Evidence map›Paper›PMID 35817268›Full record

ArticleResuscitation2022

Utilizing community level factors to improve prediction of out of hospital cardiac arrest outcome using machine learning.

Sam Harford, Houshang Darabi, Sara Heinert, Joseph Weber, Teri Campbell, Pavitra Kotini-Shah, Eddie Markul, Katie Tataris, Terry Vanden Hoek, Marina Del Rios

Open access · greenAbstract read
In one paragraph

Article in Resuscitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

10 authors at 3 institutions in 1 country.

Sam HarfordDepartment of Mechanical and Industrial Engineering, University of Illinois at Chicago, Chicago, IL, United States.
Houshang DarabiDepartment of Mechanical and Industrial Engineering, University of Illinois at Chicago, Chicago, IL, United States.
Sara HeinertDepartment of Emergency Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States.
Joseph WeberDepartment of Emergency Medicine, John H. Stroger, Jr. Hospital, Chicago, IL, United States.
Teri CampbellDepartment of Emergency Medicine, University of Chicago, Chicago, IL, United States.
Pavitra Kotini-ShahDepartment of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, United States.
Eddie MarkulDepartment of Emergency Medicine, Illinois Masonic Medical Center, Chicago, IL, United States.
Katie TatarisDepartment of Emergency Medicine, University of Chicago, Chicago, IL, United States.
Terry Vanden HoekDepartment of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, United States.
Marina Del RiosDepartment of Emergency Medicine, University of Iowa, Iowa City, IA, United States. Electronic address: marina-delrios@uiowa.edu.
University of Illinois Chicago · USUniversity of Chicago · USJohnson University · US

Funding

Strengthening Stakeholder Engagement in Human Research Protections.UL1TR002003 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KARNIK, NIRANJAN SUBHASH, MERMELSTEIN, ROBIN J. · 2016 to 2024
$33.7M
UIC Building Interdisciplinary Research Careers in Women's Health ProgramK12HD101373 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BUHIMSCHI, IRINA A, MAKI, PAULINE M · 2020 to 2023
$2.9M
NCATS NIH HHS UL1 TR002003NICHD NIH HHS K12 HD101373
6 · The paper itself

Abstract

objectivesTo evaluate the impact of community level information on the predictability of out-of-hospital cardiac arrest (OHCA) survival.

methodsWe used the Cardiac Arrest Registry to Enhance Survival (CARES) to geocode 9,595 Chicago incidents from 2014 to 2019 into community areas. Community variables including crime, healthcare, and economic factors from public data were merged with CARES. The merged data were used to develop ML models for OHCA survival. Models were evaluated using Area Under the Receiver Operating Characteristic curve (AUROC) and features were analyzed using SHapley Additive exPansion (SHAP) values.

resultsBaseline results using CARES data achieved an AUROC of 84%. The final model utilizing community variables increased the AUROC to 88%. A SHAP analysis between high and low performing community area clusters showed the high performing cluster is positively impacted by good health related features and good community safety features positively impact the low performing cluster.

conclusionUtilizing community variables helps predict neurologic outcomes with better performance than only CARES data. Future studies will use this model to perform simulations to identify interventions to improve OHCA survival.

Indexed as

Cardiopulmonary ResuscitationOut-of-Hospital Cardiac ArrestArea Under CurveHumansMachine LearningRegistriesROC CurveCommunityHealth disparitiesMachine learningOut of hospital cardiac arrestSurvival

Identifiers

PMID35817268
PMCPMC9728593
OpenAlexW4284978110

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.