Evidence map›Paper›PMID 34680497›Full record

ArticleBiomedicines2021

Machine Learning Algorithms to Predict Mortality of Neonates on Mechanical Intubation for Respiratory Failure.

Jen-Fu Hsu, Chi Yang, Chun-Yuan Lin, Shih-Ming Chu, Hsuan-Rong Huang, Ming-Chou Chiang, Hsiao-Chin Wang, Wei-Chao Liao, Rei-Huei Fu, Ming-Horng Tsai

Abstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

10 authors.

Jen-Fu HsuDivision of Pediatric Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan 33302, Taiwan.ORCID 0000-0003-0798-5378
Chi YangMolecular Medicine Research Center, Chang Gung University, Taoyuan 33302, Taiwan.ORCID 0000-0002-1676-5185
Chun-Yuan LinCollege of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.ORCID 0000-0003-1796-6189
Shih-Ming ChuDivision of Pediatric Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan 33302, Taiwan.
Hsuan-Rong HuangDivision of Pediatric Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan 33302, Taiwan.
Ming-Chou ChiangDivision of Pediatric Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan 33302, Taiwan.
Hsiao-Chin WangDivision of Pediatric Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan 33302, Taiwan.
Wei-Chao LiaoMolecular Medicine Research Center, Chang Gung University, Taoyuan 33302, Taiwan.
Rei-Huei FuDivision of Pediatric Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan 33302, Taiwan.
Ming-Horng TsaiCollege of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.ORCID 0000-0003-0343-2370

Funding

Chang Gung Memorial Hospital, Linkou NMRPD1J1191
6 · The paper itself

Abstract

backgroundEarly identification of critically ill neonates with poor outcomes can optimize therapeutic strategies. We aimed to examine whether machine learning (ML) methods can improve mortality prediction for neonatal intensive care unit (NICU) patients on intubation for respiratory failure.

methodsA total of 1734 neonates with respiratory failure were randomly divided into training (70%,

resultsFor NICU mortality, the random forest (RF) model showed the highest AUC (0.939 (0.921-0.958)) for the prediction of neonates with respiratory failure, and the bagged classification and regression tree model demonstrated the next best results (0.915 (0.891-0.939)). The AUCs of both models were significantly better than the traditional NTISS (0.836 (0.800-0.871)) and SNAPPE-II scores (0.805 (0.766-0.843)). The superior performances were confirmed by higher accuracy and F1 score and better calibration, and the superior and net benefit was confirmed by decision curve analysis. In addition, Shapley additive explanation (SHAP) values were utilized to explain the RF prediction model.

conclusionsMachine learning algorithms increase the accuracy and predictive ability for mortality of neonates with respiratory failure compared with conventional neonatal illness severity scores. The RF model is suitable for clinical use in the NICU, and clinicians can gain insights and have better communication with families in advance.

Indexed as

artificial intelligencebig data analysisearly predictionmachine learningneonatal mortality

Identifiers

PMID34680497
PMCPMC8533201

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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.