arXiv subjects

Kirill Grishchenkov

Publications and source records attributed to Kirill Grishchenkov.

3 recordsLinked to original sources

arXiv2026

Pre-AF 13: An Interpretable Atrial Fibrillation Risk Score Mined from Discharge Reports

Background. Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia and a major determinant of prognosis. Established AF risk scores rely on factors (older age, hypertension) nearly ubiquitous among patients with cardiovascular disease (CVD), offering limited stratification in this high-risk group. Most target long-term (5-10 year) rather than medium-term prediction. We developed interpretable ML models predicting AF risk over a 24-month and entire follow-up horizon in CVD patients using routinely collected hospital data. Methods. Single-center retrospective study of electronic health records from the National Research Cardiology Center (Russia) for patients aged >=18 with CVD but without pre-existing AF, hospitalized more than once between January 2012 and May 2019. A custom NLP pipeline transformed unstructured discharge reports into 73 structured features, combining a rule-based parser with transformer-based NER. Using LightAutoML we built a full model (73 features), a simple model (reduced subset), and a linear model for a bedside risk score. Performance was assessed by ROC AUC, compared with CHARGE-AF, C2HEST, MHS, and HAVOC, and interpreted via SHAP. Results. Of 80,576 records from 45,000 patients, 17,562 met inclusion criteria; 1,438 (8.19%) developed AF. The full model reached ROC AUC 0.735 (24-month) and 0.696 (entire follow-up); the simple model was nearly identical (0.725, 0.696). All non-linear models outperformed the four clinical risk scores (ROC AUC 0.53-0.64). The simple model uses 13 features and is named Pre-AF 13. SHAP identified age and left atrial volume as dominant predictors. A linear risk score (Pre-AF 9) stratified observed 24-month AF incidence from ~7% to 36%. Conclusion. Interpretable ML models built from routinely collected EHR data identify high-AF-risk CVD patients, outperforming established clinical risk scores.

cs.LG↗

arXiv2026

ReDAct: Uncertainty-Aware Deferral for LLM Agents

Recently, LLM-based agents have become increasingly popular across many applications, including complex sequential decision-making problems. However, they inherit the tendency of LLMs to hallucinate, leading to incorrect decisions. In sequential settings, even a single mistake can irreversibly degrade the trajectory, making hallucinations an even bigger problem. Although larger LLMs hallucinate less, they incur a significantly higher per-token cost. In this paper, we address this tradeoff by proposing ReDAct (Reason-Defer-Act). In ReDAct, an agent is equipped with two LLMs: a small, cheap model used by default, and a large, more reliable but expensive model. When the predictive uncertainty of the small model exceeds a calibrated threshold, the decision is deferred to the large model. We evaluate our approach in text-based embodied environments such as ALFWorld and MiniGrid and show that deferring only about 15% of decisions to the large model can match the quality of using it exclusively, while significantly reducing inference costs.

cs.CL↗

arXiv2024

Benchmarking Uncertainty Quantification Methods for Large Language Models with LM-Polygraph

The rapid proliferation of large language models (LLMs) has stimulated researchers to seek effective and efficient approaches to deal with LLM hallucinations and low-quality outputs. Uncertainty quantification (UQ) is a key element of machine learning applications in dealing with such challenges. However, research to date on UQ for LLMs has been fragmented in terms of techniques and evaluation methodologies. In this work, we address this issue by introducing a novel benchmark that implements a collection of state-of-the-art UQ baselines and offers an environment for controllable and consistent evaluation of novel UQ techniques over various text generation tasks. Our benchmark also supports the assessment of confidence normalization methods in terms of their ability to provide interpretable scores. Using our benchmark, we conduct a large-scale empirical investigation of UQ and normalization techniques across eleven tasks, identifying the most effective approaches. Code: https://github.com/IINemo/lm-polygraph Benchmark: https://huggingface.co/LM-Polygraph

cs.CL↗