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scenario_id
int64
oxygen_demand
float64
physiological_buffer
float64
intervention_delay
float64
organ_coupling
float64
gas_exchange_instability
float64
label_respiratory_cascade
int64
1
0.85
0.27
0.67
0.72
0.76
1
2
0.24
0.86
0.1
0.21
0.18
0
3
0.73
0.4
0.59
0.64
0.68
1
4
0.31
0.79
0.16
0.27
0.24
0
5
0.81
0.33
0.63
0.69
0.72
1
6
0.2
0.88
0.09
0.18
0.16
0
7
0.7
0.45
0.56
0.61
0.65
1
8
0.27
0.82
0.13
0.24
0.21
0
9
0.77
0.36
0.6
0.66
0.7
1
10
0.22
0.85
0.1
0.2
0.17
0

What this repo does

This dataset models the transition from compensated respiratory stress to respiratory cascade using a five-variable interaction structure.

The goal is to detect when a patient is drifting toward respiratory boundary failure before overt systemic collapse is fully established.

Respiratory deterioration often unfolds as a cascade: oxygen demand rises, physiological reserve narrows, intervention delays reduce reversibility, organ interactions amplify instability, and gas-exchange instability reduces tissue-level recoverability.

The five-node structure extends the core Clarus clinical logic beyond a quad and captures a higher-order cascade surface.

Core five-node structure

oxygen_demand
physiological_buffer
intervention_delay
organ_coupling
gas_exchange_instability

oxygen_demand reflects the respiratory burden placed on the patient.

physiological_buffer reflects reserve capacity and resilience against respiratory deterioration.

intervention_delay captures lag in oxygen escalation, bronchodilation, non-invasive support, ventilation, imaging, or escalation.

organ_coupling reflects how respiratory dysfunction interacts with circulatory, renal, and metabolic instability.

gas_exchange_instability reflects failure of effective oxygenation and ventilation at the alveolar and tissue level.

Clinical Variable Mapping

Node Clinical Measurements Typical Risk Signals
oxygen_demand respiratory rate, oxygen requirement, work of breathing, PaO2/FiO2 ratio rising oxygen requirement, RR > 30, falling P/F ratio
physiological_buffer age, baseline lung reserve, albumin, frailty, chronic lung disease low reserve, chronic lung disease, frailty
intervention_delay delay in oxygen escalation, nebulizers, NIV, intubation, imaging delayed respiratory support or delayed escalation
organ_coupling lactate trend, hypotension, renal spillover, SOFA interaction respiratory decline spilling into systemic instability
gas_exchange_instability SpO2 variability, PaCO2 rise, A–a gradient, worsening compliance unstable saturation, rising CO2, worsening gas exchange

Prediction target

label_respiratory_cascade

Binary classification.

0 = respiratory state remains stable or recoverable
1 = respiratory cascade boundary is approaching

Binary simplification note

The Cascade Transition framework supports a full five-stage trajectory:

0 stable regime
1 deterioration drift
2 near cascade boundary
3 active cascade propagation
4 recovery trajectory

This v0.1 dataset intentionally uses a binary formulation.

Binary classification is easier to validate clinically and aligns with how respiratory monitoring and escalation systems are used in practice. Operational systems usually require a clear alert condition rather than a multi-stage taxonomy.

The full five-stage structure remains part of the broader framework and may appear in future dataset versions.

Why five nodes here

Most of the clinical suite uses quad structure because quad coupling is easier to validate, explain, and deploy.

This repo is a deliberate flagship extension.

The additional fifth node captures a clinically decisive layer that is often critical in respiratory progression: gas-exchange breakdown. That makes this dataset suitable as an advanced boundary set inside the wider clinical suite.

Row structure

Each row represents a simulated respiratory patient state.

Columns:

scenario_id
oxygen_demand
physiological_buffer
intervention_delay
organ_coupling
gas_exchange_instability
label_respiratory_cascade

Values are normalized between 0 and 1 for training simplicity.

Higher oxygen_demand increases risk.

Lower physiological_buffer increases risk.

Higher intervention_delay, higher organ_coupling, and higher gas_exchange_instability increase risk.

Files

data/train.csv
data/tester.csv
scorer.py

train.csv contains labeled rows.

tester.csv contains unlabeled rows with the same schema except for the target label.

scorer.py evaluates binary classification performance.

Evaluation

The scorer computes:

accuracy
precision
recall_cascade_detection
false_safe_rate
f1
confusion matrix

The primary metric is recall_cascade_detection because the main task is to detect approaching respiratory boundary failure rather than simply optimize overall accuracy.

false_safe_rate captures the proportion of positive danger cases missed by the model.

License

MIT

Structural Note

This dataset is part of the Clarus Cascade Transition Dataset family.

These datasets model how complex systems move from stable regimes into cascading failure states.

In respiratory medicine this corresponds to the transition from compensating oxygen stress into systemic respiratory deterioration.

This five-node dataset functions as an advanced boundary set within the clinical suite.

Production Deployment

Potential applications include:

respiratory boundary detection
ICU respiratory monitoring
advanced clinical deterioration modeling
decision support for unstable respiratory patients
research prototypes for higher-order cascade detection

Enterprise & Research Collaboration

Clarus datasets explore stability boundaries in complex systems including clinical deterioration, infrastructure failure, financial contagion, and AI system stability.

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