Evidence map›Paper›PMID 31984321›Full record

ArticleJAMIA open2018

Predictive modeling in urgent care: a comparative study of machine learning approaches.

Fengyi Tang, Cao Xiao, Fei Wang, Jiayu Zhou

Abstract read
In one paragraph

Article in JAMIA open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Evaluation of trajectory analysis for disease risk assessment: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2026
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  11. Strategies for building robust prediction models using data unavailable at prediction time.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  12. Importance-aware personalized learning for early risk prediction using static and dynamic health data.Journal of the American Medical Informatics Association : JAMIA · 2021
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  18. Predicting Clinical Outcomes with Patient Stratification via Deep Mixture Neural Networks.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2020
    Article
  19. MetaPred: Meta-Learning for Clinical Risk Prediction with Limited Patient Electronic Health Records.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2019
    Article
  20. Retaining Privileged Information for Multi-Task Learning.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2019
    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

4 authors.

Fengyi TangDepartment of Computer Science and Engineering, Michigan State University College of Engineering, East Lansing, Michigan, USA.ORCID 0000-0002-7431-979X
Cao XiaoAI for Healthcare, IBM Research, Cambridge, Massachusetts, USA.
Fei WangDepartment of Healthcare Policy and Research, Weill Cornell Medical School Cornell University, New York, New York, USA.
Jiayu ZhouDepartment of Computer Science and Engineering, Michigan State University College of Engineering, East Lansing, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe growing availability of rich clinical data such as patients' electronic health records provide great opportunities to address a broad range of real-world questions in medicine. At the same time, artificial intelligence and machine learning (ML)-based approaches have shown great premise on extracting insights from those data and helping with various clinical problems. The goal of this study is to conduct a systematic comparative study of different ML algorithms for several predictive modeling problems in urgent care.

designWe assess the performance of 4 benchmark prediction tasks (eg mortality and prediction, differential diagnostics, and disease marker discovery) using medical histories, physiological time-series, and demographics data from the Medical Information Mart for Intensive Care (MIMIC-III) database. MEASUREMENTS: For each given task, performance was estimated using standard measures including the area under the receiver operating characteristic (AUC) curve, F-1 score, sensitivity, and specificity. Microaveraged AUC was used for multiclass classification models. RESULTS AND DISCUSSION: Our results suggest that recurrent neural networks show the most promise in mortality prediction where temporal patterns in physiologic features alone can capture in-hospital mortality risk (AUC > 0.90). Temporal models did not provide additional benefit compared to deep models in differential diagnostics. When comparing the training-testing behaviors of readmission and mortality models, we illustrate that readmission risk may be independent of patient stability at discharge. We also introduce a multiclass prediction scheme for length of stay which preserves sensitivity and AUC with outliers of increasing duration despite decrease in sample size.

Indexed as

machine learningpredictive modelingurgent care

Identifiers

PMID31984321
PMCPMC6951928

What OpenQuestion holds

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LicenceCC BY-NC
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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.