Evidence map›Paper›PMID 34054342›Full record

ArticleMediators of inflammation2021

Prediction of Multiple Organ Failure Complicated by Moderately Severe or Severe Acute Pancreatitis Based on Machine Learning: A Multicenter Cohort Study.

Fumin Xu, Xiao Chen, Chenwenya Li, Jing Liu, Qiu Qiu, Mi He, Jingjing Xiao, Zhihui Liu, Bingjun Ji, Dongfeng Chen and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Mediators of inflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Usefulness of Random Forest Algorithm in Predicting Severe Acute Pancreatitis.Frontiers in cellular and infection microbiology · 2022
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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

11 authors at 3 institutions in 1 country.

Fumin XuDepartment of Gastroenterology, Daping Hospital, Army Medical University, Chongqing 400042, China.
Xiao ChenDepartment of Nuclear Medicine, Daping Hospital, Army Medical University, Chongqing 400042, China.
Chenwenya LiSchool of Basic Medical Sciences, Army Medical University, Chongqing 400038, China.
Jing LiuCollege of Biomedical Engineering and Imaging Medicine, Army Medical University, Chongqing 400038, China.
Qiu QiuDepartment of Gastroenterology, People's Hospital of Chongqing Hechuan, Chongqing 401520, China.
Mi HeCollege of Biomedical Engineering and Imaging Medicine, Army Medical University, Chongqing 400038, China.
Jingjing XiaoDepartment of Medical Engineering, Xinqiao Hospital, Army Medical University, Chongqing 400038, China.
Zhihui LiuRadiotherapy Center, Sunshine Union Hospital, Weifang, Shandong 261061, China.
Bingjun JiImaging Center, Sunshine Union Hospital, Weifang, 261061 Shandong, China.
Dongfeng ChenDepartment of Gastroenterology, Daping Hospital, Army Medical University, Chongqing 400042, China.ORCID https://orcid.org/0000-0003-1700-2195
Kaijun LiuDepartment of Gastroenterology, Daping Hospital, Army Medical University, Chongqing 400042, China.ORCID https://orcid.org/0000-0003-0027-9278
Army Medical University · CNUnion Hospital · CNFirst People's Hospital of Chongqing · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple organ failure (MOF) may lead to an increased mortality rate of moderately severe (MSAP) or severe acute pancreatitis (SAP). This study is aimed to use machine learning to predict the risk of MOF in the course of disease.

methodsClinical and laboratory features with significant differences between patients with and without MOF were screened out by univariate analysis. Prediction models were developed for selected features through six machine learning methods. The models were internally validated with a five-fold cross-validation, and a series of optimal feature subsets were generated in corresponding models. A test set was used to evaluate the predictive performance of the six models.

results305 (68%) of 455 patients with MSAP or SAP developed MOF. Eighteen features with significant differences between the group with MOF and without it in the training and validation set were used for modeling. Interleukin-6 levels, creatinine levels, and the kinetic time were the three most important features in the optimal feature subsets selected by K-fold cross-validation. The adaptive boosting algorithm (AdaBoost) showed the best predictive performance with the highest AUC value (0.826; 95% confidence interval: 0.740 to 0.888). The sensitivity of AdaBoost (80.49%) and specificity of logistic regression analysis (93.33%) were the best scores among the six models in the test set.

conclusionsA predictive model of MOF complicated by MSAP or SAP was successfully developed based on machine learning. The predictive performance was evaluated by a test set, for which AdaBoost showed a satisfactory predictive performance. The study is registered with the China Clinical Trial Registry (Identifier: ChiCTR1800016079).

Indexed as

Multiple Organ FailurePancreatitisAcute DiseaseCohort StudiesHumansMachine Learning

Identifiers

PMID34054342
PMCPMC8112913
OpenAlexW3157854682

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.