Evidence map›Paper›PMID 36223331›Full record

ArticlePLoS neglected tropical diseases2022

Constructing, validating, and updating machine learning models to predict survival in children with Ebola Virus Disease.

Alicia E Genisca, Kelsey Butler, Monique Gainey, Tzu-Chun Chu, Lawrence Huang, Eta N Mbong, Stephen B Kennedy, Razia Laghari, Fiston Nganga, Rigobert F Muhayangabo and 6 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

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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

16 authors at 6 institutions in 1 country.

Alicia E GeniscaThe Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, United States of America.
Kelsey ButlerUniversity of Massachusetts Chan Medical School, Worcester, Massachusetts, United States of America.
Monique GaineyRhode Island Hospital, Providence, Rhode Island, United States of America.ORCID 0000-0002-2860-9104
Tzu-Chun ChuUniversity of Georgia, Athens, Georgia, United States of America.
Lawrence HuangBrown University, Providence, Rhode Island, United States of America.
Eta N MbongInternational Medical Corps, Goma, Democratic Republic of Congo.
Stephen B KennedyMinistry of Health, Monrovia, Liberia.
Razia LaghariInternational Medical Corps, Goma, Democratic Republic of Congo.
Fiston NgangaInternational Medical Corps, Goma, Democratic Republic of Congo.
Rigobert F MuhayangaboInternational Medical Corps, Goma, Democratic Republic of Congo.
Himanshu VaishnavBrown Emergency Medicine, Providence, Rhode Island, United States of America.
Shiromi M PereraInternational Medical Corps, Washington, Washington, United States of America.
Moyinoluwa AdenijiBrown University, Providence, Rhode Island, United States of America.
Adam C LevineThe Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, United States of America.
Ian C MichelowConnecticut Children's Medical Center, University of Connecticut School of Medicine, Hartford, Connecticut, United States of America.
Andrés ColubriUniversity of Massachusetts Chan Medical School, Worcester, Massachusetts, United States of America.ORCID 0000-0001-5559-9661
Brown University · USUniversity of Massachusetts Chan Medical School · USInternational Medical Corps · USProvidence College · USUniversity of Connecticut · USUniversity of Georgia · US

Funding

Emerging Infectious Disease Scholars at Brown UniversityR25AI140490 · NIAID · BROWN UNIVERSITY · PI Silvia Shinpei Chiang · 2018 to 2026
$3.0M
NIAID NIH HHS R25 AI140490
6 · The paper itself

Abstract

backgroundEbola Virus Disease (EVD) causes high case fatality rates (CFRs) in young children, yet there are limited data focusing on predicting mortality in pediatric patients. Here we present machine learning-derived prognostic models to predict clinical outcomes in children infected with Ebola virus.

methodsUsing retrospective data from the Ebola Data Platform, we investigated children with EVD from the West African EVD outbreak in 2014-2016. Elastic net regularization was used to create a prognostic model for EVD mortality. In addition to external validation with data from the 2018-2020 EVD epidemic in the Democratic Republic of the Congo (DRC), we updated the model using selected serum biomarkers.

findingsPediatric EVD mortality was significantly associated with younger age, lower PCR cycle threshold (Ct) values, unexplained bleeding, respiratory distress, bone/muscle pain, anorexia, dysphagia, and diarrhea. These variables were combined to develop the newly described EVD Prognosis in Children (EPiC) predictive model. The area under the receiver operating characteristic curve (AUC) for EPiC was 0.77 (95% CI: 0.74-0.81) in the West Africa derivation dataset and 0.76 (95% CI: 0.64-0.88) in the DRC validation dataset. Updating the model with peak aspartate aminotransferase (AST) or creatinine kinase (CK) measured within the first 48 hours after admission increased the AUC to 0.90 (0.77-1.00) and 0.87 (0.74-1.00), respectively.

conclusionThe novel EPiC prognostic model that incorporates clinical information and commonly used biochemical tests, such as AST and CK, can be used to predict mortality in children with EVD.

Indexed as

EbolavirusHemorrhagic Fever, EbolaAspartate AminotransferasesChildChild, PreschoolCreatinineDisease OutbreaksHumansMachine LearningRetrospective StudiesAspartate AminotransferasesCreatinine

Identifiers

PMID36223331
PMCPMC9555640
OpenAlexW4304701118

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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.