Evidence map›Paper›PMID 30928997›Full record

ArticlePediatric research2019

Enhanced early prediction of clinically relevant neonatal hyperbilirubinemia with machine learning.

Imant Daunhawer, Severin Kasser, Gilbert Koch, Lea Sieber, Hatice Cakal, Janina Tütsch, Marc Pfister, Sven Wellmann, Julia E Vogt

Abstract read
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In one paragraph

Article in Pediatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

  1. Pooled it
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  15. 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
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  16. Prediction of extubation failure among low birthweight neonates using machine learning.Journal of perinatology : official journal of the California Perinatal Association · 2023
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  18. Development of a machine-learning based model for predicting multidimensional outcome after surgery for degenerative disorders of the spine.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
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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

9 authors.

Imant DaunhawerAdaptive Systems and Medical Data Science, Department of Mathematics and Computer Science, University of Basel, Basel, Switzerland.
Severin KasserDivision of Neonatology, University of Basel Children's Hospital (UKBB), Basel, Switzerland.
Gilbert KochDivision of Paediatric Pharmacology and Pharmacometrics, University of Basel Children's Hospital (UKBB), Basel, Switzerland.
Lea SieberDivision of Neonatology, University of Basel Children's Hospital (UKBB), Basel, Switzerland.
Hatice CakalDivision of Neonatology, University of Basel Children's Hospital (UKBB), Basel, Switzerland.
Janina TütschDivision of Neonatology, University of Basel Children's Hospital (UKBB), Basel, Switzerland.
Marc PfisterDivision of Paediatric Pharmacology and Pharmacometrics, University of Basel Children's Hospital (UKBB), Basel, Switzerland.
Sven WellmannDivision of Neonatology, University of Basel Children's Hospital (UKBB), Basel, Switzerland. sven.wellmann@ukbb.ch.
Julia E VogtAdaptive Systems and Medical Data Science, Department of Mathematics and Computer Science, University of Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMachine learning models may enhance the early detection of clinically relevant hyperbilirubinemia based on patient information available in every hospital.

methodsWe conducted a longitudinal study on preterm and term born neonates with serial measurements of total serum bilirubin in the first two weeks of life. An ensemble, that combines a logistic regression with a random forest classifier, was trained to discriminate between the two classes phototherapy treatment vs. no treatment.

resultsOf 362 neonates included in this study, 98 had a phototherapy treatment, which our model was able to predict up to 48 h in advance with an area under the ROC-curve of 95.20%. From a set of 44 variables, including potential laboratory and clinical confounders, a subset of just four (bilirubin, weight, gestational age, hours since birth) suffices for a strong predictive performance. The resulting early phototherapy prediction tool (EPPT) is provided as an open web application.

conclusionEarly detection of clinically relevant hyperbilirubinemia can be enhanced by the application of machine learning. Existing guidelines can be further improved to optimize timing of bilirubin measurements to avoid toxic hyperbilirubinemia in high-risk patients while minimizing unneeded measurements in neonates who are at low risk.

Indexed as

Machine LearningPhototherapyArea Under CurveBilirubinFemaleGestational AgeHumansHyperbilirubinemia, NeonatalInfant, NewbornInfant, PrematureInternetLongitudinal StudiesMaleRegression AnalysisRetrospective StudiesROC CurveBilirubin

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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.