Evidence map›Paper›PMID 29946101›Full record

ArticleScientific reports2018

Warfarin maintenance dose Prediction for Patients undergoing heart valve replacement- a hybrid model with genetic algorithm and Back-Propagation neural network.

Qian Li, Huan Tao, Jing Wang, Qin Zhou, Jie Chen, Wen Zhe Qin, Li Dong, Bo Fu, Jiang Long Hou, Jin Chen and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
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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

11 authors.

Qian LiDepartment of Evidence-based Medicine and clinical epidemiology, West China Medical School of Medicine/West China Hospital, Sichuan University, Chengdu, China.
Huan TaoDepartment of Evidence-based Medicine and clinical epidemiology, West China Medical School of Medicine/West China Hospital, Sichuan University, Chengdu, China.
Jing WangDepartment of Career development, The fourth affiliated hospital of Anhui Medical University, Hefei, China.
Qin ZhouDepartment of Nutrition, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jie ChenDepartment of Anesthesiology, China Mianyang Central Hospital, Mianyang, China.
Wen Zhe QinDepartment of Social Medicine and Health Management, Shandong University, Jinnan, China.
Li DongDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, China.
Bo FuDepartment of Cardiovascular Surgery, Tianjin central hospital, Tianjin, China.
Jiang Long HouDepartment of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, China.
Jin ChenDepartment of Evidence-based Medicine and clinical epidemiology, West China Medical School of Medicine/West China Hospital, Sichuan University, Chengdu, China. ebm_chenjin@126.com.
Wei-Hong ZhangDepartment of Research Laboratory for Human Reproduction, Faculty of Medicine, Université Libre de Bruxelles (ULB), Bruxelles, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Warfarin is the most recommended anticoagulant drug for patients undergoing heart valve replacement. However, due to the narrow therapeutic window and individual dose, the use of warfarin needs more advanced technology. We used the data collected from a multi-central registered clinical system all over China about the patients who have undergone heart valve replacement, subsequently divided into three groups (training group: 10673 cases; internal validation group: 3558 cases; external validation group: 1463 cases) in order to construct a hybrid model with genetic algorithm and Back-Propagation neural network (BP-GA), For testing the model's prediction accuracy, we used Mean absolute error (MAE), Root mean squared error (RMSE) and the ideal predicted percentage of total and dose subgroups. In results, whether in internal or in external validation group, the total ideal predicted percentage was over 58% while the intermediate dose subgroup manifested the best. Moreover, it showed higher prediction accuracy, lower MAE value and lower RMSE value in the external validation group than that in the internal validation group (p < 0.05). In conclusion, BP-GA model is promising to predict warfarin maintenance dose.

Indexed as

AlgorithmsAdultAgedAnticoagulantsFemaleHeart Valve Prosthesis ImplantationHumansMaleMiddle AgedNeural Networks, ComputerWarfarinAnticoagulantsWarfarin

Identifiers

PMID29946101
PMCPMC6018790

What OpenQuestion holds

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Registered trials

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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.