Evidence map›Paper›PMID 40155935›Full record

ArticleBMC medical informatics and decision making2025

Developing a high-performance AI model for spontaneous intracerebral hemorrhage mortality prediction using machine learning in ICU settings.

Xiao-Han Vivian Yap, Kuan-Chi Tu, Nai-Ching Chen, Che-Chuan Wang, Chia-Jung Chen, Chung-Feng Liu, Tee-Tau Eric Nya, Ching-Lung Kuo

Erratum issuedAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2025. 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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Xiao-Han Vivian Yap *Department of Neurosurgery, Chi Mei Medical Center, Tainan, 710402, Taiwan.
Kuan-Chi Tu *Department of Neurosurgery, Chi Mei Medical Center, Tainan, 710402, Taiwan.
Nai-Ching ChenDepartment of Nursing, Chi Mei Medical Center, Tainan, 710402, Taiwan.
Che-Chuan WangDepartment of Neurosurgery, Chi Mei Medical Center, Tainan, 710402, Taiwan.
Chia-Jung ChenDepartment of Information Systems, Chi Mei Medical Center, Tainan, 710402, Taiwan.
Chung-Feng LiuDepartment of Medical Research, Chi Mei Medical Center, Tainan, 710402, Taiwan.
Tee-Tau Eric Nya *Department of Neurosurgery, Chi Mei Medical Center, Tainan, 710402, Taiwan. ronaldowen@gmail.com.
Ching-Lung Kuo *Department of Neurosurgery, Chi Mei Medical Center, Tainan, 710402, Taiwan. kuojinnrung@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpontaneous intracerebral hemorrhage (SICH) is a devastating condition that significantly contributes to high mortality rates. This study aims to construct a mortality prediction model for patients with SICH using four various artificial intelligence (AI) machine learning algorithms.

methodA retrospective analysis was conducted on electronic medical records of SICH patients aged 20 and above, admitted to Chi Mei Medical Center’s intensive care unit between January 2016 and December 2021. The study utilized 37 features related to mortality. Predictive models were developed using logistic regression, Random forest, LightGBM, XGBoost, and Multi-layer Perceptron (MLP), with assessments of feature importance, and Area under the curve (AUC).

resultsA total of 1451 SICH patients were enrolled. Factors associated with mortality included lower initial GCS scores (p < 0.001), pupillary changes (P < 0.001), kidney disease (p < 0.001), and respiratory failure requiring intubation (p < 0.001). Negative correlations were observed between mortality and pupil light reflexes, as well as GCS components E(r=-0.4602), V (r=-0.4132), M(r=-0.4082). Positive correlations were identified with vasopressors (r = 0.4464), FiO2 (r = 0.3901), and sedative-hypnotic drugs (r = 0.1178). XGBoost demonstrated the best predictive performance (AUC = 0.913), outperforming LR (0.899), RF (0.905), LightGBM (0.909), and MLP (0.892). The XGBoost model, utilizing both 18 and 36 features, continues to outperform both the Acute Physiology and Chronic Health Evaluation (APACHE II) (p < 0.001) and Sequential Organ Failure Assessment (SOFA) scoring systems (p < 0.001).

conclusionThis study successfully developed an AI mortality prediction model for SICH patients, with XGBoost exhibiting superior performance. The model, incorporating 18 key features, has been integrated into clinical practice assisting clinicians in treatment decisions and communication with patients’ families.

Indexed as

Cerebral HemorrhageIntensive Care UnitsMachine LearningAdultAgedBoosting Machine Learning AlgorithmsClassification AlgorithmsFemaleHumansMaleMiddle AgedPrediction AlgorithmsPredictive Learning ModelsRandom ForestRetrospective StudiesArtificial intelligenceIntensive care unitMortalitySpontaneous intracrebral hemorrhage

Identifiers

PMID40155935
PMCPMC11951645

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LicenceCC BY-NC-ND
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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.