elsevier B.V. All rights reserved.)

• A powder-scale high precision multi-physics model is developed to depict the DED-LB process. • The single-track Inconel 718 alloy DED-LB experiments are used to validate the powder scale model and GPR model results. • The physically based-data driven agent model is developed to rapidly and accurately predict the geometry and dilution rate. • The DED-LB PS-ML model for optimal process maps is developed to achieve process parameter optimization using a comparatively small accurate data. The major challenge faced is the definition of optimal process variables for rich quality of fabricated parts in laser-based directed energy deposition (DED-LB) processes. However, predicting the optimal process scheme using machine learning models is still challenging owing to the need for a large amount of training experimental data with high costs in DED-LB. In view of this, a physical simulation (PS)-machine learning (ML) model using a relatively small accurate data set of 31 simulation data for optimal process schemes is proposed in DED-LB process in this study. Firstly, a powder-scale high precision phenomenon model incorporating the mass transfer, phase transformations and heat transfer and using Lagrangian particle model to add mass is developed to depict the DED-LB process. Then, a Gaussian process regression (GPR) agent model is established to rapidly and accurately predict the geometry and dilution rate of deposition tracks under different manufacturing parameters based on the high precision simulation results. Finally, a PS-ML model for process parameter optimization is developed using the particle swarm algorithm (PSO), and the optimized parameters are experimentally validated. The results show that the developed powder-scale model and GPR model results are consistent with the Inconel 718 alloy experimental results. The proposed PS-ML model can increase the accuracy of the ML models even with a small simulation data set. None of PS-ML model optimization results has a relative error of more than 3% to the experimental results, and the dilution rate is reduced by up to 61.66% compared to the experimental design parameters without optimization. The proposed physical simulation-machine learning model in this study enables inexpensive and accurate optimization of DED-LB process parameters. [ABSTRACT FROM AUTHOR]