Evidence map›Paper›PMID 36997630›Full record

ArticleScientific reports2023

Development and validation of machine learning-based clinical decision support tool for identifying malnutrition in NICU patients.

Nadir Yalçın, Merve Kaşıkcı, Hasan Tolga Çelik, Kutay Demirkan, Şule Yiğit, Murat Yurdakök

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Review
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

6 authors.

Nadir YalçınDepartment of Clinical Pharmacy, Faculty of Pharmacy, Hacettepe University, 06230, Ankara, Turkey. nadir.yalcin@hotmail.com.ORCID 0000-0002-2280-8727
Merve KaşıkcıDepartment of Biostatistics, Faculty of Medicine, Hacettepe University, 06230, Ankara, Turkey.ORCID 0000-0003-3211-2093
Hasan Tolga ÇelikDivision of Neonatology, Department of Child Health and Diseases, Faculty of Medicine, Hacettepe University, 06230, Ankara, Turkey.ORCID 0000-0002-1725-0722
Kutay DemirkanDepartment of Clinical Pharmacy, Faculty of Pharmacy, Hacettepe University, 06230, Ankara, Turkey.ORCID 0000-0002-6427-5826
Şule YiğitDivision of Neonatology, Department of Child Health and Diseases, Faculty of Medicine, Hacettepe University, 06230, Ankara, Turkey.ORCID 0000-0002-8755-0384
Murat YurdakökDivision of Neonatology, Department of Child Health and Diseases, Faculty of Medicine, Hacettepe University, 06230, Ankara, Turkey.ORCID 0000-0002-1394-4700

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hospitalized newborns have an increased risk of malnutrition and, especially preterm infants, often experience malnutrition-related extrauterine growth restriction (EUGR). The aim of this study was to predict the discharge weight and the presence of weight gain at discharge with machine learning (ML) algorithms. The demographic and clinical parameters were used to develop the models using fivefold cross-validation in the software-R with a neonatal nutritional screening tool (NNST). A total of 512 NICU patients were prospectively included in the study. Length of hospital stay (LOS), parenteral nutrition treatment (PN), postnatal age (PNA), surgery, and sodium were the most important variables in predicting the presence of weight gain at discharge with a random forest classification (AUROC:0.847). The AUROC of NNST-Plus, which was improved by adding LOS, PN, PNA, surgery, and sodium to NNST, increased by 16.5%. In addition, weight at admission, LOS, gestation-adjusted age at admission (> 40 weeks), sex, gestational age, birth weight, PNA, SGA, complications of labor and delivery, multiple birth, serum creatinine, and PN treatment were the most important variables in predicting discharge weight with an elastic net regression (R

Indexed as

Decision Support Systems, ClinicalMalnutritionFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalNutritional StatusNutrition AssessmentPregnancy

Identifiers

PMID36997630
PMCPMC10063679

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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.