Evidence map›Paper›PMID 38580767›Full record

ArticleScientific reports2024

Refining outcome prediction after traumatic brain injury with machine learning algorithms.

D Bark, M Boman, B Depreitere, D W Wright, A Lewén, P Enblad, A Hånell, E Rostami

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

8 authors.

D BarkDepartment of Medical Sciences Neurosurgery, Uppsala University, Uppsala, Sweden.
M BomanDivision of Clinical Epidemiology, Department of Medicine Solna, Stockholm, Sweden.
B DepreitereDepartment of Neurosurgery, University Hospitals Leuven, Leuven, Belgium.
D W WrightDepartment of Emergency Medicine, Emory University, Atlanta, Georgia.
A LewénDepartment of Medical Sciences Neurosurgery, Uppsala University, Uppsala, Sweden.
P EnbladDepartment of Medical Sciences Neurosurgery, Uppsala University, Uppsala, Sweden.
A Hånell *Department of Medical Sciences Neurosurgery, Uppsala University, Uppsala, Sweden.
E Rostami *Department of Medical Sciences Neurosurgery, Uppsala University, Uppsala, Sweden. elham.rostami@neuro.uu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outcome after traumatic brain injury (TBI) is typically assessed using the Glasgow outcome scale extended (GOSE) with levels from 1 (death) to 8 (upper good recovery). Outcome prediction has classically been dichotomized into either dead/alive or favorable/unfavorable outcome. Binary outcome prediction models limit the possibility of detecting subtle yet significant improvements. We set out to explore different machine learning methods with the purpose of mapping their predictions to the full 8 grade scale GOSE following TBI. The models were set up using the variables: age, GCS-motor score, pupillary reaction, and Marshall CT score. For model setup and internal validation, a total of 866 patients could be included. For external validation, a cohort of 369 patients were included from Leuven, Belgium, and a cohort of 573 patients from the US multi-center ProTECT III study. Our findings indicate that proportional odds logistic regression (POLR), random forest regression, and a neural network model achieved accuracy values of 0.3-0.35 when applied to internal data, compared to the random baseline which is 0.125 for eight categories. The models demonstrated satisfactory performance during external validation in the data from Leuven, however, their performance were not satisfactory when applied to the ProTECT III dataset.

Indexed as

Brain Injuries, TraumaticGlasgow Coma ScaleGlasgow Outcome ScaleHumansMachine LearningPrognosis

Identifiers

PMID38580767
PMCPMC10997790

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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.