Evidence map›Paper›PMID 35765651›Full record

ArticleComputational and structural biotechnology journal2022

Application of interpretable machine learning for early prediction of prognosis in acute kidney injury.

Chang Hu, Qing Tan, Qinran Zhang, Yiming Li, Fengyun Wang, Xiufen Zou, Zhiyong Peng

Open access · goldAbstract read
In one paragraph

Article in Computational and structural biotechnology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 49 citations in OpenAlex.

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  20. ExplainableJournal of cancer research and clinical oncology · 2024
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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

7 authors at 1 institution in 1 country.

Chang HuDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China.
Qing TanSchool of Mathematics and Statistics, Wuhan University, Wuhan, Hubei 430072, China.
Qinran ZhangSchool of Mathematics and Statistics, Wuhan University, Wuhan, Hubei 430072, China.
Yiming LiDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China.
Fengyun WangDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China.
Xiufen ZouSchool of Mathematics and Statistics, Wuhan University, Wuhan, Hubei 430072, China.
Zhiyong PengDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China.
Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to develop an algorithm using the explainable artificial intelligence (XAI) approaches for the early prediction of mortality in intensive care unit (ICU) patients with acute kidney injury (AKI). Methods: This study gathered clinical data with AKI patients from the Medical Information Mart for Intensive Care IV (MIMIC-IV) in the US between 2008 and 2019. All the data were further randomly divided into a training cohort and a validation cohort. Seven machine learning methods were used to develop the models for assessing in-hospital mortality. The optimal model was selected based on its accuracy and area under the curve (AUC). The SHapley Additive exPlanation (SHAP) values and Local Interpretable Model-Agnostic Explanations (LIME) algorithm were utilized to interpret the optimal model. Results: A total of 22,360 patients with AKI were finally enrolled in this study (median age, 69.5 years; female, 42.8%). They were randomly split into a training cohort (16770, 75%) and a validation cohort (5590, 25%). The eXtreme Gradient Boosting (XGBoost) model achieved the best performance with an AUC of 0.890. The SHAP values showed that Glasgow Coma Scale (GCS), blood urea nitrogen, cumulative urine output on Day 1 and age were the top 4 most important variables contributing to the XGBoost model. The LIME algorithm was used to explain the individualized predictions. Conclusions: Machine-learning models based on clinical features were developed and validated with great performance for the early prediction of a high risk of death in patients with AKI.

Indexed as

Acute kidney injuryCritically illnessInterpretabilityMachine learningMortality

Identifiers

PMID35765651
PMCPMC9193404
OpenAlexW4281633150

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.