Evidence map›Paper›PMID 38238156›Full record

Trial reportFamily medicine and community health2024

Development and validation of multicentre study on novel Artificial Intelligence-based Cardiovascular Risk Score (AICVD).

Shiv Kumar Jalepalli, Prashant Gupta, Andre L A J Dekker, Inigo Bermejo, Sujoy Kar

Open access · diamondAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Family medicine and community health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. 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

5 authors at 3 institutions in 2 countries.

Shiv Kumar JalepalliApollo Hospitals, Hyderabad, Telangana, India.
Prashant GuptaAzure, Microsoft Research India, Bengaluru, India.
Andre L A J DekkerDepartment of Radiation Oncology (Maastro), Maastricht University, Maastricht, Netherlands.
Inigo BermejoDepartment of Radiation Oncology (Maastro), Maastricht University, Maastricht, Netherlands.
Sujoy KarApollo Hospitals, Hyderabad, Telangana, India drsujoy_k@apollohospitals.com.ORCID 0000-0002-2102-5042
Apollo Hospitals · INMaastricht University · NLMicrosoft Research (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCardiovascular diseases (CVD) are one of the most prevalent diseases in India amounting for nearly 30% of total deaths. A dearth of research on CVD risk scores in Indian population, limited performance of conventional risk scores and inability to reproduce the initial accuracies in randomised clinical trials has led to this study on large-scale patient data. The objective is to develop an Artificial Intelligence-based Risk Score (AICVD) to predict CVD event (eg, acute myocardial infarction/acute coronary syndrome) in the next 10 years and compare the model with the Framingham Heart Risk Score (FHRS) and QRisk3.

methodsOur study included 31 599 participants aged 18-91 years from 2009 to 2018 in six Apollo Hospitals in India. A multistep risk factors selection process using Spearman correlation coefficient and propensity score matching yielded 21 risk factors. A deep learning hazards model was built on risk factors to predict event occurrence (classification) and time to event (hazards model) using multilayered neural network. Further, the model was validated with independent retrospective cohorts of participants from India and the Netherlands and compared with FHRS and QRisk3.

resultsThe deep learning hazards model had a good performance (area under the curve (AUC) 0.853). Validation and comparative results showed AUCs between 0.84 and 0.92 with better positive likelihood ratio (AICVD -6.16 to FHRS -2.24 and QRisk3 -1.16) and accuracy (AICVD -80.15% to FHRS 59.71% and QRisk3 51.57%). In the Netherlands cohort, AICVD also outperformed the Framingham Heart Risk Model (AUC -0.737 vs 0.707).

conclusionsThis study concludes that the novel AI-based CVD Risk Score has a higher predictive performance for cardiac events than conventional risk scores in Indian population. TRIAL REGISTRATION NUMBER: CTRI/2019/07/020471.

Indexed as

Cardiovascular DiseasesArtificial IntelligenceHeart Disease Risk FactorsHumansRetrospective StudiesRisk AssessmentRisk FactorsCardiovascular DiseasesHypertensionMedical InformaticsPreventive Medicine

Identifiers

PMID38238156
PMCPMC10806469
OpenAlexW4391006695

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.