Evidence map›Paper›PMID 33936489›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2020

Natural Language Processing and Machine Learning to Enable Clinical Decision Support for Treatment of Pediatric Pneumonia.

Joshua C Smith, Ashley Spann, Allison B McCoy, Jakobi A Johnson, Donald H Arnold, Derek J Williams, Asli O Weitkamp

Open access · greenAbstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2020. 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 18% 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, 19 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Review
  6. Article
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  8. Observational
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  11. Combining text mining with clinical decision support in clinical practice: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  12. Article
  13. Review
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

7 authors at 1 institution in 1 country.

Joshua C SmithVanderbilt University Medical Center, Nashville, TN.
Ashley SpannVanderbilt University Medical Center, Nashville, TN.
Allison B McCoyVanderbilt University Medical Center, Nashville, TN.
Jakobi A JohnsonVanderbilt University Medical Center, Nashville, TN.
Donald H ArnoldVanderbilt University Medical Center, Nashville, TN.
Derek J WilliamsVanderbilt University Medical Center, Nashville, TN.
Asli O WeitkampVanderbilt University Medical Center, Nashville, TN.
Vanderbilt University Medical Center · US

Funding

Risk Stratification and Decision Support to Improve Care and Outcomes in Children with PneumoniaR01AI125642 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2017 to 2021
$3.3M
NIAID NIH HHS R01 AI125642
6 · The paper itself

Abstract

Pneumonia is the most frequent cause of infectious disease-related deaths in children worldwide. Clinical decision support (CDS) applications can guide appropriate treatment, but the system must first recognize the appropriate diagnosis. To enable CDS for pediatric pneumonia, we developed an algorithm integrating natural language processing (NLP) and random forest classifiers to identify potential pediatric pneumonia from radiology reports. We deployed the algorithm in the EHR of a large children's hospital using real-time NLP. We describe the development and deployment of the algorithm, and evaluate our approach using 9-months of data gathered while the system was in use. Our model, trained on individual radiology reports, had an AUC of 0.954. The intervention, evaluated on patient encounters that could include multiple radiology reports, achieved a sensitivity, specificity, and positive predictive value of0.899, 0.949, and 0.781, respectively.

Indexed as

Decision Support Systems, ClinicalMachine LearningNatural Language ProcessingPediatricsAlgorithmsChildHumansPneumoniaPredictive Value of Tests

Identifiers

PMID33936489
PMCPMC8075487
OpenAlexW3158982765

What OpenQuestion holds

Textmetadata
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.