Evidence map›Paper›PMID 25656667›Full record

ArticleJournal of community hospital internal medicine perspectives2015

A prediction model for Clostridium difficile recurrence.

Francis D LaBarbera, Ivan Nikiforov, Arvin Parvathenani, Varsha Pramil, Subhash Gorrepati

Abstract read
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Microbiome profile and calprotectin levels as markers of risk of recurrentFrontiers in cellular and infection microbiology · 2023
    Article
  6. Article
  7. Article
  8. Observational
  9. Evaluation of a risk score to predict futureHuman vaccines & immunotherapeutics · 2019
    Observational
  10. A comprehensive approach for the patient with Clostridium difficile infection.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2018
    Review
  11. Editor's notes.Journal of community hospital internal medicine perspectives · 2015
    Article
  12. Review
  13. 2019 update of the WSES guidelines for management ofWorld journal of emergency surgery : WJES
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Francis D LaBarberaDepartment of Internal Medicine, PinnacleHealth Hospital, Harrisburg, PA, USA; flabarbera@pinnaclehealth.org.
Ivan NikiforovDepartment of Internal Medicine, PinnacleHealth Hospital, Harrisburg, PA, USA.
Arvin ParvathenaniDepartment of Internal Medicine, PinnacleHealth Hospital, Harrisburg, PA, USA.
Varsha PramilDepartment of Internal Medicine, PinnacleHealth Hospital, Harrisburg, PA, USA.
Subhash GorrepatiDepartment of Internal Medicine, PinnacleHealth Hospital, Harrisburg, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClostridium difficile infection (CDI) is a growing problem in the community and hospital setting. Its incidence has been on the rise over the past two decades, and it is quickly becoming a major concern for the health care system. High rate of recurrence is one of the major hurdles in the successful treatment of C. difficile infection. There have been few studies that have looked at patterns of recurrence. The studies currently available have shown a number of risk factors associated with C. difficile recurrence (CDR); however, there is little consensus on the impact of most of the identified risk factors.

methodsOur study was a retrospective chart review of 198 patients diagnosed with CDI via Polymerase Chain Reaction (PCR) from February 2009 to Jun 2013. In our study, we decided to use a machine learning algorithm called the Random Forest (RF) to analyze all of the factors proposed to be associated with CDR. This model is capable of making predictions based on a large number of variables, and has outperformed numerous other models and statistical methods.

resultsWe came up with a model that was able to accurately predict the CDR with a sensitivity of 83.3%, specificity of 63.1%, and area under curve of 82.6%. Like other similar studies that have used the RF model, we also had very impressive results.

conclusionsWe hope that in the future, machine learning algorithms, such as the RF, will see a wider application.

Indexed as

hospital infectionmachine learning algorithmRandom Forest

Identifiers

PMID25656667
PMCPMC4318823

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.