Evidence map›Paper›PMID 40109376›Full record

ArticleiScience2025

A machine learning-based model to predict intravenous immunoglobulin resistance in Kawasaki disease.

Yuhan Xia, Yuezhong Huang, Min Gong, Weirong Liu, Yuanhui Meng, Huiyang Wu, Hui Zhang, Hao Zhang, Luyi Weng, Xiao-Li Chen and 5 more

Abstract read
In one paragraph

Article in iScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

15 authors.

Yuhan XiaZhejiang Provincial Clinical Research Center for Pediatric Precision Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yuezhong HuangZhejiang Provincial Clinical Research Center for Pediatric Precision Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Min GongDepartment of Pediatrics, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Weirong LiuDepartment of Pediatrics, People's Hospital of Shaoxing, Shaoxing, China.
Yuanhui MengChildren's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Huiyang WuChildren's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Hui ZhangChildren's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Hao ZhangChildren's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Luyi WengChildren's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Xiao-Li ChenZhejiang Provincial Clinical Research Center for Pediatric Precision Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Huixian QiuChildren's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Xing RongChildren's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Rongzhou WuChildren's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Maoping ChuZhejiang Provincial Clinical Research Center for Pediatric Precision Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xiu-Feng HuangZhejiang Provincial Clinical Research Center for Pediatric Precision Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate prediction of intravenous immunoglobulin (IVIG) resistance is crucial for the effective treatment of Kawasaki disease(KD). This study aimed to develop a predictive model for IVIG resistance in patients with Kawasaki disease and to identify the key predictors. The training set underwent cross-validation, and models were constructed using six machine learning algorithms. Model performance was validated through cross-validation, test set evaluation, and two external validation sets evaluation. The model constructed using the random forest algorithm demonstrated the best overall performance among six models. The areas under the receiver operating characteristic curve (AUCs) for 5-fold cross-validation, internal validation, and external validations from Shaoxing and Quzhou were 0.711, 0.751, 0.827, and 0.735, respectively. According to the Shapley additive explanation (SHAP) method, C-reactive protein-to-albumin ratio, prognostic nutritional index, and sex were identified as the most important predictors. Our model demonstrates strong predictive capability for assessing IVIG resistance in Kawasaki disease patients.

Indexed as

Cardiovascular medicineMachine learning

Identifiers

PMID40109376
PMCPMC11919596

What OpenQuestion holds

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Registered trials

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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.