Evidence map›Paper›PMID 35817885›Full record

ArticleScientific reports2022

Explainable machine learning for real-time deterioration alert prediction to guide pre-emptive treatment.

Aida Brankovic, Hamed Hassanzadeh, Norm Good, Kay Mann, Sankalp Khanna, Ahmad Abdel-Hafez, David Cook

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Clinical Informatics needs to be a competency for Intensive care training.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Aida Brankovic *CSIRO Australian e-Health Research Centre, Brisbane, QLD, 4029, Australia. aida.brankovic@csiro.au.
Hamed Hassanzadeh *CSIRO Australian e-Health Research Centre, Brisbane, QLD, 4029, Australia.
Norm GoodCSIRO Australian e-Health Research Centre, Brisbane, QLD, 4029, Australia.
Kay MannCSIRO Australian e-Health Research Centre, Brisbane, QLD, 4029, Australia.
Sankalp KhannaCSIRO Australian e-Health Research Centre, Brisbane, QLD, 4029, Australia.
Ahmad Abdel-HafezMetro South Health, Brisbane, QLD, 4102, Australia.
David CookIntensive Care Unit, Princess Alexandra Hospital, Brisbane, QLD, 4102, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Electronic Medical Record (EMR) provides an opportunity to manage patient care efficiently and accurately. This includes clinical decision support tools for the timely identification of adverse events or acute illnesses preceded by deterioration. This paper presents a machine learning-driven tool developed using real-time EMR data for identifying patients at high risk of reaching critical conditions that may demand immediate interventions. This tool provides a pre-emptive solution that can help busy clinicians to prioritize their efforts while evaluating the individual patient risk of deterioration. The tool also provides visualized explanation of the main contributing factors to its decisions, which can guide the choice of intervention. When applied to a test cohort of 18,648 patient records, the tool achieved 100% sensitivity for prediction windows 2-8 h in advance for patients that were identified at 95%, 85% and 70% risk of deterioration.

Indexed as

Electronic Health RecordsMachine LearningCohort StudiesHumans

Identifiers

PMID35817885
PMCPMC9273762

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.