S. Sutari
Publications
Resource-Conscious Modeling for Next- Day Discharge Prediction Using Clinical Notes
Timely discharge prediction is essential for optimizing bed turnover and resource allocation in elective spine surgery units. This study evaluates the feasibility of lightweight, fine-tuned large language models (LLMs) and traditional text-based models for predicting next-day discharge using postoperative clinical notes. We compared 13 models, including TF-IDF with XGBoost and LGBM, and compact LLMs (DistilGPT-2, Bio_ClinicalBERT) fine-tuned via LoRA. TF-IDF with LGBM achieved the best balance, with an F1-score of 0.47 for the discharge class, a recall of 0.51, and the highest AUC-ROC (0.80). While LoRA improved recall in DistilGPT2, overall transformer-based and generative models underperformed. These findings suggest interpretable, resource-efficient models may outperform compact LLMs in real-world, imbalanced clinical prediction tasks.
Building Safe and Deployable Clinical Natural Language Processing under Temporal Leakage Constraints
Clinical natural language processing (NLP) models have shown promise for supporting hospital discharge planning by leveraging narrative clinical documentation. However, note-based models are particularly vulnerable to temporal and lexical leakage, where documentation artifacts encode future clinical decisions and inflate apparent predictive performance. Such behavior poses substantial risks for real-world deployment, where overconfident or temporally invalid predictions can disrupt clinical workflows and compromise patient safety. This study focuses on system-level design choices required to build safe and deployable clinical NLP under temporal leakage constraints. We present a lightweight auditing pipeline that integrates interpretability into the model development process to identify and suppress leakage-prone signals prior to final training. Using next-day discharge prediction after elective spine surgery as a case study, we evaluate how auditing affects predictive behavior, calibration, and safety-relevant trade-offs. Results show that audited models exhibit more conservative and better-calibrated probability estimates, with reduced reliance on discharge-related lexical cues. These findings emphasize that deployment-ready clinical NLP systems should prioritize temporal validity, calibration, and behavioral robustness over optimistic performance.