Evidence map›Paper›PMID 35949284›Full record

ArticleObesity science & practice2022

Machine learning to predict in-hospital mortality among patients with severe obesity: Proof of concept study.

Shelly Soffer, Eyal Zimlichman, Matthew A Levin, Alexis M Zebrowski, Benjamin S Glicksberg, Robert Freeman, David L Reich, Eyal Klang

Open access · goldAbstract read
In one paragraph

Article in Obesity science & practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 2 countries.

Shelly SofferInternal Medicine B Assuta Medical Center Ashdod Israel.ORCID https://orcid.org/0000-0002-7853-2029
Eyal ZimlichmanHospital Management Sheba Medical Center Tel Hashomer Israel.
Matthew A LevinDepartment of Population Health Science and Policy Institute for Healthcare Delivery Science Icahn School of Medicine at Mount Sinai New York New York USA.
Alexis M ZebrowskiDepartment of Emergency Medicine Icahn School of Medicine at Mount Sinai New York New York USA.
Benjamin S GlicksbergHasso Plattner Institute for Digital Health at Mount Sinai Icahn School of Medicine at Mount Sinai New York New York USA.
Robert FreemanDepartment of Population Health Science and Policy Institute for Healthcare Delivery Science Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0003-4946-6533
David L ReichDepartment of Anesthesiology, Perioperative and Pain Medicine Icahn School of Medicine at Mount Sinai New York New York USA.
Eyal KlangSackler Medical School Tel Aviv University Tel Aviv Israel.
Icahn School of Medicine at Mount Sinai · USTel Aviv University · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Hospitalized patients with severe obesity require adapted hospital management. The aim of this study was to evaluate a machine learning model to predict in-hospital mortality among this population. Methods: Data of unselected consecutive emergency department admissions of hospitalized patients with severe obesity (BMI ≥ 40 kg/m Results: A total of 14,078 hospital admissions of inpatients with severe obesity were included. The in-hospital mortality rate was 297/14,078 (2.1%). In univariate analysis, albumin (area under the curve [AUC] = 0.77), blood urea nitrogen (AUC = 0.76), acuity level (AUC = 0.73), lactate (AUC = 0.72), and chief complaint (AUC = 0.72) were the best single predictors. For Youden's index, the model had a sensitivity of 0.77 (95% CI: 0.67-0.86) with a false positive rate of 1:9. Conclusion: A machine learning model trained on clinical measures provides proof of concept performance in predicting mortality in patients with severe obesity. This implies that such models may help to adopt specific decision support tools for this population.

Indexed as

big datain‐hospital mortalitymachine learningobesitysevere

Identifiers

PMID35949284
PMCPMC9358726
OpenAlexW3205826774

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.