Evidence map›Paper›PMID 39833976›Full record

ArticleCritical care (London, England)2025

Interpretable machine learning model for outcome prediction in patients with aneurysmatic subarachnoid hemorrhage.

Masamichi Moriya, Kenji Karako, Shogo Miyazaki, Shin Minakata, Shuhei Satoh, Yoko Abe, Shota Suzuki, Shohei Miyazato, Hikaru Takara

Abstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
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  10. Machine learning modeling for outcome prediction of hospitalized patients with aneurysmal subarachnoid hemorrhage.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
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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

9 authors.

Masamichi MoriyaDepartment of Anesthesiology and Critical Care Medicine, Yokohama City University School of Medicine, Yokohama, Kanagawa, Japan. moriya.mas.hi@yokohama-cu.ac.jp.
Kenji KarakoDepartment of Human and Engineered Environmental Studies Graduate School of Frontier Sciences, The University of Tokyo, Kashiwa, Japan.
Shogo MiyazakiDepartment of Acupuncture and Moxibustion, Faculty of Health Care, Teikyo Heisei University, Tokyo, Japan.
Shin MinakataDepartment of Rehabilitation Medicine, Akita University Hospital, Akita, Japan.
Shuhei SatohDepartment of Rehabilitation, Akita Cerebrospinal and Cardiovascular Center, Akita, Japan.
Yoko AbeDepartment of Rehabilitation, Sapporo Shiroishi Memorial Hospital, Hokkaido, Japan.
Shota SuzukiDepartment of Rehabilitation, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Shohei MiyazatoDepartment of Rehabilitation, Naha City Hospital, 2-31-1, Furujima, Naha city, Okinawa, Japan.
Hikaru TakaraDepartment of Rehabilitation, Naha City Hospital, 2-31-1, Furujima, Naha city, Okinawa, Japan.

Funding

JSPS KAKENHI under Grant 22H03979
6 · The paper itself

Abstract

backgroundAneurysmatic subarachnoid hemorrhage (aSAH) is a critical condition associated with significant mortality rates and complex rehabilitation challenges. Early prediction of functional outcomes is essential for optimizing treatment strategies.

methodsA multicenter study was conducted using data collected from 718 patients with aSAH who were treated at five hospitals in Japan. A deep learning model was developed to predict outcomes based on modified Rankin Scale scores using pretherapy clinical data collected from admission to the initiation of physical therapy. The model's performance was assessed using the area under the curve, and interpretability was enhanced using SHapley Additive exPlanations (SHAP). Logistic regression analysis was also performed for further validation.

resultsThe area under the receiver operating characteristic curve of the model was 0.90, with age, World Federation of Neurosurgical Societies grade, and higher brain dysfunction identified as key predictors. SHAP analysis supported the importance of these features in the prediction model, and logistic regression analysis further confirmed the model's robustness.

conclusionsThe novel deep learning model demonstrated strong predictive performance in determining functional outcomes in patients with aSAH, making it a valuable tool for guiding early rehabilitation strategies.

Indexed as

Machine LearningOutcome Assessment, Health CareSubarachnoid HemorrhageAdultAgedFemaleHumansJapanLogistic ModelsMaleMiddle AgedPrognosisROC CurveAneurysmal subarachnoid hemorrhage (aSAH)Brain diseasesMachine learningPhysical therapyRehabilitationSHapley Additive exPlanations (SHAP)

Identifiers

PMID39833976
PMCPMC11748879

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.