Evidence map›Paper›PMID 39976638›Full record

ArticleClinical cardiology2025

The Scoring Model to Predict ICU Stay and Mortality After Emergency Admissions in Atrial Fibrillation: A Retrospective Study of 30 366 Patients.

Tao Hong, Jian Huang, Jiewen Deng, Lirong Kuang, Mengyan Sun, Qianqian Wang, Chao Luo, Jikai Zhao, Xiaozhu Liu, Huishan Wang

Abstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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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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

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Tao HongPostgraduate College, Dalian Medical University, Dalian, China.
Jian HuangDepartment of Diagnostic Ultrasound, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, Hangzhou, China.
Jiewen DengDepartment of Neurosurgery, Xiushan People's Hospital, Chongqing, China.
Lirong KuangDepartment of Ophthalmology, Wuhan Wuchang Hospital (Wuchang Hospital Affiliated to Wuhan University of Science and Technology), Wuhan, China.
Mengyan SunHarris Manchester College, Oxford, UK.
Qianqian WangCollege of Medical Informatics, Chongqing Medical University, Chongqing, China.
Chao LuoThe People's Hospital of Shayang County, Jingmen, China.
Jikai ZhaoDepartment of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, China.ORCID http://orcid.org/0000-0002-3509-1155
Xiaozhu LiuEmergency and Critical Care Medical Center, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Huishan WangPostgraduate College, Dalian Medical University, Dalian, China.ORCID http://orcid.org/0000-0001-6523-7488

Funding

National Natural Science Foundation of China (82300356) and Natural Science Foundation of Liaoning Province (2023-BS-036).
6 · The paper itself

Abstract

backgroundThe rapid assessment of the conditions is crucial for the prognosis of atrial fibrillation (AF) patients admitted to the emergency department (ED). We aim to derive and validate a more accurate and simplified scoring model to optimize the triage of AF patients in the ED. MATERIALS AND

methodsWe conducted a retrospective study using data from the Medical Information Mart for Intensive Care (MIMIC-IV) database and developed scoring models employing the Random Forest algorithm. The area under the receiver operating characteristic (ROC) curve (AUC) was used to measure the performance of the prediction for intensive care unit (ICU) stay, and the death likelihood within 3, 7, and 30 days following the ED admission.

resultsThe study included 30 366 AF patients, randomly divided into training, validation, and testing cohorts at a 7:1:2 ratio. The training set consisted of 21 257 patients, the validation set included 3036 patients, and the remaining 6073 patients were classified as the validation set. Among the cohorts, 9594 patients (32%) required ICU transfers, with mortality rates of 1% at 3 days, 3% at 7 days, and 6% at 30 days. In the testing set, the scoring models demonstrated strong discriminative ability with AUCs of 0.724 for ICU stay, 0.782 for 3-day mortality, 0.755 for 7-day mortality, and 0.767 for 30-day mortality.

conclusionWe derived and validated novel simplified scoring models with good discriminative performance to predict the likelihood of ICU stay, 3-day, 7-day, and 30-day death in AF patients after ED admission.

Indexed as

Atrial FibrillationEmergency Service, HospitalIntensive Care UnitsLength of StayPatient AdmissionAgedAged, 80 and overFemaleHospital MortalityHumansMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesRisk Assessmentatrial fibrillationemergency triagemachine learningscoring model

Identifiers

PMID39976638
PMCPMC11841604

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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.