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Worsening ventricular contractile dysfunction in
heart failure (HF) patients triggers a deterioration cycle that
raises short-term fatality risk while imposing heavy burdens
on acute care infrastructure. Building reliable mortality prog-
nosis models from retrospective clinical records confronts two
interconnected structural obstacles: severe outcome skew pro-
ducing minority-class under-representation, and the coexistence
of continuous physiological measurements with binary medi-
cal flags that invalidate continuous-only interpolation during
data augmentation. This paper presents a four-stage learning
framework targeting both obstacles. An ANOVA F-statistic filter
reduces a twelve-variable clinical record to the six most outcome-
discriminative attributes. The Synthetic Minority Over-sampling
Technique for Nominal and Continuous features (SMOTENC)
then generates class-balanced training samples by routing con-
tinuous dimensions through linear interpolation and categorical
dimensions through neighbor-majority voting, thereby preserving
valid discrete states in every synthetic record. Adaptive Inertia
Weight Particle Swarm Optimization (AIW-PSO) — directed
by an Akaike Information Criterion (AIC) fitness that jointly
penalizes prediction error and structural complexity — locates
the Gradient Boosting Machine (GBM) configuration that best
balances accuracy and parsimony. The tuned GBM is trained
on the augmented partition and assessed on a sealed held-out
test set. On the UCI Heart Failure Clinical Records benchmark,
the framework achieves 95% classification accuracy, AUC of
0.96, and mortality-class F1-score of 0.89 — outperforming
logistic regression, support vector machine, random forest, and
untuned GBM baselines in every reported dimension. Ablation
experiments confirm that SMOTENC contributes a 4-point recall
advantage over standard SMOTE, while AIC-guided tuning adds
a further 5-point accuracy gain over default GBM configuration.
"Enhanced heart failure survival prediction using Machine Learning and SMOTENC", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2456-3315, Vol.11, Issue 4, page no.b776-b783, April-2026, Available :http://www.ijrti.org/papers/IJRTI2604245.pdf
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2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator