Evidence map›Paper›PMID 31028874›Full record

ArticleJournal of biomedical informatics2019

Machine learning for phenotyping opioid overdose events.

Jonathan Badger, Eric LaRose, John Mayer, Fereshteh Bashiri, David Page, Peggy Peissig

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Identifying Opioid Overdose and Opioid Use Disorder and Related Information from Clinical Narratives Using Large Language Models.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  10. Prediction of naloxone dose in opioids toxicity based on machine learning techniques (artificial intelligence).Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Benchmarking Transformer-Based Models for Identifying Social Determinants of Health in Clinical Notes.Proceedings. IEEE International Conference on Healthcare Informatics · 2023
    Article
  15. Article
  16. Machine learning approaches for electronic health records phenotyping: a methodical review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. Article
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

6 authors.

Jonathan BadgerMarshfield Clinic Research Institute, Marshfield, WI, USA; Department of Biostatistics and Medical Informatics, University of Wisconsin, Madison, WI, USA. Electronic address: badger.jonathan@marshfieldresearch.org.
Eric LaRoseMarshfield Clinic Research Institute, Marshfield, WI, USA.
John MayerMarshfield Clinic Research Institute, Marshfield, WI, USA.
Fereshteh BashiriMarshfield Clinic Research Institute, Marshfield, WI, USA.
David PageDepartment of Computer Sciences, University of Wisconsin, Madison, WI, USA; Department of Biostatistics and Medical Informatics, University of Wisconsin, Madison, WI, USA.
Peggy PeissigMarshfield Clinic Research Institute, Marshfield, WI, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
TrainingU54AI117924 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI CRAVEN, MARK W. · 2014 to 2018
$11.3M
Machine Learning for Identifying Adverse Drug EventsR01GM097618 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI CALDWELL, MICHAEL DEFOIX, HANSEN, RICHARD A. · 2011 to 2018
$3.8M
Secure Sharing of Clinical History & Genetic Data: Empowering Predictive Pers. MeR01LM011028 · NLM · UNIVERSITY OF WISCONSIN-MADISON · PI PAGE, CHARLES DAVID · 2011 to 2014
$2.2M
NCATS NIH HHS UL1 TR002373NIAID NIH HHS U54 AI117924NIGMS NIH HHS R01 GM097618NLM NIH HHS R01 LM011028
6 · The paper itself

Abstract

objectiveTo develop machine learning models for classifying the severity of opioid overdose events from clinical data. MATERIALS AND

methodsOpioid overdoses were identified by diagnoses codes from the Marshfield Clinic population and assigned a severity score via chart review to form a gold standard set of labels. Three primary feature sets were constructed from disparate data sources surrounding each event and used to train machine learning models for phenotyping.

resultsRandom forest and penalized logistic regression models gave the best performance with cross-validated mean areas under the ROC curves (AUCs) for all severity classes of 0.893 and 0.882 respectively. Features derived from a common data model outperformed features collected from disparate data sources for the same cohort of patients (AUCs 0.893 versus 0.837, p value = 0.002). The addition of features extracted from free text to machine learning models also increased AUCs from 0.827 to 0.893 (p value < 0.0001). Key word features extracted using natural language processing (NLP) such as 'Narcan' and 'Endotracheal Tube' are important for classifying overdose event severity.

conclusionRandom forest models using features derived from a common data model and free text can be effective for classifying opioid overdose events.

Indexed as

Drug OverdoseMachine LearningPhenotypeAnalgesics, OpioidElectronic Health RecordsHumansSeverity of Illness IndexAnalgesics, OpioidElectronic health recordMachine learningOpioidOverdosePhenotype

Identifiers

PMID31028874
PMCPMC6622451

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.