Evidence map›Paper›PMID 32735224›Full record

ArticleJournal of medical Internet research2020

Asthma Exacerbation Prediction and Risk Factor Analysis Based on a Time-Sensitive, Attentive Neural Network: Retrospective Cohort Study.

Yang Xiang, Hangyu Ji, Yujia Zhou, Fang Li, Jingcheng Du, Laila Rasmy, Stephen Wu, W Jim Zheng, Hua Xu, Degui Zhi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Multimodal EHR-Based Prediction of Pediatric Asthma Exacerbations.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. The added value of text from Dutch general practitioner notes in predictive modeling.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

12 authors at 2 institutions in 2 countries.

Yang XiangSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0003-1395-6805
Hangyu JiDivision of Gastroenterology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.ORCID 0000-0002-3956-7384
Yujia ZhouSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0003-0889-2261
Fang LiSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0001-8865-7717
Jingcheng DuSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0002-0322-4566
Laila RasmySchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0002-2644-4908
Stephen WuSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0002-0031-2560
W Jim ZhengSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0001-7411-6047
Hua XuSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0002-5274-4672
Degui ZhiSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0001-7754-1890
Yaoyun ZhangSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0001-9220-3101
Cui TaoSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0002-4267-1924
The University of Texas Health Science Center at Houston · USChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
Open Health Natural Language Processing CollaboratoryU01TR002062 · NCATS · MAYO CLINIC ROCHESTER · PI JIANG, XIAOQIAN, LIU, HONGFANG · 2017 to 2021
$7.6M
Dynamic learning for post-vaccine event prediction using temporal information in VAERSR01AI130460 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI CHEN, YONG, TAO, CUI · 2017 to 2021
$3.4M
Patient Medical History Representation, Extraction, and Inference from EHR DataR01LM011829 · NLM · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TAO, CUI · 2014 to 2018
$1.7M
NCATS NIH HHS U01 TR002062NCATS NIH HHS UL1 TR003167NIAID NIH HHS R01 AI130460NLM NIH HHS R01 LM011829
6 · The paper itself

Abstract

backgroundAsthma exacerbation is an acute or subacute episode of progressive worsening of asthma symptoms and can have a significant impact on patients' quality of life. However, efficient methods that can help identify personalized risk factors and make early predictions are lacking.

objectiveThis study aims to use advanced deep learning models to better predict the risk of asthma exacerbations and to explore potential risk factors involved in progressive asthma.

methodsWe proposed a novel time-sensitive, attentive neural network to predict asthma exacerbation using clinical variables from large electronic health records. The clinical variables were collected from the Cerner Health Facts database between 1992 and 2015, including 31,433 adult patients with asthma. Interpretations on both patient and cohort levels were investigated based on the model parameters.

resultsThe proposed model obtained an area under the curve value of 0.7003 through a five-fold cross-validation, which outperformed the baseline methods. The results also demonstrated that the addition of elapsed time embeddings considerably improved the prediction performance. Further analysis observed diverse distributions of contributing factors across patients as well as some possible cohort-level risk factors, which could be found supporting evidence from peer-reviewed literature such as respiratory diseases and esophageal reflux.

conclusionsThe proposed neural network model performed better than previous methods for the prediction of asthma exacerbation. We believe that personalized risk scores and analyses of contributing factors can help clinicians better assess the individual's level of disease progression and afford the opportunity to adjust treatment, prevent exacerbation, and improve outcomes.

Indexed as

Neural Networks, ComputerAsthmaDeep LearningDisease ProgressionFemaleHumansMaleQuality of LifeRetrospective StudiesRisk AssessmentRisk Factorsasthmadeep learningelectronic health recordshealth risk appraisal

Identifiers

PMID32735224
PMCPMC7428917
OpenAlexW3046382668

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.