[A method for predicting neurological outcomes after cardiac arrest based on time-frequency domain feature fusion]

Accurate neurological outcome assessment after cardiac arrest is critical for clinical diagnosis and treatment. Existing electroencephalogram (EEG) prediction models suffer from high computational complexity, redundant full-channel data, and insufficient fusion of time-frequency domain features. This study proposes a lightweight deep learning model, WaveConv-SR-RepVGG, based on adaptive time-frequency feature fusion and reparameterized convolution. Taking the reparameterized visual convolutional network (RepVGG) as the baseline framework, the model introduces a shrinkage (SR) mechanism into the time-domain branch to suppress interference from low signal-to-noise ratio EEG signals. A multi-scale wavelet convolution (MS-Conv) module is constructed to extract multi-scale spectral features, and time-frequency features are fused to form joint representations for prognostic classification. Experiments were conducted on the PhysioNet 2023 dataset. Under the 18-channel setting, the model achieved an accuracy of 81.7%, an F1 score of 86.1%, and an AUC of 0.847. Under the 4-channel setting, the accuracy reached 81.2%, the F1 score reached 86.7%, and the AUC reached 0.877, with overall performance outperforming various mainstream deep learning algorithms. The proposed model enables neurological outcome prediction for patients after cardiac arrest and maintains stable and excellent classification performance with fewer EEG acquisition channels.