Evidence map›Paper›PMID 33708950›Full record

ArticleAnnals of translational medicine2021

Development and validation of a risk stratification model for predicting the mortality of acute kidney injury in critical care patients.

Haofan Huang, Yong Liu, Ming Wu, Yi Gao, Xiaxia Yu

Abstract read
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Article in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

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20citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Haofan HuangSchool of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, China.
Yong LiuDepartment of Intensive Care Unit, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
Ming WuDepartment of Critical Care Medicine & Infection Prevention and Control, The Second People's Hospital of Shenzhen & First Affiliated Hospital of Shenzhen University, Health Science Center, Shenzhen, China.
Yi GaoSchool of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, China.
Xiaxia YuSchool of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to develop and validate a model for mortality risk stratification of intensive care unit (ICU) patients with acute kidney injury (AKI) using the machine learning technique.

methodsEligible data were extracted from the Medical Information Mart for Intensive Care (MIMIC-III) database. Calibration, discrimination, and risk classification for mortality prediction were evaluated using conventional scoring systems and the new algorithm. A 10-fold cross-validation was performed. The predictive models were externally validated using the eICU database and also patients treated at the Second People's Hospital of Shenzhen between January 2015 to October 2018.

resultsFor the new model, the areas under the receiver operating characteristic curves (AUROCs) for mortality during hospitalization and at 28 and 90 days after discharge were 0.91, 0.87, and 0.87, respectively, which were higher than for the Simplified Acute Physiology Score (SAPS II) and Sequential Organ Failure Assessment (SOFA). For external validation, the AUROC was 0.82 for in-hospital mortality, higher than SOFA, SAPS II, and Acute Physiology and Chronic Health Evaluation (APACHE) IV in the eICU database, but for the 28- and 90-day mortality, the new model had AUROCs (0.79 and 0.80, respectively) similar to that of SAPS II in the SZ2 database. The reclassification indexes were superior for the new model compared with the conventional scoring systems.

conclusionsThe new risk stratification model shows high performance in predicting mortality in ICU patients with AKI.

Indexed as

Acute kidney injury (AKI)in-hospital mortalityintensive care unit (ICU)machine learningseverity score

Identifiers

PMID33708950
PMCPMC7944298

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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.