Evidence map›Paper›PMID 34891547›Full record

ArticleAnnual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference2021

Enhanced Critical Congenital Cardiac Disease Screening by Combining Interpretable Machine Learning Algorithms.

Zhengfeng Lai, Pranjali Vadlaputi, Daniel J Tancredi, Meena Garg, Robert I Koppel, Mera Goodman, Whitnee Hogan, Nicole Cresalia, Stephan Juergensen, Erlinda Manalo and 3 more

Open access · greenAbstract read
In one paragraph

Article in Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. A Machine Learning Driven Pipeline for Automated Photoplethysmogram Signal Artifact Detection....IEEE...International Conference on Connected Health: Applications, Systems and Engineering Technologies. IEEE International Conference on Connected Health: Applications, Systems and Engineering Technologies · 2021
    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

13 authors at 6 institutions in 1 country.

Zhengfeng Lai
Pranjali Vadlaputi
Daniel J Tancredi
Meena Garg
Robert I Koppel
Mera Goodman
Whitnee Hogan
Nicole Cresalia
Stephan Juergensen
Erlinda Manalo
Satyan Lakshminrusimha
Chen-Nee Chuah
Heather Siefkes
University of California, Davis · USCohen Children's Medical Center · USUniversity of California, San Francisco · USSutter Health · USUniversity of California, Los Angeles · USUniversity of Utah · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
Institutional Career Development Core (KL2)KL2TR001859 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F. · 2016 to 2025
$10.1M
Improving Critical Congenital Heart Disease Screening and Detection of "Secondary" TargetsR21HD099239 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI SIEFKES, HEATHER M · 2019 to 2020
$433k
NCATS NIH HHS KL2 TR001859NCATS NIH HHS UL1 TR001860NICHD NIH HHS R21 HD099239
6 · The paper itself

Abstract

Critical Congenital Heart Disease (CCHD) screening that only uses oxygen saturation (SpO2), measured by pulse oximetry, fails to detect an estimated 900 US newborns annually. The addition of other pulse oximetry features such as perfusion index (PIx), heart rate, pulse delay and photoplethysmography characteristics may improve detection of CCHD, especially those with systemic blood flow obstruction such as Coarctation of the Aorta (CoA). To comprehensively study the most relevant features associated with CCHD, we investigated interpretable machine learning (ML) algorithms by using Recursive Feature Elimination (RFE) to identify an optimal subset of features. We then incorporated the trained ML models into the current SpO2-alone screening algorithm. Our proposed enhanced CCHD screening system, which adds the ML model, improved sensitivity by approximately 10 percentage points compared to the current standard SpO2-alone method with minimal to no impact on specificity.Clinical relevance- This establishes proof of concept for a ML algorithm that combines pulse oximetry features to improve detection of CCHD with little impact on false positive rate.

Indexed as

Heart Defects, CongenitalNeonatal ScreeningAlgorithmsHumansInfant, NewbornMachine LearningOximetryOxygen Saturation

Identifiers

PMID34891547
PMCPMC8890698
OpenAlexW4200213564

What OpenQuestion holds

Textmetadata
LicenceTDM
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.