Experiments demonstrated that sigmoid multilayer perceptron (MLP) networks provide slightly better risk prediction than conventional logistic regression when used to predict the risk of death, stroke, and renal failure on 1257 patients who underwent coronary artery bypass operations at the Lahey Clinic. MLP networks with no hidden layer and networks with one hidden layer were trained using stochastic gradient descent with early stopping. MLP networks and logistic regression used the same input features and were evaluated using bootstrap sampling with 50 replications. ROC areas for predicting mortality using preoperative input features were 70.5% for logistic regression and 76.0% for MLP networks. Regularization provided by early stopping was an important component of improved perfonnance.

MLP networks provided slightly better risk prediction than conventional logistic regression when used to predict the risk of death, stroke, and renal failure on 1257 patients who underwent coronary artery bypass operations. Bootstrap sampling was required to compare approaches and regularization provided by early stopping was an important component of improved performance. A simplified approach to generating confidence intervals for MLP risk predictions using an auxiliary "confidence MLP" was also developed. The confidence MLP is trained to reproduce the confidence bounds that were generated during training by 50 MLP networks trained using bootstrap samples. Current research is validating these results using larger data sets, exploring approaches to detect outlier patients who are so different from any training patient that accurate risk prediction is suspect, developing approaches to explaining which input features are important for an individual patient, and determining why MLP networks provide improved performance.

MLP networks provided slightly better risk prediction than conventional logistic regression when used to predict the risk of death, stroke, and renal failure on 1257 patients who underwent coronary artery bypass operations. Bootstrap sampling was required to compare approaches and regularization provided by early stopping was an important component of improved performance. A simplified approach to generating confidence intervals for MLP risk predictions using an auxiliary "confidence MLP" was also developed. The confidence MLP is trained to reproduce the confidence bounds that were generated during training by 50 MLP networks trained using bootstrap samples. Current research is validating these results using larger data sets, exploring approaches to detect outlier patients who are so different from any training patient that accurate risk prediction is suspect, developing approaches to explaining which input features are important for an individual patient, and determining why MLP networks provide improved performance.

MLP networks provided slightly better risk prediction than conventional logistic regression when used to predict the risk of death, stroke, and renal failure on 1257 patients who underwent coronaryartery bypass operations. Bootstrap sampling was required to compare approaches and regularization provided by early stopping was an important component of improved performance. A simplified approach to generating confidence intervals for MLP risk predictions using an auxiliary "confidence MLP" was also developed. The confidence MLP is trained to reproduce the confidence bounds that were generated during training by 50 MLP networks trained using bootstrap samples. Current research is validating these results usinglarger data sets, exploring approaches to detect outlier patients who are so different fromany training patient that accurate risk prediction is suspect, developing approaches toexplaining which input features are important for an individual patient, and determining why MLP networks provide improved performance.