Evidence map›Paper›PMID 35949676›Full record

ArticleHealth science reports2022

Developing a novel prediction model in opioid overdose using machine learning; a pilot analytical study.

Ehsan Sakhaee, Ali Amirahmadi, Morteza Mahdiani, Maziar Shojaei, Hossein Hassanian-Moghaddam, Roman Bauer, Nasim Zamani, Hossein Pakdaman, Kourosh Gharagozli

Open access · goldAbstract read
In one paragraph

Article in Health science reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 4 institutions in 3 countries.

Ehsan SakhaeeBrain Mapping Research Center, Department of Neurology Shahid Beheshti University of Medical Sciences Tehran Iran.
Ali AmirahmadiDepartment of Information Technology, School of Electrical and Computer Engineering, University College of Engineering Tehran University Tehran Iran.
Morteza MahdianiDepartment of Artificial Intelligence ARIS Intelligent Solutions Company Tehran Iran.
Maziar ShojaeiBrain Mapping Research Center, Department of Neurology Shahid Beheshti University of Medical Sciences Tehran Iran.
Hossein Hassanian-MoghaddamDepartment of Clinical Toxicology, Loghman Hakim Hospital, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran.ORCID 0000-0003-4370-0544
Roman BauerDepartment of Computer Science University of Surrey Guildford UK.
Nasim ZamaniDepartment of Clinical Toxicology, Loghman Hakim Hospital, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran.
Hossein PakdamanBrain Mapping Research Center, Department of Neurology Shahid Beheshti University of Medical Sciences Tehran Iran.
Kourosh GharagozliBrain Mapping Research Center, Department of Neurology Shahid Beheshti University of Medical Sciences Tehran Iran.
Shahid Beheshti University of Medical Sciences · IRAmirkabir University of Technology · IRUniversity of Surrey · GBUniversity of Tehran · IR

Funding

Medical Research Council MR/N015037/1
6 · The paper itself

Abstract

Background and Aims: The opioid epidemic has extended to many countries. Data regarding the accuracy of conventional prediction models including the Simplified Acute Physiologic Score (SAPS) II and acute physiology and chronic health evaluation (APACHE) II are scarce in opioid overdose cases. We evaluate the efficacy of adding quantitative electroencephalogram (qEEG) data to clinical and paraclinical data in the prediction of opioid overdose mortality using machine learning. Methods: In a prospective study, we collected clinical/paraclinical, and qEEG data of 32 opioid-poisoned patients. After preprocessing and Fast Fourier Transform analysis, absolute power was computed. Also, SAPS II was calculated. Eventually, data analysis was performed using SAPS II as a benchmark at three levels to predict the patient's course in comparison with SAPS II. First, the qEEG data set was used alone, secondly, the combination of the clinical/paraclinical, SAPS II, qEEG datasets, and the SAPS II-based model was included in the pool of classifier models. Results: Seven out of 32 (22%) died. SAPS II (cut-off of 50.5) had a sensitivity/specificity/positive/negative predictive values of 85.7%, 84.0%, 60.0%, and 95.5% in predicting mortality, respectively. Adding majority voting on random forest with qEEG and clinical data, improved the model sensitivity, specificity, and positive and negative predictive values to 71.4%, 96%, 83.3%, and 92.3% (not significant). The model fusion level has 40% less prediction error. Conclusion: Considering the higher specificity and negative predictive value in our proposed model, it could predict survival much better than mortality. The model would constitute an indicator for better care of opioid poisoned patients in low resources settings, where intensive care unit beds are limited.

Indexed as

machine learningmodel fusionmortalityopioid overdoseprognosisqEEG

Identifiers

PMID35949676
PMCPMC9358662
OpenAlexW4290632883

What OpenQuestion holds

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LicenceCC BY
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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.