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TRIAGE: Dialectical LLM Reasoning for Explainable Risk Prediction on Irregularly Sampled Medical Time Series

Clinical early warning systems built on irregularly sampled medical time series (ISMTS) from electronic health records must deliver continuous risk scores for patient triage as well as interpretable rationales that clinicians can verify. Large language models (LLMs) are uniquely positioned for both, deriving risk from their output probabilities and rationales from their medical knowledge. However, we find that conventional LLM reasoning collapses graded risk into overconfident predictions and thereby undermines the cross-patient comparability on which triage depends. We refer to this failure mode as risk polarization and identify two underlying behaviors: early commitment to a single outc...

AuthorsHyeongwon Jang, Gyouk Chu, Changhun Kim et al.
Primary categorycs.LG
Published8 June 2026
Last updated at source1 October 2026
cs.LGcs.AIcs.CL
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