Public Access Defibrillator Deployment for Cardiac Arrests: A Learn-Then-Optimize Approach with SHAP-based Interpretable Analytics

Fuente: arXiv
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Hauptverfasser: Cao, Kexin, Yang, Chih-Yuan, Leong, Keng-Hou, Liu, Xinglu, Kin, Wai, Chan
Format: Preprint
Veröffentlicht: 2025
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author Cao, Kexin
Yang, Chih-Yuan
Leong, Keng-Hou
Liu, Xinglu
Kin, Wai
Chan
author_facet Cao, Kexin
Yang, Chih-Yuan
Leong, Keng-Hou
Liu, Xinglu
Kin, Wai
Chan
contents Out-of-hospital cardiac arrest (OHCA) survival rates remain extremely low due to challenges in the timely accessibility of medical devices. Therefore, effective deployment of automated external defibrillators (AED) can significantly increase survival rates. Precise and interpretable predictions of OHCA occurrences provide a solid foundation for efficient and robust AED deployment optimization. This study develops a novel learn-then-optimize approach, integrating three key components: a machine learning prediction model, SHAP-based interpretable analytics, and a SHAP-guided integer programming (SIP) model. The machine learning model is trained utilizing only geographic data as inputs to overcome data availability obstacles, and its strong predictive performance validates the feasibility of interpretation. Furthermore, the SHAP model elaborates on the contribution of each geographic feature to the OHCA occurrences. Finally, an integer programming model is formulated for optimizing AED deployment, incorporating SHAP-weighted OHCA densities. Various numerical experiments are conducted across different settings. Based on comparative and sensitive analysis, the optimization effect of our approach is verified and valuable insights are derived to provide substantial support for theoretical extension and practical implementation.
format Preprint
id arxiv_https___arxiv_org_abs_2501_00819
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Public Access Defibrillator Deployment for Cardiac Arrests: A Learn-Then-Optimize Approach with SHAP-based Interpretable Analytics
Cao, Kexin
Yang, Chih-Yuan
Leong, Keng-Hou
Liu, Xinglu
Kin, Wai
Chan
Optimization and Control
Out-of-hospital cardiac arrest (OHCA) survival rates remain extremely low due to challenges in the timely accessibility of medical devices. Therefore, effective deployment of automated external defibrillators (AED) can significantly increase survival rates. Precise and interpretable predictions of OHCA occurrences provide a solid foundation for efficient and robust AED deployment optimization. This study develops a novel learn-then-optimize approach, integrating three key components: a machine learning prediction model, SHAP-based interpretable analytics, and a SHAP-guided integer programming (SIP) model. The machine learning model is trained utilizing only geographic data as inputs to overcome data availability obstacles, and its strong predictive performance validates the feasibility of interpretation. Furthermore, the SHAP model elaborates on the contribution of each geographic feature to the OHCA occurrences. Finally, an integer programming model is formulated for optimizing AED deployment, incorporating SHAP-weighted OHCA densities. Various numerical experiments are conducted across different settings. Based on comparative and sensitive analysis, the optimization effect of our approach is verified and valuable insights are derived to provide substantial support for theoretical extension and practical implementation.
title Public Access Defibrillator Deployment for Cardiac Arrests: A Learn-Then-Optimize Approach with SHAP-based Interpretable Analytics
topic Optimization and Control
url https://arxiv.org/abs/2501.00819