Evidence map›Paper›PMID 33249760›Full record

ArticleCNS neuroscience & therapeutics2021

Machine learning models predict coagulopathy in spontaneous intracerebral hemorrhage patients in ER.

Fengping Zhu, Zhiguang Pan, Ying Tang, Pengfei Fu, Sijie Cheng, Wenzhong Hou, Qi Zhang, Hong Huang, Yirui Sun

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in CNS neuroscience & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  7. Hematoma expansion prediction based on SMOTE and XGBoost algorithm.BMC medical informatics and decision making · 2024
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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

9 authors at 1 institution in 1 country.

Fengping ZhuDepartment of Neurosurgery, Huahsan Hospital, Fudan University, Shanghai, China.
Zhiguang PanDepartment of Neurosurgery, Huahsan Hospital, Fudan University, Shanghai, China.
Ying TangDepartment of Nursing, Huahsan Hospital, Fudan University, Shanghai, China.
Pengfei FuDepartment of Neurosurgery, Huahsan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-4394-7072
Sijie ChengInformation Center, Huahsan Hospital, Fudan University, Shanghai, China.
Wenzhong HouInformation Center, Huahsan Hospital, Fudan University, Shanghai, China.
Qi ZhangInformation Center, Huahsan Hospital, Fudan University, Shanghai, China.
Hong HuangInformation Center, Huahsan Hospital, Fudan University, Shanghai, China.
Yirui SunDepartment of Neurosurgery, Huahsan Hospital, Fudan University, Shanghai, China.ORCID 0000-0003-2734-421X
Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCoagulation abnormality is one of the primary concerns for patients with spontaneous intracerebral hemorrhage admitted to ER. Conventional laboratory indicators require hours for coagulopathy diagnosis, which brings difficulties for appropriate intervention within the optimal window. This study evaluates the possibility of building efficient coagulopathy prediction models using data mining and machine learning algorithms.

methodsA retrospective cohort enrolled 1668 cases with acute spontaneous intracerebral hemorrhage from three medical centers, excluding those under antithrombotic therapies. Coagulopathy-related clinical parameters were initially screened by univariate analysis. Two machine learning algorithms, the random forest and the support vector machine, were deployed via an approach of four-fold cross-validation to screen out the most important parameters contributing to the occurrence of coagulopathy. Model discrimination was assessed using metrics, including accuracy, precision, recall, and F1 score.

resultsAlbumin/globulin ratio, neutrophil count, lymphocyte percentage, aspartate transaminase, alanine transaminase, hemoglobin, platelet count, white blood cell count, neutrophil percentage, systolic and diastolic pressure were identified as major predictors to the occurrence of acute coagulopathy. Compared to support vector machine, the model based on the random forest algorithm showed better accuracy (93.1%, 95% confidence interval [CI]: 0.913-0.950), precision (92.4%, 95% CI: 0.897-0.951), F1 score (91.5%, 95% CI: 0.889-0.964), and recall score (93.6%, 95% CI: 0.909-0.964), and yielded higher area under the receiver operating characteristic curve (AU-ROC) (0.962, 95% CI: 0.942-0.982).

conclusionThe constructed models exhibit good prediction accuracy and efficiency. It might be used in clinical practice to facilitate target intervention for acute coagulopathy in patients with spontaneous intracerebral hemorrhage.

Indexed as

AlgorithmsAdultAgedBlood Coagulation DisordersCerebral HemorrhageCohort StudiesEmergency Service, HospitalFemaleHumansMachine LearningMaleMiddle AgedPredictive Value of TestsRetrospective Studiescoagulopathyintracranial hemorrhagemachine learningrandom forestsupport vector machine

Identifiers

PMID33249760
PMCPMC7804781
OpenAlexW3108257812

What OpenQuestion holds

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LicenceCC BY
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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.