Evidence map›Paper›PMID 34329338›Full record

Trial reportPloS one2021

Application of a decision tree model in the early identification of severe patients with severe fever with thrombocytopenia syndrome.

Bohao Wang, Zhiquan He, Zhijie Yi, Chun Yuan, Wenshuai Suo, Shujun Pei, Yi Li, Hongxia Ma, Haifeng Wang, Bianli Xu and 2 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

12 authors.

Bohao WangCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Zhiquan HeHenan Province Center for Disease Control and Prevention, Zhengzhou, China.
Zhijie YiCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Chun YuanJoint Logistics Support Force NO.990 Hospital, Xinyang, China.
Wenshuai SuoCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Shujun PeiCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Yi LiHenan Province Center for Disease Control and Prevention, Zhengzhou, China.
Hongxia MaHenan Province Center for Disease Control and Prevention, Zhengzhou, China.
Haifeng WangHenan Province Center for Disease Control and Prevention, Zhengzhou, China.
Bianli XuHenan Province Center for Disease Control and Prevention, Zhengzhou, China.
Wanshen GuoHenan Province Center for Disease Control and Prevention, Zhengzhou, China.
Xueyong HuangCollege of Public Health, Zhengzhou University, Zhengzhou, China.ORCID 0000-0001-8995-9274

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere fever with thrombocytopenia syndrome (SFTS) is a serious infectious disease with a fatality of up to 30%. To identify the severity of SFTS precisely and quickly is important in clinical practice.

methodsFrom June to July 2020, 71 patients admitted to the Infectious Department of Joint Logistics Support Force No. 990 Hospital were enrolled in this study. The most frequently observed symptoms and laboratory parameters on admission were collected by investigating patients' electronic records. Decision trees were built to identify the severity of SFTS. Accuracy and Youden's index were calculated to evaluate the identification capacity of the models.

resultsClinical characteristics, including body temperature (p = 0.011), the size of the lymphadenectasis (p = 0.021), and cough (p = 0.017), and neurologic symptoms, including lassitude (p<0.001), limb tremor (p<0.001), hypersomnia (p = 0.009), coma (p = 0.018) and dysphoria (p = 0.008), were significantly different between the mild and severe groups. As for laboratory parameters, PLT (p = 0.006), AST (p<0.001), LDH (p<0.001), and CK (p = 0.003) were significantly different between the mild and severe groups of SFTS patients. A decision tree based on laboratory parameters and one based on demographic and clinical characteristics were built. Comparing with the decision tree based on demographic and clinical characteristics, the decision tree based on laboratory parameters had a stronger prediction capacity because of its higher accuracy and Youden's index.

conclusionDecision trees can be applied to predict the severity of SFTS.

Indexed as

Decision TreesSevere Fever with Thrombocytopenia SyndromeAgedEarly DiagnosisHumansMiddle AgedRisk Assessment

Identifiers

PMID34329338
PMCPMC8324211

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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.