Evidence map›Paper›PMID 38341621›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2024

A predictive model for postoperative adverse outcomes following surgical treatment of acute type A aortic dissection based on machine learning.

Lin-Feng Xie, Yu-Ling Xie, Qing-Song Wu, Jian He, Xin-Fan Lin, Zhi-Huang Qiu, Liang-Wan Chen

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Lin-Feng XieDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, P.R. China.
Yu-Ling XieDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, P.R. China.
Qing-Song WuDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, P.R. China.
Jian HeDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, P.R. China.
Xin-Fan LinDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, P.R. China.
Zhi-Huang QiuDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, P.R. China.
Liang-Wan ChenDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, P.R. China.ORCID 0000-0002-9359-4754
Fujian Medical University · CN

Funding

Fujian Provincial Center for Cardiovascular Medicine Construction Project 2021-76Key Laboratory of Cardio-Thoracic Surgery (Fujian Medical University), Fujian Province University Construction Project 2019-67Startup Fund for Scientific Research, Fujian Medical University 2022QH2019
6 · The paper itself

Abstract

Acute type A aortic dissection (AAAD) has a high probability of postoperative adverse outcomes (PAO) after emergency surgery, so exploring the risk factors for PAO during hospitalization is key to reducing postoperative mortality and improving prognosis. An artificial intelligence approach was used to build a predictive model of PAO by clinical data-driven machine learning to predict the incidence of PAO after total arch repair for AAAD. This study included 380 patients with AAAD. The clinical features that are associated with PAO were selected using the LASSO regression analysis. Six different machine learning algorithms were tried for modeling, and the performance of each model was analyzed comprehensively using receiver operating characteristic curves, calibration curve, precision recall curve, and decision analysis curves. Explain the optimal model through Shapley Additive Explanation (SHAP) and perform an individualized risk assessment. After comprehensive analysis, the authors believe that the extreme gradient boosting (XGBoost) model is the optimal model, with better performance than other models. The authors successfully built a prediction model for PAO in AAAD patients based on the XGBoost algorithm and interpreted the model with the SHAP method, which helps to identify high-risk AAAD patients at an early stage and to adjust individual patient-related clinical treatment plans in a timely manner.

Indexed as

Aortic DissectionHypertensionAlgorithmsArtificial IntelligenceHumansMachine Learningacute type A aortic dissectionartificial intelligencemachine learningpostoperative adverse outcomestriple-branched stent graft

Identifiers

PMID38341621
PMCPMC10918704
OpenAlexW4391734504

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.