Evidence map›Paper›PMID 26536566›Full record

ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2015

Using Time Series Analysis to Predict Cardiac Arrest in a PICU.

Curtis E Kennedy, Noriaki Aoki, Michele Mariscalco, James P Turley

Abstract read
In one paragraph

Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
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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

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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

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

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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

4 authors.

Curtis E Kennedy1Section of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX. 2Department of Pediatrics, University of Illinois College of Medicine, Urbana, IL. 3The University of Texas School of Biomedical Informatics, Houston, TX.
Noriaki Aoki
Michele Mariscalco
James P Turley

Funding

Predicting Cardiac Arrest in Pediatric Critical IllnessK22LM008389 · NLM · BAYLOR COLLEGE OF MEDICINE · PI KENNEDY, CURTIS E · 2006 to 2008
$405k
NLM NIH HHS 5 K22 LM008389NLM NIH HHS K22 LM008389
6 · The paper itself

Abstract

objectivesTo build and test cardiac arrest prediction models in a PICU, using time series analysis as input, and to measure changes in prediction accuracy attributable to different classes of time series data.

designRetrospective cohort study.

settingThirty-one bed academic PICU that provides care for medical and general surgical (not congenital heart surgery) patients. SUBJECTS: Patients experiencing a cardiac arrest in the PICU and requiring external cardiac massage for at least 2 minutes.

interventionsNone. MEASUREMENTS AND MAIN

resultsOne hundred three cases of cardiac arrest and 109 control cases were used to prepare a baseline dataset that consisted of 1,025 variables in four data classes: multivariate, raw time series, clinical calculations, and time series trend analysis. We trained 20 arrest prediction models using a matrix of five feature sets (combinations of data classes) with four modeling algorithms: linear regression, decision tree, neural network, and support vector machine. The reference model (multivariate data with regression algorithm) had an accuracy of 78% and 87% area under the receiver operating characteristic curve. The best model (multivariate + trend analysis data with support vector machine algorithm) had an accuracy of 94% and 98% area under the receiver operating characteristic curve.

conclusionsCardiac arrest predictions based on a traditional model built with multivariate data and a regression algorithm misclassified cases 3.7 times more frequently than predictions that included time series trend analysis and built with a support vector machine algorithm. Although the final model lacks the specificity necessary for clinical application, we have demonstrated how information from time series data can be used to increase the accuracy of clinical prediction models.

Indexed as

Decision TreesNeural Networks, ComputerSupport Vector MachineAdolescentArea Under CurveChildChild, PreschoolHeart ArrestHumansInfantIntensive Care Units, PediatricLinear ModelsMultivariate AnalysisPredictive Value of TestsRetrospective StudiesROC Curve

Identifiers

PMID26536566
PMCPMC4638161

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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.