Stroke is a major cause of mortality and long--term disability in the world. Predictive outcome models in stroke are valuable for personalized treatment, rehabilitation planning and in controlled clinical trials. In this paper we design a new model to predict outcome in the short-term, the putative therapeutic window for several treatments. Our regression-based model has a parametric form that is designed to address many challenges common in medical datasets like highly correlated variables and class imbalance. Empirically our model outperforms the best--known previous models in predicting short--term outcomes and in inferring the most effective treatments that improve outcome.
The efficacy of family-based approaches to mixture model-based clustering and classification depends on the selection of parsimonious models. Current wisdom suggests the Bayesian information criterion (BIC) for mixture model selection. However, the BIC has well-known limitations, including a tendency to overestimate the number of components as well as a proclivity for, often drastically, underestimating the number of components in higher dimensions. While the former problem might be soluble through merging components, the latter is impossible to mitigate in clustering and classification applications. In this paper, a LASSO-penalized BIC (LPBIC) is introduced to overcome this problem. This approach is illustrated based on applications of extensions of mixtures of factor analyzers, where the LPBIC is used to select both the number of components and the number of latent factors. The LPBIC is shown to match or outperform the BIC in several situations.