Evidence map›Paper›PMID 35624999›Full record

ArticleBrain sciences2022

A Computer-Assisted System for Early Mortality Risk Prediction in Patients with Traumatic Brain Injury Using Artificial Intelligence Algorithms in Emergency Room Triage.

Kuan-Chi Tu, Tee-Tau Eric Nyam, Che-Chuan Wang, Nai-Ching Chen, Kuo-Tai Chen, Chia-Jung Chen, Chung-Feng Liu, Jinn-Rung Kuo

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In one paragraph

Article in Brain sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

Kuan-Chi TuDepartment of Neurosurgery, Chi Mei Medical Center, Tainan 710402, Taiwan.
Tee-Tau Eric NyamDepartment of Neurosurgery, Chi Mei Medical Center, Tainan 710402, Taiwan.
Che-Chuan WangDepartment of Neurosurgery, Chi Mei Medical Center, Tainan 710402, Taiwan.
Nai-Ching ChenDepartment of Nursing, Chi Mei Medical Center, Tainan 710402, Taiwan.ORCID 0000-0002-8534-8705
Kuo-Tai ChenDepartment of Emergency, Chi Mei Medical Center, Tainan 710402, Taiwan.
Chia-Jung ChenDepartment of Information Systems, Chi Mei Medical Center, Tainan 710402, Taiwan.
Chung-Feng LiuDepartment of Medical Research, Chi Mei Medical Center, Tainan 710402, Taiwan.
Jinn-Rung KuoDepartment of Neurosurgery, Chi Mei Medical Center, Tainan 710402, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic brain injury (TBI) remains a critical public health challenge. Although studies have found several prognostic factors for TBI, a useful early predictive tool for mortality has yet to be developed in the triage of the emergency room. This study aimed to use machine learning algorithms of artificial intelligence (AI) to develop predictive models for TBI patients in the emergency room triage. We retrospectively enrolled 18,249 adult TBI patients in the electronic medical records of three hospitals of Chi Mei Medical Group from January 2010 to December 2019, and undertook the 12 potentially predictive feature variables for predicting mortality during hospitalization. Six machine learning algorithms including logistical regression (LR) random forest (RF), support vector machines (SVM), LightGBM, XGBoost, and multilayer perceptron (MLP) were used to build the predictive model. The results showed that all six predictive models had high AUC from 0.851 to 0.925. Among these models, the LR-based model was the best model for mortality risk prediction with the highest AUC of 0.925; thus, we integrated the best model into the existed hospital information system for assisting clinical decision-making. These results revealed that the LR-based model was the best model to predict the mortality risk in patients with TBI in the emergency room. Since the developed prediction system can easily obtain the 12 feature variables during the initial triage, it can provide quick and early mortality prediction to clinicians for guiding deciding further treatment as well as helping explain the patient's condition to family members.

Indexed as

artificial intelligencecomputer-assisted systememergency room triagemachine learningmortalitytraumatic brain injury

Identifiers

PMID35624999
PMCPMC9138998

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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.