Evidence map›Paper›PMID 38449678›Full record

ArticleDigital health

Effectiveness of a diagnostic algorithm for dengue based on an artificial neural network.

Carmen Alicia Ruiz Valdez, Olga María Alejo Martínez, Brenda Leticia Rocha Reyes, Porfirio Felipe Hernández Bautista, David Alejandro Cabrera Gaytán, Alfonso Vallejos Parás, Lumumba Arriaga Nieto, Leticia Jaimes Betancourt, Alejandro Moctezuma Paz, Mónica Grisel Rivera Mahey and 2 more

Abstract read
In one paragraph

Article in Digital health. 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

12 authors.

Carmen Alicia Ruiz ValdezHospital General Regional No. 1 Obregón, Instituto Mexicano del Seguro Social, Obregón, México.
Olga María Alejo MartínezHospital General Regional No. 1 Obregón, Instituto Mexicano del Seguro Social, Obregón, México.
Brenda Leticia Rocha ReyesUnidad Médica de Alta Especialidad, Hospital de Especialidades 2, Instituto Mexicano del Seguro Social, Obregón, México.
Porfirio Felipe Hernández BautistaCoordinación de Calidad de Insumos y Laboratorios Especializados, Instituto Mexicano del Seguro Social, Ciudad de México, México.
David Alejandro Cabrera GaytánCoordinación de Calidad de Insumos y Laboratorios Especializados, Instituto Mexicano del Seguro Social, Ciudad de México, México.ORCID https://orcid.org/0000-0001-5314-4786
Alfonso Vallejos ParásCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Lumumba Arriaga NietoCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Leticia Jaimes BetancourtUnidad de Medicina Familiar No. 7, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Alejandro Moctezuma PazCoordinación de Investigación en Salud, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Mónica Grisel Rivera MaheyCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Gabriel Valle AlvaradoCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Brenda Ivett Velez GarcíaCoordinación de Calidad de Insumos y Laboratorios Especializados, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Dengue is a disease with a wide clinical spectrum. The early identification of dengue cases is crucial but challenging for health professionals; therefore, it is necessary to have effective diagnostic instruments to initiate timely care. Objective: To evaluate the effectiveness of an algorithm based on an artificial neural network (ANN) to diagnose dengue in an endemic area. Methods: A single-center case-control study was conducted in a secondary-care hospital in Ciudad Obregón, Sonora. An algorithm was built with the official operational definitions, which was called the "direct algorithm," and for the ANN algorithm, the brain.js library was used. The data analysis was performed with the diagnostic tests of sensitivity, specificity, positive predictive value (ppv), and negative predictive value (npv), with 95% confidence intervals and Cohen's kappa index. Results: A total of 233 cases and 233 controls from 2022 were included. The ANN presented a sensitivity of 0.90 (95% CI [0.85, 0.94]), specificity of 0.82 (95% CI [0.77, 0.87]), npv of 0.91 (95% CI [0.87, 0.94]) and ppv of 0.81 (95% CI [0.76, 0.85]) and a kappa of 0.72. The direct algorithm had a sensitivity of 0.97 (95% CI [0.94, 0.99]), specificity of 0.96 (95% CI [0.92, 0.98]), npv 0.97 (95% CI [0.94, 0.98]), ppv 0.96 (95% CI [0.93, 0.98]) and kappa 0.93. Conclusions: The direct algorithm performed better than the ANN in the diagnosis of dengue.

Indexed as

algorithmartificial neural networkDenguediagnosis

Identifiers

PMID38449678
PMCPMC10916463

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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.