Evidence map›Paper›PMID 36536317›Full record

SynthesisBMC nephrology2022

Artificial intelligence for the prediction of acute kidney injury during the perioperative period: systematic review and Meta-analysis of diagnostic test accuracy.

Hanfei Zhang, Amanda Y Wang, Shukun Wu, Johnathan Ngo, Yunlin Feng, Xin He, Yingfeng Zhang, Xingwei Wu, Daqing Hong

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. New approaches to acute kidney injury.Clinical kidney journal · 2024
    Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. [Artificial intelligence and acute kidney injury].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Review
  10. [Artificial intelligence in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Review
  11. Article
  12. Article
  13. Acute kidney injury.Intensive care medicine · 2023
    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.

Hanfei Zhang *School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Amanda Y Wang *The faculty of medicine and health sciences, Macquarie University, Sydney, NSW, Australia. Awang@georgeinstitute.org.au.
Shukun Wu *School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Johnathan NgoConcord Clinical School, University of Sydney, Sydney, Australia.
Yunlin FengSchool of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Xin HeDepartment of Nephrology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Yingfeng ZhangSchool of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Xingwei WuSchool of Medicine, University of Electronic Science and Technology of China, Chengdu, China. wuxw1998@126.com.
Daqing HongSchool of Medicine, University of Electronic Science and Technology of China, Chengdu, China. hongdaqing11@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is independently associated with morbidity and mortality in a wide range of surgical settings. Nowadays, with the increasing use of electronic health records (EHR), advances in patient information retrieval, and cost reduction in clinical informatics, artificial intelligence is increasingly being used to improve early recognition and management for perioperative AKI. However, there is no quantitative synthesis of the performance of these methods. We conducted this systematic review and meta-analysis to estimate the sensitivity and specificity of artificial intelligence for the prediction of acute kidney injury during the perioperative period.

methodsPubmed, Embase, and Cochrane Library were searched to 2nd October 2021. Studies presenting diagnostic performance of artificial intelligence in the early detection of perioperative acute kidney injury were included. True positives, false positives, true negatives and false negatives were pooled to collate specificity and sensitivity with 95% CIs and results were portrayed in forest plots. The risk of bias of eligible studies was assessed using the PROBAST tool.

resultsNineteen studies involving 304,076 patients were included. Quantitative random-effects meta-analysis using the Rutter and Gatsonis hierarchical summary receiver operating characteristics (HSROC) model revealed pooled sensitivity, specificity, and diagnostic odds ratio of 0.77 (95% CI: 0.73 to 0.81),0.75 (95% CI: 0.71 to 0.80), and 10.7 (95% CI 8.5 to 13.5), respectively. Threshold effect was found to be the only source of heterogeneity, and there was no evidence of publication bias.

conclusionsOur review demonstrates the promising performance of artificial intelligence for early prediction of perioperative AKI. The limitations of lacking external validation performance and being conducted only at a single center should be overcome.

trial registrationThis study was not registered with PROSPERO.

Indexed as

Acute Kidney InjuryArtificial IntelligenceDiagnostic Tests, RoutineHumansROC CurveSensitivity and SpecificityAcute kidney failureAcute kidney injuryArtificial intelligenceMachine learningPerioperative period

Identifiers

PMID36536317
PMCPMC9761969

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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.