Evidence map›Paper›PMID 37077912›Full record

ArticleFrontiers in immunology2023

Machine learning for the prediction of all-cause mortality in patients with sepsis-associated acute kidney injury during hospitalization.

Hongshan Zhou, Leping Liu, Qinyu Zhao, Xin Jin, Zhangzhe Peng, Wei Wang, Ling Huang, Yanyun Xie, Hui Xu, Lijian Tao and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
10.1field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 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

15 authors at 3 institutions in 2 countries.

Hongshan ZhouDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Leping LiuDepartment of Pediatrics, The Third Xiangya Hospital, Central South University, Changsha, China.
Qinyu ZhaoCollege of Engineering and Computer Science, Australian National University, Canberra, ACT, Australia.
Xin JinCritical Care Medicine, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Zhangzhe PengDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Wei WangDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Ling HuangDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Yanyun XieDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Hui XuDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Lijian TaoDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Xiangcheng XiaoDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Wannian NieDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Fang LiuHealth Management Center, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Li LiCritical Care Medicine, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Qiongjing YuanDepartment of Nephrology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Central South University · CNXiangya Hospital Central South University · CNAustralian National University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sepsis-associated acute kidney injury (S-AKI) is considered to be associated with high morbidity and mortality, a commonly accepted model to predict mortality is urged consequently. This study used a machine learning model to identify vital variables associated with mortality in S-AKI patients in the hospital and predict the risk of death in the hospital. We hope that this model can help identify high-risk patients early and reasonably allocate medical resources in the intensive care unit (ICU). Methods: A total of 16,154 S-AKI patients from the Medical Information Mart for Intensive Care IV database were examined as the training set (80%) and the validation set (20%). Variables (129 in total) were collected, including basic patient information, diagnosis, clinical data, and medication records. We developed and validated machine learning models using 11 different algorithms and selected the one that performed the best. Afterward, recursive feature elimination was used to select key variables. Different indicators were used to compare the prediction performance of each model. The SHapley Additive exPlanations package was applied to interpret the best machine learning model in a web tool for clinicians to use. Finally, we collected clinical data of S-AKI patients from two hospitals for external validation. Results: In this study, 15 critical variables were finally selected, namely, urine output, maximum blood urea nitrogen, rate of injection of norepinephrine, maximum anion gap, maximum creatinine, maximum red blood cell volume distribution width, minimum international normalized ratio, maximum heart rate, maximum temperature, maximum respiratory rate, minimum fraction of inspired O Conclusions: After selecting 15 crucial variables, a machine learning-based model for predicting the mortality of S-AKI patients was successfully established and the CatBoost model demonstrated best predictive performance.

Indexed as

Acute Kidney InjurySepsisCreatinineHospitalizationHumansMachine LearningCreatinineacute kidney injurymachine learningmortalitypredictive modelsepsis

Identifiers

PMID37077912
PMCPMC10106833
OpenAlexW4362586553

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.