Evidence map›Paper›PMID 31712550›Full record

ArticleTranslational psychiatry2019

Predicting rehospitalization within 2 years of initial patient admission for a major depressive episode: a multimodal machine learning approach.

Micah Cearns, Nils Opel, Scott Clark, Claas Kaehler, Anbupalam Thalamuthu, Walter Heindel, Theresa Winter, Henning Teismann, Heike Minnerup, Udo Dannlowski and 2 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2019. 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
–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

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

  1. Pooled it
  2. Predicting Psychiatric Readmission of Children and Adolescents Using Machine Learning.Journal of child and adolescent psychopharmacology · 2026
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  14. Current Trends in Readmission Prediction: An Overview of Approaches.Arabian journal for science and engineering · 2021
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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

12 authors.

Micah CearnsDiscipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, Australia.ORCID http://orcid.org/0000-0002-3353-8566
Nils OpelDepartment of Psychiatry, University of Münster, Münster, Germany.
Scott ClarkDiscipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, Australia.
Claas KaehlerDepartment of Psychiatry, University of Münster, Münster, Germany.
Anbupalam ThalamuthuCentre for Healthy Brain Ageing, UNSW, Sydney, Australia.
Walter HeindelInstitute of Clinical Radiology, University of Münster, Münster, Germany.
Theresa WinterInstitute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.
Henning TeismannInstitute of Epidemiology and Social Medicine, University of Münster, Münster, Germany.
Heike MinnerupInstitute of Epidemiology and Social Medicine, University of Münster, Münster, Germany.
Udo DannlowskiDepartment of Psychiatry, University of Münster, Münster, Germany.
Klaus BergerInstitute of Epidemiology and Social Medicine, University of Münster, Münster, Germany.
Bernhard T BauneDepartment of Psychiatry, University of Münster, Münster, Germany. bbaune@unimelb.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Machine learning methods show promise to translate univariate biomarker findings into clinically useful multivariate decision support systems. At current, works in major depressive disorder have predominantly focused on neuroimaging and clinical predictor modalities, with genetic, blood-biomarker, and cardiovascular modalities lacking. In addition, the prediction of rehospitalization after an initial inpatient major depressive episode is yet to be explored, despite its clinical importance. To address this gap in the literature, we have used baseline clinical, structural imaging, blood-biomarker, genetic (polygenic risk scores), bioelectrical impedance and electrocardiography predictors to predict rehospitalization within 2 years of an initial inpatient episode of major depression. Three hundred and eighty patients from the ongoing 12-year Bidirect study were included in the analysis (rehospitalized: yes = 102, no = 278). Inclusion criteria was age ≥35 and <66 years, a current or recent hospitalisation for a major depressive episode and complete structural imaging and genetic data. Optimal performance was achieved with a multimodal panel containing structural imaging, blood-biomarker, clinical, medication type, and sleep quality predictors, attaining a test AUC of 67.74 (p = 9.99

Indexed as

Machine LearningPatient ReadmissionAdultAgedAntidepressive AgentsArea Under CurveBiomarkersBrainFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleMiddle AgedPredictive Value of TestsAntidepressive AgentsBiomarkers

Identifiers

PMID31712550
PMCPMC6848135

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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.