Evidence map›Paper›PMID 37560584›Full record

ReviewSurgical neurology international2023

Machine learning algorithms for predicting outcomes of traumatic brain injury: A systematic review and meta-analysis.

Evan Courville, Syed Faraz Kazim, John Vellek, Omar Tarawneh, Julia Stack, Katie Roster, Joanna Roy, Meic Schmidt, Christian Bowers

Abstract readReview
In one paragraph

Review in Surgical neurology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 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

28 citing papers in PubMed, 3 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

9 authors.

Evan CourvilleDepartment of Neurosurgery, University of New Mexico, Albuquerque, New Mexico, United States.
Syed Faraz KazimDepartment of Neurosurgery, University of New Mexico, Albuquerque, New Mexico, United States.
John VellekDepartment of Neurosurgery, School of Medicine, New York Medical College, Valhalla, New York, United States.
Omar TarawnehDepartment of Neurosurgery, School of Medicine, New York Medical College, Valhalla, New York, United States.
Julia StackDepartment of Neurosurgery, School of Medicine, New York Medical College, Valhalla, New York, United States.
Katie RosterDepartment of Neurosurgery, School of Medicine, New York Medical College, Valhalla, New York, United States.
Joanna RoyDepartment of Neurosurgery, Topiwala National Medical and B. Y. L. Nair Charitable Hospital, Mumbai, Maharashtra, India.
Meic SchmidtDepartment of Neurosurgery, University of New Mexico, Albuquerque, New Mexico, United States.
Christian BowersDepartment of Neurosurgery, University of New Mexico, Albuquerque, New Mexico, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. The use of machine learning (ML) has emerged as a key advancement in TBI management. This study aimed to identify ML models with demonstrated effectiveness in predicting TBI outcomes. Methods: We conducted a systematic review in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. In total, 15 articles were identified using the search strategy. Patient demographics, clinical status, ML outcome variables, and predictive characteristics were extracted. A small meta-analysis of mortality prediction was performed, and a meta-analysis of diagnostic accuracy was conducted for ML algorithms used across multiple studies. Results: ML algorithms including support vector machine (SVM), artificial neural networks (ANN), random forest, and Naïve Bayes were compared to logistic regression (LR). Thirteen studies found significant improvement in prognostic capability using ML versus LR. The accuracy of the above algorithms was consistently over 80% when predicting mortality and unfavorable outcome measured by Glasgow Outcome Scale. Receiver operating characteristic curves analyzing the sensitivity of ANN, SVM, decision tree, and LR demonstrated consistent findings across studies. Lower admission Glasgow Coma Scale (GCS), older age, elevated serum acid, and abnormal glucose were associated with increased adverse outcomes and had the most significant impact on ML algorithms. Conclusion: ML algorithms were stronger than traditional regression models in predicting adverse outcomes. Admission GCS, age, and serum metabolites all have strong predictive power when used with ML and should be considered important components of TBI risk stratification.

Indexed as

Artificial intelligenceHead injuryMachine learningMortalityOutcomesTraumatic brain injury

Identifiers

PMID37560584
PMCPMC10408617

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.