Evidence map›Paper›PMID 36805926›Full record

SynthesisJournal of the American Medical Informatics Association : JAMIA2023

Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review.

Izak A R Yasrebi-de Kom, Dave A Dongelmans, Nicolette F de Keizer, Kitty J Jager, Martijn C Schut, Ameen Abu-Hanna, Joanna E Klopotowska

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 21 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

7 authors at 2 institutions in 1 country.

Izak A R Yasrebi-de KomAmsterdam UMC location University of Amsterdam, Department of Medical Informatics, Amsterdam, The Netherlands.ORCID 0000-0002-8655-2521
Dave A DongelmansAmsterdam Public Health, Amsterdam, The Netherlands.
Nicolette F de KeizerAmsterdam UMC location University of Amsterdam, Department of Medical Informatics, Amsterdam, The Netherlands.
Kitty J JagerAmsterdam UMC location University of Amsterdam, Department of Medical Informatics, Amsterdam, The Netherlands.
Martijn C SchutAmsterdam UMC location University of Amsterdam, Department of Medical Informatics, Amsterdam, The Netherlands.
Ameen Abu-HannaAmsterdam UMC location University of Amsterdam, Department of Medical Informatics, Amsterdam, The Netherlands.
Joanna E KlopotowskaAmsterdam UMC location University of Amsterdam, Department of Medical Informatics, Amsterdam, The Netherlands.
Amsterdam UMC Location University of Amsterdam · NLAmsterdam Neuroscience · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe conducted a systematic review to characterize and critically appraise developed prediction models based on structured electronic health record (EHR) data for adverse drug event (ADE) diagnosis and prognosis in adult hospitalized patients. MATERIALS AND

methodsWe searched the Embase and Medline databases (from January 1, 1999, to July 4, 2022) for articles utilizing structured EHR data to develop ADE prediction models for adult inpatients. For our systematic evidence synthesis and critical appraisal, we applied the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies (CHARMS).

resultsTwenty-five articles were included. Studies often did not report crucial information such as patient characteristics or the method for handling missing data. In addition, studies frequently applied inappropriate methods, such as univariable screening for predictor selection. Furthermore, the majority of the studies utilized ADE labels that only described an adverse symptom while not assessing causality or utilizing a causal model. None of the models were externally validated.

conclusionsSeveral challenges should be addressed before the models can be widely implemented, including the adherence to reporting standards and the adoption of best practice methods for model development and validation. In addition, we propose a reorientation of the ADE prediction modeling domain to include causality as a fundamental challenge that needs to be addressed in future studies, either through acquiring ADE labels via formal causality assessments or the usage of adverse event labels in combination with causal prediction modeling.

Indexed as

Drug-Related Side Effects and Adverse ReactionsElectronic Health RecordsAdultHospitalsHumansPrognosisadverse drug eventselectronic health recordshospitalsmachine learningprediction models

Identifiers

PMID36805926
PMCPMC10114128
OpenAlexW4321370506

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.