Evidence map›Paper›PMID 34106618›Full record

Observational studyMedicine2021

Predicting in-hospital mortality in ICU patients with sepsis using gradient boosting decision tree.

Ke Li, Qinwen Shi, Siru Liu, Yilin Xie, Jialin Liu

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. An interpretable machine learning model for preoperative prediction of renal mass malignancy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  15. Machine Learning Differentiation of Autism Spectrum Sub-Classifications.Journal of autism and developmental disorders · 2024
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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.

Ke LiSchool of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Qinwen ShiSchool of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Siru LiuDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT.
Yilin XieSchool of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Jialin LiuInformation Center, West China Hospital, Sichuan University, Chengdu.ORCID 0000-0002-1369-4625

Funding

Sichuan Science and Technology Program 2019JDPT0008Sichuan Science and Technology Program 2020YFS0162Special project of central government guiding local science and technology development 2020ZYD001
6 · The paper itself

Abstract

abstractSepsis is a leading cause of mortality in the intensive care unit. Early prediction of sepsis can reduce the overall mortality rate and cost of sepsis treatment. Some studies have predicted mortality and development of sepsis using machine learning models. However, there is a gap between the creation of different machine learning algorithms and their implementation in clinical practice.This study utilized data from the Medical Information Mart for Intensive Care III. We established and compared the gradient boosting decision tree (GBDT), logistic regression (LR), k-nearest neighbor (KNN), random forest (RF), and support vector machine (SVM).A total of 3937 sepsis patients were included, with 34.3% mortality in the Medical Information Mart for Intensive Care III group. In our comparison of 5 machine learning models (GBDT, LR, KNN, RF, and SVM), the GBDT model showed the best performance with the highest area under the receiver operating characteristic curve (0.992), recall (94.8%), accuracy (95.4%), and F1 score (0.933). The RF, SVM, and KNN models showed better performance (area under the receiver operating characteristic curve: 0.980, 0.898, and 0.877, respectively) than the LR (0.876).The GBDT model showed better performance than other machine learning models (LR, KNN, RF, and SVM) in predicting the mortality of patients with sepsis in the intensive care unit. This could be used to develop a clinical decision support system in the future.

Indexed as

Clinical Decision RulesDecision TreesHospital MortalityIntensive Care UnitsMachine LearningAdolescentAdultAgedAged, 80 and overAlgorithmsFemaleHumansLogistic ModelsMaleMiddle AgedROC Curve

Identifiers

PMID34106618
PMCPMC8133100

What OpenQuestion holds

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Registered trials

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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.