Evidence map›Paper›PMID 35554875›Full record

ArticleJournal of nephrology2022

External validation of a deep-learning model to predict severe acute kidney injury based on urine output changes in critically ill patients.

Francesca Alfieri, Andrea Ancona, Giovanni Tripepi, Vincenzo Randazzo, Annunziata Paviglianiti, Eros Pasero, Luigi Vecchi, Cristina Politi, Valentina Cauda, Riccardo Maria Fagugli

Open access · hybridAbstract read
In one paragraph

Article in Journal of nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Francesca AlfieriDepartment of Applied Science and Technology, Politecnico di Torino, C.so Duca degli Abruzzi 24, 10129, Turin, Italy.
Andrea AnconaDepartment of Applied Science and Technology, Politecnico di Torino, C.so Duca degli Abruzzi 24, 10129, Turin, Italy.
Giovanni TripepiCNR-IFC, Clinical Epidemiology and Pathophysiology of Renal Diseases and Hypertension, Nefrologia-Ospedali Riuniti, 89100, Reggio Calabria, Italy.
Vincenzo RandazzoDepartment of Electronics and Telecommunications, Politecnico di Torino, C.so Duca degli Abruzzi 24, 10129, Turin, Italy.
Annunziata PaviglianitiDepartment of Electronics and Telecommunications, Politecnico di Torino, C.so Duca degli Abruzzi 24, 10129, Turin, Italy.
Eros PaseroDepartment of Electronics and Telecommunications, Politecnico di Torino, C.so Duca degli Abruzzi 24, 10129, Turin, Italy.
Luigi VecchiS.C. Nefrologia e Dialisi, Azienda Ospedaliera di Terni, viale Tristano di Joannuccio, 05100, Terni, Italy.
Cristina PolitiCNR-IFC, Clinical Epidemiology and Pathophysiology of Renal Diseases and Hypertension, Nefrologia-Ospedali Riuniti, 89100, Reggio Calabria, Italy.
Valentina CaudaDepartment of Applied Science and Technology, Politecnico di Torino, C.so Duca degli Abruzzi 24, 10129, Turin, Italy. valentina.cauda@polito.it.ORCID http://orcid.org/0000-0003-2382-1533
Riccardo Maria FagugliS.C. Nefrologia e Dialisi, Azienda Ospedaliera di Terni, viale Tristano di Joannuccio, 05100, Terni, Italy. riccardomaria@fagugli.eu.
Politecnico di Torino · ITAzienda Ospedaliera San Camillo-Forlanini · ITOspedali Riuniti di Foggia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to externally validate algorithms (previously developed and trained in two United States populations) aimed at early detection of severe oliguric AKI (stage 2/3 KDIGO) in intensive care units patients.

methodsThe independent cohort was composed of 10'596 patients from the university hospital ICU of Amsterdam (the "AmsterdamUMC database") admitted to their intensive care units. In this cohort, we analysed the accuracy of algorithms based on logistic regression and deep learning methods. The accuracy of investigated algorithms had previously been tested with electronic intensive care unit (eICU) and MIMIC-III patients.

resultsThe deep learning model had an area under the ROC curve (AUC) of 0,907 (± 0,007SE) with a sensitivity and specificity of 80% and 89%, respectively, for identifying oliguric AKI episodes. Logistic regression models had an AUC of 0,877 (± 0,005SE) with a sensitivity and specificity of 80% and 81%, respectively. These results were comparable to those obtained in the two US populations upon which the algorithms were previously developed and trained.

conclusionExternal validation on the European sample confirmed the accuracy of the algorithms, previously investigated in the US population. The models show high accuracy in both the European and the American databases even though the two cohorts differ in a range of demographic and clinical characteristics, further underlining the validity and the generalizability of the two analytical approaches.

Indexed as

Acute Kidney InjuryDeep LearningCritical IllnessHumansIntensive Care UnitsOliguriaAcute kidney injuryArtificial intelligenceeAlertKDIGO

Identifiers

PMID35554875
PMCPMC9585008
OpenAlexW4280610720

What OpenQuestion holds

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Registered trials

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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.