Evidence map›Paper›PMID 33959271›Full record

ArticleClinical kidney journal2021

Predicting acute kidney injury in critically ill patients using comorbid conditions utilizing machine learning.

Khaled Shawwa, Erina Ghosh, Stephanie Lanius, Emma Schwager, Larry Eshelman, Kianoush B Kashani

Abstract read
In one paragraph

Article in Clinical kidney journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Article
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  7. Role of artificial intelligence in critical care nutrition support and research.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2024
    Review
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  13. Closed-Loop Medication Management with an Electronic Health Record System in U.S. and Finnish Hospitals.International journal of environmental research and public health · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. KIT-LSTM: Knowledge-guided Time-aware LSTM for Continuous Clinical Risk Prediction.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2022
    Article
  18. Review
  19. Article
  20. KGDAL: Knowledge Graph Guided Double Attention LSTM for Rolling Mortality Prediction for AKI-D Patients.ACM-BCB ... ... : the ... ACM Conference on Bioinformatics, Computational Biology and Biomedicine. ACM Conference on Bioinformatics, Computational Biology and Biomedicine · 2021
    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

6 authors.

Khaled ShawwaDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-8849-5244
Erina GhoshPhilips Research North America, Cambridge, MA, USA.
Stephanie LaniusPhilips Research North America, Cambridge, MA, USA.
Emma SchwagerPhilips Research North America, Cambridge, MA, USA.ORCID https://orcid.org/0000-0002-7385-8994
Larry EshelmanPhilips Research North America, Cambridge, MA, USA.
Kianoush B KashaniDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) carries a poor prognosis. Its incidence is increasing in the intensive care unit (ICU). Our purpose in this study is to develop and externally validate a model for predicting AKI in the ICU using patient data present prior to ICU admission.

methodsWe used data of 98 472 adult ICU admissions at Mayo Clinic between 1 January 2005 and 31 December 2017 and 51 801 encounters from Medical Information Mart for Intensive Care III (MIMIC-III) cohort. A gradient-boosting model was trained on 80% of the Mayo Clinic cohort using a set of features to predict AKI acquired in the ICU.

resultsAKI was identified in 39 307 (39.9%) encounters in the Mayo Clinic cohort. Patients who developed AKI in the ICU were older and had higher ICU and in-hospital mortality compared to patients without AKI. A 30-feature model yielded an area under the receiver operating curve of 0.690 [95% confidence interval (CI) 0.682-0.697] in the Mayo Clinic cohort set and 0.656 (95% CI 0.648-0.664) in the MIMIC-III cohort.

conclusionsUsing machine learning, AKI among ICU patients can be predicted using information available prior to admission. This model is independent of ICU information, making it valuable for stratifying patients at admission.

Indexed as

acute kidney injurycritical careintensive care unitmachine learning

Identifiers

PMID33959271
PMCPMC8087133

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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.