Abstract--Sepsis is a leading cause of mortality in intensive care units (ICUs), yet existing research often relies on outdated datasets, non-reproducible preprocessing pipelines, and limited coverage of clinical interventions. We introduce MIMIC-Sepsis, a curated cohort and benchmark framework derived from the MIMIC-IV database, designed to support reproducible modeling of sepsis trajectories. Our cohort includes 35,239 ICU patients with time-aligned clinical variables and standardized treatment data, including vasopressors, fluids, mechanical ventilation and antibiotics. We describe a transparent preprocess-ing pipeline--based on Sepsis-3 criteria, structured imputation strategies, and treatment inclusion--and release it alongside benchmark tasks focused on early mortality prediction, length-of-stay estimation, and shock onset classification. Empirical results demonstrate that incorporating treatment variables substantially improves model performance, particularly for Transformer-based architectures. MIMIC-Sepsis serves as a robust platform for evaluating predictive and sequential models in critical care research. Sepsis is a life-threatening condition caused by the body's extreme response to an infection that can lead to organ failure and even death.

Average and conditional treatment effects are fundamental causal quantities used to evaluate the effectiveness of treatments in various critical applications, including clinical settings and policy-making. Beyond the gold-standard estimators from randomized trials, numerous methods have been proposed to estimate treatment effects using observational data. In this paper, we provide a novel characterization of widely used causal inference techniques within the framework of staged event trees, demonstrating their capacity to enhance treatment effect estimation. These models offer a distinct advantage due to their interpretability, making them particularly valuable for practical applications. We implement classical estimators within the framework of staged event trees and illustrate their capabilities through both simulation studies and real-world applications. Furthermore, we showcase how staged event trees explicitly and visually describe when standard causal assumptions, such as positivity, hold, further enhancing their practical utility.

Previous studies have shown that hazard ratios between treatment groups estimated with the Cox model are uninterpretable because the indefinite baseline hazard of the model fails to identify temporal change in the risk set composition due to treatment assignment and unobserved factors among multiple, contradictory scenarios. To alleviate this problem, especially in studies based on observational data with uncontrolled dynamic treatment and real-time measurement of many covariates, we propose abandoning the baseline hazard and using machine learning to explicitly model the change in the risk set with or without latent variables. For this framework, we clarify the context in which hazard ratios can be causally interpreted, and then develop a method based on Neyman orthogonality to compute debiased maximum-likelihood estimators of hazard ratios. Computing the constructed estimators is more efficient than computing those based on weighted regression with marginal structural Cox models. Numerical simulations confirm that the proposed method identifies the ground truth with minimal bias. These results lay the foundation for developing a useful, alternative method for causal inference with uncontrolled, observational data in modern epidemiology.

As estimation of Heterogeneous Treatment Effect (HTE) is increasingly adopted across a wide range of scientific and industrial applications, the treatment action space can naturally expand, from a binary treatment variable to a structured treatment policy. This policy may include several policy factors such as a continuous treatment intensity variable, or discrete treatment assignments. From first principles, we derive the formulation for incorporating multiple treatment policy variables into the functional forms of individual and average treatment effects. Building on this, we develop a methodology to directly rank subjects using aggregated HTE functions. In particular, we construct a Neural-Augmented Naive Bayes layer within a deep learning framework to incorporate an arbitrary number of factors that satisfies the Naive Bayes assumption. The factored layer is then applied with continuous treatment variables, treatment assignment, and direct ranking of aggregated treatment effect functions. Together, these algorithms build towards a generic framework for deep learning of heterogeneous treatment policies, and we show their power to improve performance with public datasets.

Estimating treatment effects from observational data is challenging due to two main reasons: (a) hidden confounding, and (b) covariate mismatch (control and treatment groups not having identical distributions). Long lines of works exist that address only either of these issues. To address the former, conventional techniques that require detailed knowledge in the form of causal graphs have been proposed. For the latter, covariate matching and importance weighting methods have been used. Recently, there has been progress in combining testable independencies with partial side information for tackling hidden confounding. A common framework to address both hidden confounding and selection bias is missing. We propose neural architectures that aim to learn a representation of pre-treatment covariates that is a valid adjustment and also satisfies covariate matching constraints. We combine two different neural architectures: one based on gradient matching across domains created by subsampling a suitable anchor variable that assumes causal side information, followed by the other, a covariate matching transformation. We prove that approximately invariant representations yield approximate valid adjustment sets which would enable an interval around the true causal effect. In contrast to usual sensitivity analysis, where an unknown nuisance parameter is varied, we have a testable approximation yielding a bound on the effect estimate. We also outperform various baselines with respect to ATE and PEHE errors on causal benchmarks that include IHDP, Jobs, Cattaneo, and an image-based Crowd Management dataset.

Notable progress has been made in generalist medical large language models across various healthcare areas. However, large-scale modeling of in-hospital time series data - such as vital signs, lab results, and treatments in critical care - remains underexplored. Existing datasets are relatively small, but combining them can enhance patient diversity and improve model robustness. To effectively utilize these combined datasets for large-scale modeling, it is essential to address the distribution shifts caused by varying treatment policies, necessitating the harmonization of treatment variables across the different datasets. This work aims to establish a foundation for training large-scale multi-variate time series models on critical care data and to provide a benchmark for machine learning models in transfer learning across hospitals to study and address distribution shift challenges. We introduce a harmonized dataset for sequence modeling and transfer learning research, representing the first large-scale collection to include core treatment variables. Future plans involve expanding this dataset to support further advancements in transfer learning and the development of scalable, generalizable models for critical healthcare applications.

Quantifying the effect of textual interventions in social systems, such as reducing anger in social media posts to see its impact on engagement, poses significant challenges. Direct interventions on real-world systems are often infeasible, necessitating reliance on observational data. Traditional causal inference methods, typically designed for binary or discrete treatments, are inadequate for handling the complex, high-dimensional nature of textual data. This paper addresses these challenges by proposing a novel approach, CausalDANN, to estimate causal effects using text transformations facilitated by large language models (LLMs). Unlike existing methods, our approach accommodates arbitrary textual interventions and leverages text-level classifiers with domain adaptation ability to produce robust effect estimates against domain shifts, even when only the control group is observed. This flexibility in handling various text interventions is a key advancement in causal estimation for textual data, offering opportunities to better understand human behaviors and develop effective policies within social systems.

Estimating the conditional average treatment effects (CATE) is very important in causal inference and has a wide range of applications across many fields. In the estimation process of CATE, the unconfoundedness assumption is typically required to ensure the identifiability of the regression problems. When estimating CATE using high-dimensional data, there have been many variable selection methods and neural network approaches based on representation learning, while these methods do not provide a way to verify whether the subset of variables after dimensionality reduction or the learned representations still satisfy the unconfoundedness assumption during the estimation process, which can lead to ineffective estimates of the treatment effects. Additionally, these methods typically use data from only the treatment or control group when estimating the regression functions for each group. This paper proposes a novel neural network approach named \textbf{CrossNet} to learn a sufficient representation for the features, based on which we then estimate the CATE, where cross indicates that in estimating the regression functions, we used data from their own group as well as cross-utilized data from another group. Numerical simulations and empirical results demonstrate that our method outperforms the competitive approaches.

In this paper, we generalize the Pearl and Neyman-Rubin methodologies in causal inference by introducing a generalized approach that incorporates fuzzy logic. Indeed, we introduce a fuzzy causal inference approach that consider both the vagueness and imprecision inherent in data, as well as the subjective human perspective characterized by fuzzy terms such as 'high', 'medium', and 'low'. To do so, we introduce two fuzzy causal effect formulas: the Fuzzy Average Treatment Effect (FATE) and the Generalized Fuzzy Average Treatment Effect (GFATE), together with their normalized versions: NFATE and NGFATE. When dealing with a binary treatment variable, our fuzzy causal effect formulas coincide with classical Average Treatment Effect (ATE) formula, that is a well-established and popular metric in causal inference. In FATE, all values of the treatment variable are considered equally important. In contrast, GFATE takes into account the rarity and frequency of these values. We show that for linear Structural Equation Models (SEMs), the normalized versions of our formulas, NFATE and NGFATE, are equivalent to ATE. Further, we provide identifiability criteria for these formulas and show their stability with respect to minor variations in the fuzzy subsets and the probability distributions involved. This ensures the robustness of our approach in handling small perturbations in the data. Finally, we provide several experimental examples to empirically validate and demonstrate the practical application of our proposed fuzzy causal inference methods.

Designing faithful yet accurate AI models is challenging, particularly in the field of individual treatment effect estimation (ITE). ITE prediction models deployed in critical settings such as healthcare should ideally be (i) accurate, and (ii) provide faithful explanations. However, current solutions are inadequate: state-of-the-art black-box models do not supply explanations, post-hoc explainers for black-box models lack faithfulness guarantees, and self-interpretable models greatly compromise accuracy. To address these issues, we propose DISCRET, a self-interpretable ITE framework that synthesizes faithful, rule-based explanations for each sample. A key insight behind DISCRET is that explanations can serve dually as database queries to identify similar subgroups of samples. We provide a novel RL algorithm to efficiently synthesize these explanations from a large search space. We evaluate DISCRET on diverse tasks involving tabular, image, and text data. DISCRET outperforms the best self-interpretable models and has accuracy comparable to the best black-box models while providing faithful explanations. DISCRET is available at https://github.com/wuyinjun-1993/DISCRET-ICML2024.