Evidence map›Paper›PMID 32325370›Full record

ArticleInternational journal of medical informatics2020

Predicting in-hospital mortality of patients with febrile neutropenia using machine learning models.

Xinsong Du, Jae Min, Chintan P Shah, Rohit Bishnoi, William R Hogan, Dominick J Lemas

Open access · greenAbstract read
In one paragraph

Article in International journal of medical informatics, 2020. 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
1.7field-weighted citation impact, top 14% of its field
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, 34 citations in OpenAlex.

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  13. Comparison of Machine Learning Techniques for Mortality Prediction in a Prospective Cohort of Older Adults.International journal of environmental research and public health · 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

6 authors at 1 institution in 1 country.

Xinsong DuDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, United States.
Jae MinDepartment of Epidemiology, College of Medicine, University of Florida, Gainesville, FL, United States.
Chintan P ShahDivision of Hematology and Oncology, Department of Medicine, University of Florida, Gainesville, FL, United States.
Rohit BishnoiDivision of Hematology and Oncology, Department of Medicine, University of Florida, Gainesville, FL, United States.
William R HoganDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, United States.
Dominick J LemasDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, United States. Electronic address: djlemas@ufl.edu.
University of Florida · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Human milk metabolomics and microbe-host interactions associated with pediatric obesityK01DK115632 · NIDDK · UNIVERSITY OF FLORIDA · PI LEMAS, DOMINICK JOSEPH · 2019 to 2023
$831k
NCATS NIH HHS UL1 TR001427NIDDK NIH HHS K01 DK115632
6 · The paper itself

Abstract

backgroundFebrile neutropenia (FN) has been associated with high mortality among adults with cancer. Current systems for early detection of inpatient FN mortality are based on scoring indexes that require intensive physicians' subjective evaluation.

objectiveIn this study, we leveraged machine learning techniques to build a FN mortality risk evaluation tool focused on FN admissions without physicians' subjective evaluation.

methodsWe used the National Inpatient Sample and Nationwide Inpatient Sample (NIS) that included mortality data among adult inpatients who were diagnosed with FN during a hospital admission. Machine learning techniques that we compared included linear models (ridge logistic regression and linear support vector machine) and non-linear models (gradient boosting tree and neural network). The primary outcome for this study was death among individuals with a recorded FN admission. Model comparison was evaluated based on areas under the receiver operating characteristic curve (AUROC) and model performance was estimated using 30 % test set created via stratified split.

resultsOur analysis detected 126,013 adult admissions within the NIS data that were diagnosed with FN, among which 5,856 were declared as deceased (4.6 %). Our machine learning results demonstrate linear models and non-linear models achieved areas under the receiver operating characteristic (AUROC) around 92 % in survival prediction.

conclusionsWe developed machine learning models that do not require physicians' subjective evaluation for FN mortality risk prediction.

Indexed as

Machine LearningNeural Networks, ComputerSupport Vector MachineAgedFebrile NeutropeniaFemaleHospitalizationHospital MortalityHumansMaleMiddle AgedROC CurveSurvival RateCancerFebrile neutropeniaHCUPMachine learningMortality

Identifiers

PMID32325370
PMCPMC7255942
OpenAlexW3016341540

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.