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AI-RiskX: An Explainable Deep Learning Approach for Identifying At-Risk Patients During Pandemics
Nada Zendaoui1,2, Nardjes Bouchemal1,3, Mohamed Rafik Aymene Berkani4
1Institute of Mathematics and Computer Science, Abdelhafid Boussouf University Center of Mila, Mila 43000, Algeria.
Bioengineering (Basel, Switzerland)
|October 29, 2025
Summary
This study introduces AI-RiskX, an explainable deep learning model for identifying high-risk patients during pandemics. It achieves 98.78% accuracy, improving public health decision-making for vulnerable populations.
Area of Science:
- Public Health
- Artificial Intelligence
- Computational Biology
Background:
- Pandemics strain healthcare systems, necessitating accurate identification of high-risk individuals.
- Existing AI models lack interpretability and fail to account for diverse patient vulnerabilities.
Purpose of the Study:
- To develop an explainable deep learning model (AI-RiskX) for identifying at-risk patients during pandemics.
- To enhance timely intervention and resource allocation for COVID-19 and related infections.
Main Methods:
- Integrated five public health datasets (asthma, diabetes, heart, kidney, thyroid).
- Utilized Synthetic Minority Over-sampling Technique (SMOTE) for class balancing.
- Employed a hybrid Convolutional Neural Network-Long Short-Term Memory (CNN-LSTM) model.
- Incorporated SHAP for model interpretability and a rule-based module for stratification.
Main Results:
- Achieved 98.78% accuracy in classifying at-risk patients.
- Provided both individual and population-level interpretability.
- Successfully stratified patients by age and pregnancy status.
Conclusions:
- AI-RiskX offers a scalable and interpretable solution for equitable patient classification.
- The model supports critical decision-making in public health emergencies.
- Addresses limitations of previous AI models by integrating diverse data and prioritizing explainability.

