Fuzzy Decision-Making Framework for Evaluating Hybrid Detection Models of Trauma Patients

This study introduces a new multi-criteria decision-making (MCDM) framework to evaluate trauma injury detection models in intensive care units (ICUs). This research addresses the challenges associated with diverse machine learning (ML) models, inconsistencies, conflicting priorities, and the importance of metrics. The developed methodology consists of three phases: dataset identification and pre-processing, hybrid model development, and an evaluation/benchmarking framework. Through meticulous pre-processing, the dataset is tailored to focus on adult trauma patients. Forty hybrid models were developed by combining eight ML algorithms with four filter-based feature-selection methods and principal component analysis (PCA) as a dimensionality reduction method, and these models were evaluated using seven metrics. The weight coefficients for these metrics are determined using the 2-tuple Linguistic Fermatean Fuzzy-Weighted Zero-Inconsistency (2TLF-FWZIC) method. The Vlsekriterijumska Optimizcija I Kompromisno Resenje (VIKOR) approach is applied to rank the developed models. According to 2TLF-FWZIC, classification accuracy (CA) and precision obtained the highest importance weights of 0.2439 and 0.1805, respectively, while F1, training time, and test time obtained the lowest weights of 0.1055, 0.0886, and 0.1111, respectively. The benchmarking results revealed the following top-performing models: the Gini index with logistic regression (GI-LR), the Gini index with a decision tree (GI_DT), and the information gain with a decision tree (IG_DT), with VIKOR Q score values of 0.016435, 0.023804, and 0.042077, respectively. The proposed MCDM framework is assessed and examined using systematic ranking, sensitivity analysis, validation of the best-selected model using two unseen trauma datasets, and mode explainability using the SHapley Additive exPlanations (SHAP) method. We benchmarked the proposed methodology against three other benchmark studies and achieved a score of 100% across six key areas. The proposed methodology provides several insights into the empirical synthesis of this study. It contributes to advancing medical informatics by enhancing the understanding and selection of trauma injury detection models for ICUs.