Evidence map›Paper›PMID 37386654›Full record

ArticleJournal of anesthesia, analgesia and critical care2022

Machine learning and predictive models: 2 years of Sars-CoV-2 pandemic in a single-center retrospective analysis.

Michela Rauseo, Marco Perrini, Crescenzio Gallo, Lucia Mirabella, Karim Mariano, Giuseppe Ferrara, Filomena Santoro, Livio Tullo, Daniela La Bella, Paolo Vetuschi and 1 more

Abstract read
In one paragraph

Article in Journal of anesthesia, analgesia and critical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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

4 citing papers in PubMed.

  1. Review
  2. Article
  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

11 authors.

Michela RauseoDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy. michela.rauseo@unifg.it.ORCID http://orcid.org/0000-0001-9718-7454
Marco PerriniDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.
Crescenzio GalloDepartment of Clinical and Experimental Medicine "InfoLab" Bioinformatics Facility Head, University Hospital "Policlinico Riuniti", Viale Pinto 1, 71122, Foggia, Italy.
Lucia MirabellaDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.
Karim MarianoDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.
Giuseppe FerraraDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.
Filomena SantoroDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.
Livio TulloDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.
Daniela La BellaDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.
Paolo VetuschiDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.
Gilda CinnellaDepartment of Anesthesia and Intensive Care Medicine, University Hospital "Policlinico Riuniti di Foggia", University of Foggia, Viale Pinto, 1, 71122, Foggia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince January 2020, coronavirus disease 19 (COVID-19) has rapidly spread all over the world. An early assessment of illness severity is crucial for the stratification of patients in order to address them to the right intensity path of care. We performed an analysis on a large cohort of COVID-19 patients (n=581) hospitalized between March 2020 and May 2021 in our intensive care unit (ICU) at Policlinico Riuniti di Foggia hospital. Through an integration of the scores, demographic data, clinical history, laboratory findings, respiratory parameters, a correlation analysis, and the use of machine learning our study aimed to develop a model to predict the main outcome.

methodsWe deemed eligible for analysis all adult patients (age >18 years old) admitted to our department. We excluded all the patients with an ICU length of stay inferior to 24 h and the ones that declined to participate in our data collection. We collected demographic data, medical history, D-dimers, NEWS2, and MEWS scores on ICU admission and on ED admission, PaO

resultsSARS-CoV-2 mortality was positively correlated to age, length of stay in HDU, MEWS, and NEWS2 on ICU admission, D-dimer value on ICU admission, early orotracheal intubation, and late orotracheal intubation. We found a negative correlation between the PaO

conclusionIn our cohort of COVID patients, the choice of the right ventilatory support at the right time has been crucial, severity scores, and clinical judgment gave support in identifying patients at risk of developing a severe disease, comorbidities showed a lower weight than expected considering the main outcome, and machine learning method integration could be a fundamental statistical tool in the comprehensive evaluation of such complex diseases.

Indexed as

Acute respiratory failureCOVID-19Emergency departmentIntensive care unitLength of stayMachine learningMechanical ventilationMEWSNEWSNon-invasive ventilationPredictive models

Identifiers

PMID37386654
PMCPMC9568961

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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.