Evidence map›Paper›PMID 31777674›Full record

ArticleHealthcare informatics research2019

Machine Learning-Based Prediction of Korean Triage and Acuity Scale Level in Emergency Department Patients.

Sae Won Choi, Taehoon Ko, Ki Jeong Hong, Kyung Hwan Kim

Abstract read
In one paragraph

Article in Healthcare informatics research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
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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.

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3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

4 authors.

Sae Won ChoiOffice of Hospital Information, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-0123-8227
Taehoon KoOffice of Hospital Information, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-4045-0036
Ki Jeong HongDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-3334-817X
Kyung Hwan KimOffice of Hospital Information, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-2718-8758

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTriage is a process to accurately assess and classify symptoms to identify and provide rapid treatment to patients. The Korean Triage and Acuity Scale (KTAS) is used as a triage instrument in all emergency centers. The aim of this study was to train and compare machine learning models to predict KTAS levels.

methodsThis was a cross-sectional study using data from a single emergency department of a tertiary university hospital. Information collected during triage was used in the analysis. Logistic regression, random forest, and XGBoost were used to predict the KTAS level.

resultsThe models with the highest area under the receiver operating characteristic curve (AUROC) were the random forest and XGBoost models trained on the entire dataset (AUROC = 0.922, 95% confidence interval 0.917-0.925 and AUROC = 0.922, 95% confidence interval 0.918-0.925, respectively). The AUROC of the models trained on the clinical data was higher than that of models trained on text data only, but the models trained on all variables had the highest AUROC among similar machine learning models.

conclusionsMachine learning can robustly predict the KTAS level at triage, which may have many possibilities for use, and the addition of text data improves the predictive performance compared to that achieved by using structured data alone.

Indexed as

Hospital Emergency ServiceMachine LearningNatural Language ProcessingTriage

Identifiers

PMID31777674
PMCPMC6859273

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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.