Evidence map›Paper›PMID 38459085›Full record

ArticleScientific reports2024

A hybrid modeling framework for generalizable and interpretable predictions of ICU mortality across multiple hospitals.

Moein E Samadi, Jorge Guzman-Maldonado, Kateryna Nikulina, Hedieh Mirzaieazar, Konstantin Sharafutdinov, Sebastian Johannes Fritsch, Andreas Schuppert

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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.

Moein E SamadiInstitute for Computational Biomedicine, RWTH Aachen University, Aachen, Germany. moein.samadi@rwth-aachen.de.
Jorge Guzman-MaldonadoInstitute for Computational Biomedicine, RWTH Aachen University, Aachen, Germany.
Kateryna NikulinaInstitute for Computational Biomedicine, RWTH Aachen University, Aachen, Germany.
Hedieh MirzaieazarInstitute for Computational Biomedicine, RWTH Aachen University, Aachen, Germany.
Konstantin SharafutdinovInstitute for Computational Biomedicine, RWTH Aachen University, Aachen, Germany.
Sebastian Johannes FritschDepartment of Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Andreas SchuppertInstitute for Computational Biomedicine, RWTH Aachen University, Aachen, Germany.

Funding

Bundesministerium für Bildung und Forschung 01ZZ1803B
6 · The paper itself

Abstract

The development of reliable mortality risk stratification models is an active research area in computational healthcare. Mortality risk stratification provides a standard to assist physicians in evaluating a patient's condition or prognosis objectively. Particular interest lies in methods that are transparent to clinical interpretation and that retain predictive power once validated across diverse datasets they were not trained on. This study addresses the challenge of consolidating numerous ICD codes for predictive modeling of ICU mortality, employing a hybrid modeling approach that integrates mechanistic, clinical knowledge with mathematical and machine learning models . A tree-structured network connecting independent modules that carry clinical meaning is implemented for interpretability. Our training strategy utilizes graph-theoretic methods for data analysis, aiming to identify the functions of individual black-box modules within the tree-structured network by harnessing solutions from specific max-cut problems. The trained model is then validated on external datasets from different hospitals, demonstrating successful generalization capabilities, particularly in binary-feature datasets where label assessment involves extrapolation.

Indexed as

HospitalsMachine LearningHumansIntensive Care UnitsPrognosisGeneralizabilityHybrid modelingICD codesICU mortality predictionInterpretabilityMachine learning

Identifiers

PMID38459085
PMCPMC10923850

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.