Evidence map›Paper›PMID 35941641›Full record

Trial reportBMC pulmonary medicine2022

Early prediction of noninvasive ventilation failure after extubation: development and validation of a machine-learning model.

Huan Wang, Qin-Yu Zhao, Jing-Chao Luo, Kai Liu, Shen-Ji Yu, Jie-Fei Ma, Ming-Hao Luo, Guang-Wei Hao, Ying Su, Yi-Jie Zhang and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03704324 (Incidence and Risk Factors of PostopeRativE Delirium in ICU in China), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
5.6field-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.

NCT03704324 unknown statusnot on this map

Incidence and Risk Factors of PostopeRativE Delirium in ICU in China

TypeobservationalSponsorShanghai Zhongshan HospitalRan2018 to 2023Enrolled1,000ConditionsPostoperative Delirium, Intensive Care Psychiatric Disorder
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  12. The ethical considerations of integrating artificial intelligence into surgery: a review.Interdisciplinary cardiovascular and thoracic surgery · 2025
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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

12 authors at 7 institutions in 2 countries.

Huan Wang *Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Qin-Yu Zhao *College of Engineering and Computer Science, Australian National University, Canberra, ACT, Australia.
Jing-Chao Luo *Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Kai LiuDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Shen-Ji YuDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Jie-Fei MaDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Ming-Hao LuoShanghai Medical College, Fudan University, Shanghai, China.
Guang-Wei HaoDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Ying SuDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Yi-Jie ZhangDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Guo-Wei TuDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China. tu.guowei@zs-hospital.sh.cn.
Zhe LuoDepartment of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China. luo.zhe@zs-hospital.sh.cn.
The First Affiliated Hospital, Sun Yat-sen University · CNFudan University · CNZhongshan Hospital · CNAustralian National University · AUShanghai Medical College of Fudan University · CNSun Yat-sen University · CNZhongshan Hospital of Xiamen University · CN

Funding

Foundation For Young Researchers of Zhongshan Hospital 2021ZSQN72National Natural Science Foundation of China 82070085Natural Science Foundation of Shanghai 20ZR1411100Natural Science Foundation of Shanghai 21ZR1412900Science and Technology Commission of Shanghai Municipality 20DZ2261200Smart Medical Care of Zhongshan Hospital 2020ZHZS01
6 · The paper itself

Abstract

backgroundNoninvasive ventilation (NIV) has been widely used in critically ill patients after extubation. However, NIV failure is associated with poor outcomes. This study aimed to determine early predictors of NIV failure and to construct an accurate machine-learning model to identify patients at risks of NIV failure after extubation in intensive care units (ICUs).

methodsPatients who underwent NIV after extubation in the eICU Collaborative Research Database (eICU-CRD) were included. NIV failure was defined as need for invasive ventilatory support (reintubation or tracheotomy) or death after NIV initiation. A total of 93 clinical and laboratory variables were assessed, and the recursive feature elimination algorithm was used to select key features. Hyperparameter optimization was conducted with an automated machine-learning toolkit called Neural Network Intelligence. A machine-learning model called Categorical Boosting (CatBoost) was developed and compared with nine other models. The model was then prospectively validated among patients enrolled in the Cardiac Surgical ICU of Zhongshan Hospital, Fudan University.

resultsOf 929 patients included in the eICU-CRD cohort, 248 (26.7%) had NIV failure. The time from extubation to NIV, age, Glasgow Coma Scale (GCS) score, heart rate, respiratory rate, mean blood pressure (MBP), saturation of pulse oxygen (SpO

conclusionsThis study developed and prospectively validated the CatBoost model, which can be used to identify patients who are at risk of NIV failure. Thus, those patients might benefit from early triage and more intensive monitoring.

trial registrationNCT03704324. Registered 1 September 2018, https://register. CLINICALTRIALS: gov .

Indexed as

Machine LearningNoninvasive VentilationRespiratory InsufficiencyAirway ExtubationHumansIntensive Care UnitsOxygenReproducibility of ResultsRespiration, ArtificialOxygenCategorical BoostingHyperparameter optimizationNon-invasive mechanical ventilation failureProspective validationRecursive feature elimination

Identifiers

PMID35941641
PMCPMC9358918
OpenAlexW4290643346

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.