Evidence map›Paper›PMID 29126594›Full record

ArticleAmerican journal of surgery2018

Seeing the forest beyond the trees: Predicting survival in burn patients with machine learning.

Adrienne N Cobb, Witawat Daungjaiboon, Sarah A Brownlee, Anthony J Baldea, Arthur P Sanford, Michael M Mosier, Paul C Kuo

Abstract read
In one paragraph

Article in American journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. The effect of well-known burn-related features on machine learning algorithms in burn patients' mortality prediction.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Nutrition in times of Covid-19, how to trust the deluge of scientific information.Current opinion in clinical nutrition and metabolic care · 2020
    Review
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Adrienne N CobbLoyola University Medical Center, Department of Surgery, 2160 S. 1st Avenue, Maywood, IL 60153, USA; One:MAP Section of Surgical Analytics, Department of Surgery, Loyola University Chicago, 2160 S. 1st Avenue, Maywood, IL 60153, USA. Electronic address: adcobb@lumc.edu.
Witawat DaungjaiboonDePaul University, College of Computing and Digital Media, Department of Predictive Analytics, 243 South Wabash Avenue, Chicago, IL 60604, USA. Electronic address: dwitawat@gmail.com.
Sarah A BrownleeOne:MAP Section of Surgical Analytics, Department of Surgery, Loyola University Chicago, 2160 S. 1st Avenue, Maywood, IL 60153, USA. Electronic address: sbrownlee@luc.edu.
Anthony J BaldeaLoyola University Medical Center, Department of Surgery, 2160 S. 1st Avenue, Maywood, IL 60153, USA. Electronic address: abaldea@lumc.edu.
Arthur P SanfordLoyola University Medical Center, Department of Surgery, 2160 S. 1st Avenue, Maywood, IL 60153, USA. Electronic address: asanford@lumc.edu.
Michael M MosierLoyola University Medical Center, Department of Surgery, 2160 S. 1st Avenue, Maywood, IL 60153, USA. Electronic address: mmosier@lumc.edu.
Paul C KuoLoyola University Medical Center, Department of Surgery, 2160 S. 1st Avenue, Maywood, IL 60153, USA; One:MAP Section of Surgical Analytics, Department of Surgery, Loyola University Chicago, 2160 S. 1st Avenue, Maywood, IL 60153, USA. Electronic address: paul.kuo@luhs.org.

Funding

TRAINING IN TRAUMA AND BURN RESEARCHT32GM008750 · NIGMS · LOYOLA UNIVERSITY CHICAGO · PI CHOUDHRY, MASHKOOR A, GONZALEZ, RICHARD PAUL · 2000 to 2023
$2.9M
NIGMS NIH HHS T32 GM008750
6 · The paper itself

Abstract

backgroundThis study aims to identify predictors of survival for burn patients at the patient and hospital level using machine learning techniques.

methodsThe HCUP SID for California, Florida and New York were used to identify patients admitted with a burn diagnosis and merged with hospital data from the AHA Annual Survey. Random forest and stochastic gradient boosting (SGB) were used to identify predictors of survival at the patient and hospital level from the top performing model.

resultsWe analyzed 31,350 patients from 670 hospitals. SGB (AUC 0.93) and random forest (AUC 0.82) best identified patient factors such as age and absence of renal failure (p < 0.001) and hospital factors such as full time residents (p < 0.001) and nurses (p = 0.004) to be associated with increased survival.

conclusionsPatient and hospital factors are predictive of survival in burn patients. It is difficult to control patient factors, but hospital factors can inform decisions about where burn patients should be treated.

Indexed as

Decision Support TechniquesMachine LearningAdolescentAdultAgedAged, 80 and overBurnsChildChild, PreschoolClinical Decision-MakingDecision TreesFemaleHospitalsHumansInfantInfant, NewbornBurnsMachine learningOutcomesRandom forestSurvival

Identifiers

PMID29126594
PMCPMC5837911

What OpenQuestion holds

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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.