Evidence map›Paper›PMID 34663874›Full record

ArticleScientific reports2021

Interpretable machine learning for early neurological deterioration prediction in atrial fibrillation-related stroke.

Seong-Hwan Kim, Eun-Tae Jeon, Sungwook Yu, Kyungmi Oh, Chi Kyung Kim, Tae-Jin Song, Yong-Jae Kim, Sung Hyuk Heo, Kwang-Yeol Park, Jeong-Min Kim and 12 more

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

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  10. 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

22 authors.

Seong-Hwan Kim *Department of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Gojan 1-Dong, Danwon-Gu, Ansan-Si, Gyeonggi-Do, 15355, South Korea.
Eun-Tae Jeon *Department of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Gojan 1-Dong, Danwon-Gu, Ansan-Si, Gyeonggi-Do, 15355, South Korea.
Sungwook YuDepartment of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Kyungmi OhDepartment of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea.
Chi Kyung KimDepartment of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea.
Tae-Jin SongDepartment of Neurology, Seoul Hospital, Ewha University College of Medicine, Seoul, South Korea.
Yong-Jae KimDepartment of Neurology, Eunpyeong St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Sung Hyuk HeoDepartment of Neurology, Kyung Hee University College of Medicine, Seoul, South Korea.
Kwang-Yeol ParkDepartment of Neurology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, Seoul, South Korea.
Jeong-Min KimDepartment of Neurology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, Seoul, South Korea.
Jong-Ho ParkDepartment of Neurology, Hanyang University Myongji Hospital Seoul, Seoul, South Korea.
Jay Chol ChoiDepartment of Neurology, Jeju National University, Jeju, South Korea.
Man-Seok ParkDepartment of Neurology, Chonnam National University Hospital, Chonnam, South Korea.
Joon-Tae KimDepartment of Neurology, Chonnam National University Hospital, Chonnam, South Korea.
Kang-Ho ChoiDepartment of Neurology, Chonnam National University Hwasun Hospital, Hwasun, South Korea.
Yang Ha HwangDepartment of Neurology, Kyungpook National University Hospital, Dae-gu, South Korea.
Bum Joon KimDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Jong-Won ChungDepartment of Neurology and Stroke Center, Samsung Medical Center, 81, Irwon-Ro, Gangnam-Gu, Seoul, 06351, South Korea.
Oh Young BangDepartment of Neurology and Stroke Center, Samsung Medical Center, 81, Irwon-Ro, Gangnam-Gu, Seoul, 06351, South Korea.
Gyeongmoon KimDepartment of Neurology and Stroke Center, Samsung Medical Center, 81, Irwon-Ro, Gangnam-Gu, Seoul, 06351, South Korea.
Woo-Keun SeoDepartment of Neurology and Stroke Center, Samsung Medical Center, 81, Irwon-Ro, Gangnam-Gu, Seoul, 06351, South Korea. mcastenosis@gmail.com.
Jin-Man JungDepartment of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Gojan 1-Dong, Danwon-Gu, Ansan-Si, Gyeonggi-Do, 15355, South Korea. dr.jinmanjung@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to develop a novel prediction model for early neurological deterioration (END) based on an interpretable machine learning (ML) algorithm for atrial fibrillation (AF)-related stroke and to evaluate the prediction accuracy and feature importance of ML models. Data from multicenter prospective stroke registries in South Korea were collected. After stepwise data preprocessing, we utilized logistic regression, support vector machine, extreme gradient boosting, light gradient boosting machine (LightGBM), and multilayer perceptron models. We used the Shapley additive explanation (SHAP) method to evaluate feature importance. Of the 3,213 stroke patients, the 2,363 who had arrived at the hospital within 24 h of symptom onset and had available information regarding END were included. Of these, 318 (13.5%) had END. The LightGBM model showed the highest area under the receiver operating characteristic curve (0.772; 95% confidence interval, 0.715-0.829). The feature importance analysis revealed that fasting glucose level and the National Institute of Health Stroke Scale score were the most influential factors. Among ML algorithms, the LightGBM model was particularly useful for predicting END, as it revealed new and diverse predictors. Additionally, the effects of the features on the predictive power of the model were individualized using the SHAP method.

Indexed as

AlgorithmsAtrial FibrillationHumansLogistic ModelsMachine LearningModels, TheoreticalMyocardial InfarctionNeurologic ExaminationPrognosisProspective StudiesRegistriesRepublic of KoreaRisk AssessmentROC CurveStrokeSupport Vector Machine

Identifiers

PMID34663874
PMCPMC8523653

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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.