Evidence map›Paper›PMID 36498463›Full record

ArticleJournal of clinical medicine2022

Predicting Adult Hospital Admission from Emergency Department Using Machine Learning: An Inclusive Gradient Boosting Model.

Dhavalkumar Patel, Satya Narayan Cheetirala, Ganesh Raut, Jules Tamegue, Arash Kia, Benjamin Glicksberg, Robert Freeman, Matthew A Levin, Prem Timsina, Eyal Klang

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

Dhavalkumar PatelMount Sinai Health System, New York, NY 10017, USA.
Satya Narayan CheetiralaMount Sinai Health System, New York, NY 10017, USA.
Ganesh RautMount Sinai Health System, New York, NY 10017, USA.
Jules TamegueMount Sinai Health System, New York, NY 10017, USA.
Arash KiaMount Sinai Health System, New York, NY 10017, USA.
Benjamin GlicksbergMount Sinai Health System, New York, NY 10017, USA.ORCID 0000-0003-4515-8090
Robert FreemanMount Sinai Health System, New York, NY 10017, USA.ORCID 0000-0003-4946-6533
Matthew A LevinMount Sinai Health System, New York, NY 10017, USA.ORCID 0000-0002-6013-2684
Prem TimsinaMount Sinai Health System, New York, NY 10017, USA.
Eyal KlangMount Sinai Health System, New York, NY 10017, USA.

Funding

Multi-modal unsupervised embeddings to advance machine learning in healthcareR01LM013766 · NLM · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CAMPANELLA, GABRIELE · 2022 to 2025
$1.4M
NLM NIH HHS R01 LM013766
6 · The paper itself

Abstract

BACKGROUND AND

aimWe analyzed an inclusive gradient boosting model to predict hospital admission from the emergency department (ED) at different time points. We compared its results to multiple models built exclusively at each time point.

methodsThis retrospective multisite study utilized ED data from the Mount Sinai Health System, NY, during 2015-2019. Data included tabular clinical features and free-text triage notes represented using bag-of-words. A full gradient boosting model, trained on data available at different time points (30, 60, 90, 120, and 150 min), was compared to single models trained exclusively at data available at each time point. This was conducted by concatenating the rows of data available at each time point to one data matrix for the full model, where each row is considered a separate case.

resultsThe cohort included 1,043,345 ED visits. The full model showed comparable results to the single models at all time points (AUCs 0.84-0.88 for different time points for both the full and single models).

conclusionA full model trained on data concatenated from different time points showed similar results to single models trained at each time point. An ML-based prediction model can use used for identifying hospital admission.

Indexed as

clinical decision supporthealthcaremachine learning

Identifiers

PMID36498463
PMCPMC9740100

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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.