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scenario_id
int64
infection_pressure
float64
physiological_buffer
float64
intervention_delay
float64
organ_coupling
float64
microcirculatory_instability
float64
label_sepsis_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 controlled infection to septic cascade using a five-variable interaction structure.

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

Sepsis often unfolds as a cascade: infection pressure rises, physiological reserve narrows, intervention delays reduce reversibility, organ interactions amplify instability, and microcirculatory dysfunction 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

infection_pressure
physiological_buffer
intervention_delay
organ_coupling
microcirculatory_instability

infection_pressure reflects pathogen burden and inflammatory stress.

physiological_buffer reflects reserve capacity and resilience against septic deterioration.

intervention_delay captures lag in antibiotics, fluids, source control, imaging, or escalation.

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

microcirculatory_instability reflects tissue perfusion disruption and failure of capillary-level compensation.

Clinical Variable Mapping

Node Clinical Measurements Typical Risk Signals
infection_pressure lactate, procalcitonin, WBC, temperature, CRP rising lactate, high procalcitonin, fever, inflammatory burden
physiological_buffer age, albumin, baseline reserve, frailty, comorbidity burden low albumin, frailty, limited reserve
intervention_delay delay in antibiotics, fluids, source control, escalation antibiotics delayed, delayed source control
organ_coupling SOFA interaction, urine output, oxygen requirement, hypotension infection spilling into multi-organ instability
microcirculatory_instability capillary refill, MAP, mottling, peripheral perfusion, lactate clearance delayed refill, mottling, poor lactate clearance, unstable perfusion

Prediction target

label_sepsis_cascade

Binary classification.

0 = infectious state remains stable or recoverable
1 = sepsis 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 sepsis 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 important layer that is often decisive in sepsis progression: tissue-level perfusion breakdown. That makes this dataset suitable as an advanced boundary set inside the wider clinical suite.

Row structure

Each row represents a simulated infectious patient state.

Columns:

scenario_id
infection_pressure
physiological_buffer
intervention_delay
organ_coupling
microcirculatory_instability
label_sepsis_cascade

Values are normalized between 0 and 1 for training simplicity.

Higher infection_pressure increases risk.

Lower physiological_buffer increases risk.

Higher intervention_delay, higher organ_coupling, and higher microcirculatory_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 septic 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 infection medicine this corresponds to the transition from controlled infectious stress into systemic septic deterioration.

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

Production Deployment

Potential applications include:

sepsis boundary detection
ICU infection monitoring
advanced clinical deterioration modeling
decision support for unstable infectious 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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