Evidence map›Paper›PMID 36994109›Full record

ArticleIEEE journal of translational engineering in health and medicine2023

Prediction of Short-Term Mortality of Cardiac Care Unit Patients Using Image-Transformed ECG Waveforms.

Terumasa Kondo, Atsushi Teramoto, Eiichi Watanabe, Yoshihiro Sobue, Hideo Izawa, Kuniaki Saito, Hiroshi Fujita

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In one paragraph

Article in IEEE journal of translational engineering in health and medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. Article
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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.

Terumasa KondoGraduate School of Health SciencesFujita Health University Aichi 470-1192 Japan.ORCID 0009-0004-6697-055X
Atsushi TeramotoGraduate School of Health SciencesFujita Health University Aichi 470-1192 Japan.ORCID 0000-0001-7613-5348
Eiichi WatanabeDivision of CardiologyDepartment of Internal MedicineFujita Health University Bantane Hospital Aichi 454-8509 Japan.ORCID 0000-0002-2375-2323
Yoshihiro SobueDivision of CardiologyDepartment of Internal MedicineFujita Health University Bantane Hospital Aichi 454-8509 Japan.
Hideo IzawaDepartment of Cardiology, School of MedicineFujita Health University Aichi 470-1192 Japan.
Kuniaki SaitoGraduate School of Health SciencesFujita Health University Aichi 470-1192 Japan.
Hiroshi FujitaFaculty of EngineeringGifu University Gifu 501-1193 Japan.ORCID 0000-0002-2936-9296
Fujita Health University · JPGifu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe early detection of cardiac disease is important because the disease can lead to sudden death and poor prognosis. Electrocardiograms (ECG) are used to screen for cardiac diseases and are useful for the early detection and determination of treatment strategies. However, the ECG waveforms of cardiac care unit (CCU) patients with severe cardiac disease are often complicated by comorbidities and patient conditions, making it difficult to predict the severity of further cardiac disease. Therefore, this study predicts the short-term prognosis of CCU patients to detect further deterioration in CCU patients at an early stage.

methodsThe ECG data (II, V3, V5, aVR induction) of CCU patients were converted to image data. The transformed ECG images were used to predict short-term prognosis with a two-dimensional convolutional neural network (CNN).

resultsThe prediction accuracy was 77.3%. Visualization by GradCAM showed that the CNN tended to focus on the shape and regularity of waveforms, such as heart failure and myocardial infarction.

conclusionThese results suggest that the proposed method may be useful for short-term prognosis prediction using the ECG waveforms of CCU patients. CLINICAL IMPACT: The proposed method could be used to determine the treatment strategy and choose the intensity of treatment after admission to the CCU.

Indexed as

Myocardial InfarctionElectrocardiographyHospitalizationHumansNeural Networks, ComputerPrognosisDeep learningelectrocardiogramGradCAMmortality prediction

Identifiers

PMID36994109
PMCPMC10042295
OpenAlexW4322706817

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read39
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.