AAAI 2026

January 25, 2026

Singapore, Singapore

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Early warning of intraoperative adverse events plays a vital role in reducing surgical risk and improving patient safety. While deep learning has shown promise in predicting the single adverse event, several key challenges remain: overlooking adverse event dependencies, underutilizing heterogeneous clinical data, and suffering from the class imbalance inherent in medical datasets. To address these issues, we construct the first multi-label adverse events dataset (MuAE) for intraoperative adverse events prediction, covering six critical events. Next, we propose a novel Transformer-based multi-label learning framework (IAENet) that combines an improved Time-Aware Feature-wise Linear Modulation (TAFiLM) module for static covariates and dynamic variables robust fusion and complex temporal dependencies modeling. Furthermore, we introduce a label-constrained reweighting loss (LCRLoss) with co-occurrence regularization to effectively mitigate intra-event imbalance and enforce structured consistency among frequently co-occurring events. Extensive experiments demonstrate that IAENet consistently outperforms strong baselines on 5, 10, and 15-minute early warning tasks, achieving improvements of +5.05\%, +2.82\%, and +7.57\% on average F1-score. These results highlight the potential of IAENet for supporting intelligent intraoperative decision-making in clinical practice.

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