Evidence map›Paper›PMID 38991090›Full record

ArticleJMIR formative research2024

Machine Learning Model for Anesthetic Risk Stratification for Gynecologic and Obstetric Patients: Cross-Sectional Study Outlining a Novel Approach for Early Detection.

Feng-Fang Tsai, Yung-Chun Chang, Yu-Wen Chiu, Bor-Ching Sheu, Min-Huei Hsu, Huei-Ming Yeh

Abstract read
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Article in JMIR formative research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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.

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Feng-Fang Tsai *Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-2390-3248
Yung-Chun Chang *Graduate Institute of Data Science, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-9634-8380
Yu-Wen ChiuGraduate Institute of Data Science, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-4121-3929
Bor-Ching SheuMedical Research Department, College of Medicine, National Taiwan University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-1278-6082
Min-Huei Hsu *Graduate Institute of Data Science, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-3607-2463
Huei-Ming Yeh *Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-0077-3284

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreoperative evaluation is important, and this study explored the application of machine learning methods for anesthetic risk classification and the evaluation of the contributions of various factors. To minimize the effects of confounding variables during model training, we used a homogenous group with similar physiological states and ages undergoing similar pelvic organ-related procedures not involving malignancies.

objectiveData on women of reproductive age (age 20-50 years) who underwent gestational or gynecological surgery between January 1, 2017, and December 31, 2021, were obtained from the National Taiwan University Hospital Integrated Medical Database.

methodsWe first performed an exploratory analysis and selected key features. We then performed data preprocessing to acquire relevant features related to preoperative examination. To further enhance predictive performance, we used the log-likelihood ratio algorithm to generate comorbidity patterns. Finally, we input the processed features into the light gradient boosting machine (LightGBM) model for training and subsequent prediction.

resultsA total of 10,892 patients were included. Within this data set, 9893 patients were classified as having low anesthetic risk (American Society of Anesthesiologists physical status score of 1-2), and 999 patients were classified as having high anesthetic risk (American Society of Anesthesiologists physical status score of >2). The area under the receiver operating characteristic curve of the proposed model was 0.6831.

conclusionsBy combining comorbidity information and clinical laboratory data, our methodology based on the LightGBM model provides more accurate predictions for anesthetic risk classification.

trial registrationResearch Ethics Committee of the National Taiwan University Hospital 202204010RINB; https://www.ntuh.gov.tw/RECO/Index.action.

Indexed as

American Society of Anesthesiologistsanesthetic riskartificial intelligenceASA classificationclinical laboratory datacomorbidityearly detectiongestationalgradient boosting machinegynecological and obstetric proceduregynecologylaboratory datamachine learningmachine learning modelobstetricsphysiologicalpreoperative evaluationriskrisk classification

Identifiers

PMID38991090
PMCPMC11375379

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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.