Evidence map›Paper›PMID 39131966›Full record

ArticleJournal of the Society for Cardiovascular Angiography & Interventions

Using Machine Learning for Early Prediction of Cardiogenic Shock in Patients With Acute Heart Failure.

Faisal Rahman, Noam Finkelstein, Anton Alyakin, Nisha A Gilotra, Jeff Trost, Steven P Schulman, Suchi Saria

Abstract read
In one paragraph

Article in Journal of the Society for Cardiovascular Angiography & Interventions. 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
–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

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Profiling of Cardiogenic Shock: Incorporating Machine Learning Into Bedside Management.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Review
  6. Review
  7. Hemodynamic management of cardiogenic shock in the intensive care unit.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Review
  8. Article
  9. Review
  10. Review
  11. Early Prediction of Cardiogenic Shock Using Machine Learning.Frontiers in cardiovascular medicine · 2022
    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.

Faisal RahmanDepartment of Cardiology, Baylor College of Medicine, Houston, Texas.
Noam FinkelsteinDepartment of Computer Science, Johns Hopkins University, Baltimore, Maryland.
Anton AlyakinDepartment of Applied Mathematics and Statistics, Johns Hopkins University, Baltimore, Maryland.
Nisha A GilotraDepartment of Cardiology, Baylor College of Medicine, Houston, Texas.
Jeff TrostDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Steven P SchulmanDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Suchi SariaDepartments of Computer Science, Applied Mathematics and Statistics, and Health Policy and Management, Johns Hopkins University, Baltimore, Maryland.

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
NHLBI NIH HHS T32 HL007024
6 · The paper itself

Abstract

Background: Despite technological and treatment advancements over the past 2 ​decades, cardiogenic shock (CS) mortality has remained between 40% and 60%. Our objective was to develop an algorithm that can continuously monitor heart failure patients and partition them into cohorts of high and low risk for CS. Methods: We retrospectively studied 24,461 patients hospitalized with acute decompensated heart failure, 265 of whom developed CS, in the Johns Hopkins Health System. Our cohort identification approach is based on logistic regression and makes use of vital signs, lab values, and medication administrations recorded during the normal course of care. Results: Our algorithm identified patients at high risk of CS. Patients in the high-risk cohort had 10.2 times (95% confidence interval, 6.1-17.2) higher prevalence of CS than those in the low-risk cohort. Patients who experienced CS while in the high-risk cohort were first deemed high risk a median of 1.7 ​days (interquartile range, 0.8-4.6) before CS diagnosis was made by their clinical team. To evaluate Conclusions: This risk model was able to predict patients at higher risk of CS in a time frame that allowed a change in clinical care. The actionability evaluation demonstrates a possible opportunity to intervene as part of a CS algorithm for escalation of care.

Indexed as

Acute decompensated heart failurecardiogenic shockmachine learningrisk prediction

Identifiers

PMID39131966
PMCPMC11307874

What OpenQuestion holds

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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.