Evidence map›Paper›PMID 39702050›Full record

SynthesisBMC cardiovascular disorders2024

Using artificial intelligence to predict post-operative outcomes in congenital heart surgeries: a systematic review.

Ida Mohammadi, Shahryar Rajai Firouzabadi, Melika Hosseinpour, Mohammadhosein Akhlaghpasand, Bardia Hajikarimloo, Sam Zeraatian-Nejad, Peyman Sardari Nia

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ida MohammadiCardiovascular Surgery Research and Development Committee, Iran University of Medical Sciences (IUMS), PO box 14665-354, Tehran, Iran.
Shahryar Rajai FirouzabadiCardiovascular Surgery Research and Development Committee, Iran University of Medical Sciences (IUMS), PO box 14665-354, Tehran, Iran.
Melika HosseinpourCardiovascular Surgery Research and Development Committee, Iran University of Medical Sciences (IUMS), PO box 14665-354, Tehran, Iran.
Mohammadhosein AkhlaghpasandCardiovascular Surgery Research and Development Committee, Iran University of Medical Sciences (IUMS), PO box 14665-354, Tehran, Iran. Akhlaghpasandm@yahoo.com.
Bardia HajikarimlooCardiovascular Surgery Research and Development Committee, Iran University of Medical Sciences (IUMS), PO box 14665-354, Tehran, Iran.
Sam Zeraatian-NejadCardiovascular Surgery Research and Development Committee, Iran University of Medical Sciences (IUMS), PO box 14665-354, Tehran, Iran.
Peyman Sardari NiaDepartment of Cardiothoracic Surgery, Maastricht University Medical Centre, Maastricht, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCongenital heart disease (CHD) represents the most common group of congenital anomalies, constitutes a significant contributor to the burden of non-communicable diseases, highlighting the critical need for improved risk assessment tools. Artificial intelligence (AI) holds promise in enhancing outcome predictions for congenital cardiac surgery. This study aims to systematically review the utilization of AI in predicting post-operative outcomes in this population.

methodsFollowing PRISMA guidelines, a comprehensive search of Pubmed, Scopus, and Web of Science databases was conducted. Two independent reviewers screened articles based on predefined criteria. Included studies focused on AI models predicting various post-operative outcomes in congenital heart surgery.

resultsThe review included 35 articles, primarily published within the last four years, indicating growing interest in AI applications. Models predominantly targeted mortality and survival (n = 16), prolonged length of hospital or ICU stay (n = 7), postoperative complications (n = 6), prolonged mechanical ventilatory support time (n = 4), with additional focus on specific outcomes such as peri-ventricular leucomalacia (n = 2) and malnutrition (n = 1). Performance metrics, such as area under the curve (AUC), ranged from 0.52 to 0.997. Notably, these AI models consistently outperformed traditional risk stratification categories. For instance, in assessing the risk of morbidity and mortality, the AI models demonstrated superior performance compared to conventional methods.

conclusionAI-driven prediction models show significant promise in improving outcome predictions for congenital heart surgery. They surpass traditional risk prediction tools not only in immediate postoperative risks but also in long-term outcomes such as 1-year survival and malnutrition. Further studies with robust external validation are necessary to assess the practical applicability of these models in clinical settings. The protocol of this review was prospectively registered on PROSPERO (CRD42024550942).

Indexed as

Artificial IntelligenceCardiac Surgical ProceduresHeart Defects, CongenitalPostoperative ComplicationsPredictive Value of TestsAdolescentAdultChildChild, PreschoolDecision Support TechniquesFemaleHumansInfantInfant, NewbornMaleRisk AssessmentArtificial IntelligenceCardiac SurgeryCongenital Heart DefectsMachine Learning

Identifiers

PMID39702050
PMCPMC11660586

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.