Evidence map›Paper›PMID 33586214›Full record

ArticleClinical cardiology2021

Machine learning for early prediction of in-hospital cardiac arrest in patients with acute coronary syndromes.

Ting Ting Wu, Xiu Quan Lin, Yan Mu, Hong Li, Yang Song Guo

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 1% 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

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

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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

5 authors at 2 institutions in 1 country.

Ting Ting WuThe School of Nursing, Fujian Medical University, Fujian, China.
Xiu Quan LinDepartment for Chronic and Noncommunicable, Fujian Provincial Center for Disease Control and Prevention, Fujian, China.
Yan MuDepartment of Nursing, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fujian, China.
Hong LiDepartment of Nursing, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fujian, China.ORCID https://orcid.org/0000-0003-2108-7582
Yang Song GuoDepartment of Cardiovascular Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fujian, China.
Fujian Medical University · CNNational Center for Chronic and Noncommunicable Disease Control and Prevention · CN

Funding

The Innovation Leading Talent of Fujian province 11[2016]The Young and Middle-aged Teacher Education Research Project of Fujian province, China JZ180552
6 · The paper itself

Abstract

backgroundPrevious studies have used machine leaning to predict clinical deterioration to improve outcome prediction. However, no study has used machine learning to predict cardiac arrest in patients with acute coronary syndrome (ACS). Algorithms are required to generate high-performance models for predicting cardiac arrest in ACS patients with multivariate features. HYPOTHESIS: Machine learning algorithms will significantly improve outcome prediction of cardiac arrest in ACS patients.

methodsThis retrospective cohort study reviewed 166 ACS patients who had in-hospital cardiac arrest. Eight machine learning algorithms were trained using multivariate clinical features obtained 24 h prior to the onset of cardiac arrest. All machine learning models were compared to each other and to existing risk prediction scores (Global Registry of Acute Coronary Events, National Early Warning Score, and Modified Early Warning Score) using the area under the receiver operating characteristic curve (AUROC).

resultsThe XGBoost model provided the best performance with regard to AUC (0.958 [95%CI: 0.938-0.978]), accuracy (88.9%), sensitivity (73%), negative predictive value (89%), and F1 score (80%) compared with other machine learning models. The K-nearest neighbor model generated the best specificity (99.3%) and positive predictive value (93.8%) metrics, but had low and unacceptable values for sensitivity and AUC. Most, but not all, machine learning models outperformed the existing risk prediction scores.

conclusionsThe XGBoost model, which was generated based on a machine learning algorithm, has high potential to be used to predict cardiac arrest in ACS patients. This proposed model significantly improves outcome prediction compared to existing risk prediction scores.

Indexed as

Acute Coronary SyndromeHeart ArrestAlgorithmsHospitalsHumansMachine LearningRetrospective Studiescardiac arrestmachine learningpredictionXGBoost

Identifiers

PMID33586214
PMCPMC7943901
OpenAlexW3132813371

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.