Evidence map›Paper›PMID 34945743›Full record

ArticleJournal of personalized medicine2021

Machine Learning Approach Using Routine Immediate Postoperative Laboratory Values for Predicting Postoperative Mortality.

Jaehyeong Cho, Jimyung Park, Eugene Jeong, Jihye Shin, Sangjeong Ahn, Min Geun Park, Rae Woong Park, Yongkeun Park

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Artificial Intelligence in Surgical Risk Prediction.Journal of clinical medicine · 2023
    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

8 authors.

Jaehyeong ChoDepartment of Biomedical Sciences, Ajou University Graduate School of Medicine, Suwon 16499, Korea.
Jimyung ParkDepartment of Biomedical Sciences, Ajou University Graduate School of Medicine, Suwon 16499, Korea.ORCID 0000-0002-6998-2546
Eugene JeongDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Jihye ShinDivision of Cancer Control & Policy, National Cancer Control Institute, Goyang-si 10408, Korea.
Sangjeong AhnDepartment of Pathology, Catholic Kwandong University International St. Mary's Hospital, Incheon 21431, Korea.
Min Geun ParkDepartment of Surgery, Catholic Kwandong University International St. Mary's Hospital, Incheon 21431, Korea.
Rae Woong ParkDepartment of Biomedical Sciences, Ajou University Graduate School of Medicine, Suwon 16499, Korea.ORCID 0000-0003-4989-3287
Yongkeun ParkDepartment of Surgery, Catholic Kwandong University International St. Mary's Hospital, Incheon 21431, Korea.

Funding

Korea Health Industry Development Institute HR16C0001Ministry of Trade, Industry and Energy 20003883Ministry of Trade, Industry and Energy 20005021
6 · The paper itself

Abstract

backgroundSeveral prediction models have been proposed for preoperative risk stratification for mortality. However, few studies have investigated postoperative risk factors, which have a significant influence on survival after surgery. This study aimed to develop prediction models using routine immediate postoperative laboratory values for predicting postoperative mortality.

methodsTwo tertiary hospital databases were used in this research: one for model development and another for external validation of the resulting models. The following algorithms were utilized for model development: LASSO logistic regression, random forest, deep neural network, and XGBoost. We built the models on the lab values from immediate postoperative blood tests and compared them with the SASA scoring system to demonstrate their efficacy.

resultsThere were 3817 patients who had immediate postoperative blood test values. All models trained on immediate postoperative lab values outperformed the SASA model. Furthermore, the developed random forest model had the best AUROC of 0.82 and AUPRC of 0.13, and the phosphorus level contributed the most to the random forest model.

conclusionsMachine learning models trained on routine immediate postoperative laboratory values outperformed previously published approaches in predicting 30-day postoperative mortality, indicating that they may be beneficial in identifying patients at increased risk of postoperative death.

Indexed as

American Society of Anesthesiologists physical statussurgerysurgical Apgar score

Identifiers

PMID34945743
PMCPMC8706001

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.