Federated Learning for Predictive Analytics in Weaning from Mechanical Ventilation

Mechanical ventilation is crucial for critically ill patients in ICUs, requiring accurate weaning and extubations timing for optimal outcomes. Current prediction models struggle with generalizability across datasets like MIMIC-IV and eICU-CRD. We propose a federated learning approach using XGBoost with bagging aggregation to improve weaning predictions while ensuring patient data privacy, compliant with GDPR and HIPAA. Using the OMOP Common Data Model, our method integrates machine learning techniques across three ICU databases, encompassing over 33,000 patients. Our model achieved robust performance with 77% AUC and 73% AUPRC. Planned pilot studies in Germany will further refine and validate our approach. This study demonstrates the potential of federated learning to enhance critical care by providing personalized, data-driven insights for ventilation management.