Evidence map›Paper›PMID 36997585›Full record

ArticleScientific reports2023

Machine learning algorithm to predict mortality in critically ill patients with sepsis-associated acute kidney injury.

Xunliang Li, Ruijuan Wu, Wenman Zhao, Rui Shi, Yuyu Zhu, Zhijuan Wang, Haifeng Pan, Deguang Wang

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 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

31 citing papers in PubMed, 4 syntheses or guidelines 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

8 authors.

Xunliang Li *Department of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, People's Republic of China.
Ruijuan Wu *Department of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, People's Republic of China.
Wenman ZhaoDepartment of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, People's Republic of China.
Rui ShiDepartment of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, People's Republic of China.
Yuyu ZhuDepartment of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, People's Republic of China.
Zhijuan WangDepartment of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, People's Republic of China.
Haifeng PanInstitute of Kidney Disease, Inflammation and Immunity Mediated Diseases, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, People's Republic of China. panhaifeng@ahmu.edu.cn.
Deguang WangDepartment of Nephrology, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, People's Republic of China. wangdeguang@ahmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to establish and validate a machine learning (ML) model for predicting in-hospital mortality in patients with sepsis-associated acute kidney injury (SA-AKI). This study collected data on SA-AKI patients from 2008 to 2019 using the Medical Information Mart for Intensive Care IV. After employing Lasso regression for feature selection, six ML approaches were used to build the model. The optimal model was chosen based on precision and area under curve (AUC). In addition, the best model was interpreted using SHapley Additive exPlanations (SHAP) values and Local Interpretable Model-Agnostic Explanations (LIME) algorithms. There were 8129 sepsis patients eligible for participation; the median age was 68.7 (interquartile range: 57.2-79.6) years, and 57.9% (4708/8129) were male. After selection, 24 of the 44 clinical characteristics gathered after intensive care unit admission remained linked with prognosis and were utilized developing ML models. Among the six models developed, the eXtreme Gradient Boosting (XGBoost) model had the highest AUC, at 0.794. According to the SHAP values, the sequential organ failure assessment score, respiration, simplified acute physiology score II, and age were the four most influential variables in the XGBoost model. Individualized forecasts were clarified using the LIME algorithm. We built and verified ML models that excel in early mortality risk prediction in SA-AKI and the XGBoost model performed best.

Indexed as

Acute Kidney InjurySepsisAgedAlgorithmsCalcium CompoundsCritical IllnessFemaleHumansMachine LearningMaleOxidesCalcium CompoundslimeOxides

Identifiers

PMID36997585
PMCPMC10063657

What OpenQuestion holds

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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.