Evidence map›Paper›PMID 37404873›Full record

ArticleEmergency medicine international2023

Machine Learning-Based Models for Prediction of Critical Illness at Community, Paramedic, and Hospital Stages.

Sijin Lee, Hyun Ji Park, Jumi Hwang, Sung Woo Lee, Kap Su Han, Won Young Kim, Jinwoo Jeong, Hyunggoo Kang, Armi Kim, Chulung Lee and 1 more

Open access · goldAbstract read
In one paragraph

Article in Emergency medicine international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.1field-weighted citation impact, top 9% 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, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Observational
  5. 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 at 4 institutions in 1 country.

Sijin LeeDepartment of Emergency Medicine, Korea University, College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-9556-0665
Hyun Ji ParkDepartment of Industrial and Management Engineering, Korea University, Seoul, Republic of Korea.
Jumi HwangDepartment of Industrial and Management Engineering, Korea University, Seoul, Republic of Korea.
Sung Woo LeeDepartment of Emergency Medicine, Korea University, College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-4492-0258
Kap Su HanDepartment of Emergency Medicine, Korea University, College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-0205-1269
Won Young KimDepartment of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-6904-5966
Jinwoo JeongDepartment of Emergency Medicine, Dong-A University, College of Medicine, Busan, Republic of Korea.ORCID https://orcid.org/0000-0003-1745-5127
Hyunggoo KangDepartment of Emergency Medicine, Hanyang University, College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-9522-2532
Armi KimDepartment of Industrial and Management Engineering, Korea University, Seoul, Republic of Korea.
Chulung LeeSchool of Industrial and Management Engineering, Korea University, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-2041-0221
Su Jin KimDepartment of Emergency Medicine, Korea University, College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-3769-9647
Korea University · KRDong-A University · KRHanyang University · KRUlsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Overcrowding of emergency department (ED) has put a strain on national healthcare systems and adversely affected the clinical outcomes of critically ill patients. Early identification of critically ill patients prior to ED visits can help induce optimal patient flow and allocate medical resources effectively. This study aims to develop ML-based models for predicting critical illness in the community, paramedic, and hospital stages using Korean National Emergency Department Information System (NEDIS) data. Random forest and light gradient boosting machine (LightGBM) were applied to develop predictive models. The predictive model performance based on AUROC in community stage, paramedic stage, and hospital stage was estimated to be 0.870 (95% CI: 0.869-0.871), 0.897 (95% CI: 0.896-0.898), and 0.950 (95% CI: 0.949-0.950) in random forest and 0.877 (95% CI: 0.876-0.878), 0.899 (95% CI: 0.898-0.900), and 0.950 (95% CI: 0.950-0.951) in LightGBM, respectively. The ML models showed high performance in predicting critical illness using variables available at each stage, which can be helpful in guiding patients to appropriate hospitals according to their severity of illness. Furthermore, a simulation model can be developed for proper allocation of limited medical resources.

Identifiers

PMID37404873
PMCPMC10317605
OpenAlexW4382045580

What OpenQuestion holds

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LicenceCC BY
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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.