Evidence map›Paper›PMID 41458488›Full record

ArticleFrontiers in medicine2025

Development and validation of an interpretable machine learning model for predicting the risk of non-cardiac surgery postoperative heart failure: a multicenter study.

Qing Li, Zizhou Liu, Kunlun He, Yan Zhuang, Junyan Zhang, Bing Wei, Hebin Che, Bo Zhang, Liandi Jiu, Jiayue Li and 2 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Qing Li *Department of Medicine, South China University of Technology, Guangzhou, China.
Zizhou Liu *Department of Medicine, South China University of Technology, Guangzhou, China.
Kunlun HeMedical Innovation Research Department, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Yan ZhuangMedical Innovation Research Department, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Junyan ZhangMedical Innovation Research Department, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Bing WeiDepartment of Medical Informatics, The Sixth Medical Center, Chinese PLA General Hospital, Beijing, China.
Hebin CheMedical Innovation Research Department, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Bo ZhangArtificial Intelligence Institute, Digital Health China Technologies Co. Ltd, Beijing, China.
Liandi JiuArtificial Intelligence Institute, Digital Health China Technologies Co. Ltd, Beijing, China.
Jiayue LiDepartment of Cardiology, The Sixth Medical Centre, Chinese PLA General Hospital, Beijing, China.
Xinyu SongDepartment of Cardiology, The Sixth Medical Centre, Chinese PLA General Hospital, Beijing, China.
Wei DongDepartment of Cardiology, The Sixth Medical Centre, Chinese PLA General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study developed a machine learning model to predict postoperative heart failure (HF) risk in non-cardiac surgery patients. Methods: Using data from 489 patients (109 HF cases, 380 controls), the dataset was split 8:2 into training and testing sets, with under-sampling for class imbalance. Eight algorithms were evaluated, with random forest (RF) performing best. Results: The RF model achieved AUROCs of 0.919 (training) and 0.923 (testing), validated externally (AUC = 0.878). SHAP analysis identified key predictors: age, neutrophil-to-lymphocyte ratio, blood glucose, INR, pulse and serum creatinine (positively associated); serum albumin, MCHC, eGFR and diastolic blood pressure (negatively associated). A web-based tool was developed for clinical use. Conclusion: The model integrates 10 clinical variables reflecting age, inflammation, renal dysfunction, and hemodynamic instability, enabling preoperative risk stratification and guiding targeted interventions to improve perioperative outcomes.

Indexed as

clinical decision supportheart failuremachine learningnon-cardiac surgerypostoperativerisk prediction model

Identifiers

PMID41458488
PMCPMC12738863

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.