Evidence map›Paper›PMID 38276219›Full record

ArticleJournal of personalized medicine2023

A Hybrid Model for 30-Day Syncope Prognosis Prediction in the Emergency Department.

Franca Dipaola, Mauro Gatti, Roberto Menè, Dana Shiffer, Alessandro Giaj Levra, Monica Solbiati, Paolo Villa, Giorgio Costantino, Raffaello Furlan

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Article in Journal of personalized medicine, 2023. 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.

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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.

Franca DipaolaInternal Medicine, Syncope Unit, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.
Mauro GattiIBM, 20100 Milan, Italy.
Roberto MenèDepartment of Medicine and Surgery, University of Milano-Bicocca, 20100 Milan, Italy.ORCID 0000-0003-1671-1977
Dana ShifferEmergency Department, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.
Alessandro Giaj LevraDepartment of Biomedical Sciences, Humanitas University, 20072 Milan, Italy.
Monica SolbiatiEmergency Department, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università Degli Studi Di Milano, 20100 Milan, Italy.ORCID 0000-0003-1964-3770
Paolo VillaEmergency Medicine Unit, Luigi Sacco Hospital, ASST Fatebenefratelli Sacco, 20100 Milan, Italy.
Giorgio CostantinoEmergency Department, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università Degli Studi Di Milano, 20100 Milan, Italy.
Raffaello FurlanInternal Medicine, Syncope Unit, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.ORCID 0000-0001-5209-6786

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Syncope is a challenging problem in the emergency department (ED) as the available risk prediction tools have suboptimal predictive performances. Predictive models based on machine learning (ML) are promising tools whose application in the context of syncope remains underexplored. The aim of the present study was to develop and compare the performance of ML-based models in predicting the risk of clinically significant outcomes in patients presenting to the ED for syncope. We enrolled 266 consecutive patients (age 73, IQR 58-83; 52% males) admitted for syncope at three tertiary centers. We collected demographic and clinical information as well as the occurrence of clinically significant outcomes at a 30-day telephone follow-up. We implemented an XGBoost model based on the best-performing candidate predictors. Subsequently, we integrated the XGboost predictors with knowledge-based rules. The obtained hybrid model outperformed the XGboost model (AUC = 0.81 vs. 0.73,

Indexed as

emergency departmentmachine learningrisk stratificationsyncope

Identifiers

PMID38276219
PMCPMC10817569

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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.