RealICU (Local Window) - Action Recommendation: leaderboard
RealICU (Shen et al., 2026) replays MIMIC-IV intensive-care stays in 30-minute windows and scores an LLM against hindsight labels from senior ICU physicians on the 930 windows of RealICU-Gold. Action Recommendation: Hit@5 (0-1), the share of windows whose top five recommended actions include one the physicians labelled, higher is better. Local-window protocol: the model sees only the current window.
Metric: Hit@5 (0-1; share of windows whose top-5 recommended actions include a physician-labelled action, PubMedBERT semantic matching; local-window strategy, only the current window in the prompt). Source: arxiv.org. Saturation forecast: Around October 2028. 3 models tracked.
Top models
| # | Model | Score | Overall rank |
|---|---|---|---|
| 1 | Gemini 3.1 Pro (Preview) | 0.4 | #91 |
| 2 | GPT-5.4 | 0.38 | #121 |
| 3 | Qwen 3 235B A22B | 0.35 | #622 |
No result here: #1 Claude Fable 5.2, #2 Gemini 4 Carbon, #5 Claude Opus 5.5.
Interactive version: theaggregate.ai/benchmark?slug=realicu-local-window-action-recommendation · How It Works · Data refreshed daily, snapshot 2026-11-12.