Evidence map›Paper›PMID 36596268›Full record

ArticleClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Artificial Intelligence-Based Prediction of Lower Extremity Deep Vein Thrombosis Risk After Knee/Hip Arthroplasty.

Xinguang Wang, Hanxu Xi, Xiao Geng, Yang Li, Minwei Zhao, Feng Li, Zijian Li, Hong Ji, Hua Tian

Open access · goldAbstract read
In one paragraph

Article in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
6.6field-weighted citation impact, top 2% of its field
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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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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 at 1 institution in 1 country.

Xinguang WangDepartment of Orthopedics, 66482Peking University Third Hospital, Beijing, China.
Hanxu XiInformation Management and Big Data Centre, 66482Peking University Third Hospital, Beijing, China.
Xiao GengDepartment of Orthopedics, 66482Peking University Third Hospital, Beijing, China.
Yang LiDepartment of Orthopedics, 66482Peking University Third Hospital, Beijing, China.
Minwei ZhaoDepartment of Orthopedics, 66482Peking University Third Hospital, Beijing, China.
Feng LiDepartment of Orthopedics, 66482Peking University Third Hospital, Beijing, China.
Zijian LiDepartment of Orthopedics, 66482Peking University Third Hospital, Beijing, China.
Hong JiInformation Management and Big Data Centre, 66482Peking University Third Hospital, Beijing, China.
Hua TianDepartment of Orthopedics, 66482Peking University Third Hospital, Beijing, China.ORCID 0000-0001-7139-3372
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep vein thrombosis (DVT) is a common postoperative complication of knee/hip arthroplasty. There is a continued need for artificial intelligence-based methods of predicting lower extremity DVT risk after knee/hip arthroplasty. In this study, we performed a retrospective study to analyse the data from patients who underwent primary knee/hip arthroplasty between January 2017 and December 2021 with postoperative bilateral lower extremity venous ultrasonography. Patients' features were extracted from electronic health records (EHRs) and assigned to the training (80%) and test (20%) datasets using six models: eXtreme gradient boosting, random forest, support vector machines, logistic regression, ensemble, and backpropagation neural network. The Caprini score was calculated according to the Caprini score measurement scale, and the corresponding optimal cut-off Caprini score was calculated according to the largest Youden index. In total, 6897 cases of knee/hip arthroplasty were included (average age, 65.5 ± 8.9 years; 1702 men), among which 1161 (16.8%) were positive and 5736 (83.2%) were negative for deep vein thrombosis. Among the six models, the ensemble model had the highest area under the curve [0.9206 (0.8956, 0.9364)], with a sensitivity, specificity, positive predictive value, negative predictive value, and F1 score of 0.8027, 0.9059, 0.6100, 0.9573 and 0.7003, respectively. The corresponding optimal cut-off Caprini score was 10, with an area under the curve, sensitivity, specificity, positive predictive value, and negative predictive values of 0.5703, 0.8915, 0.2491, 0.1937, 0.9191, and 0.3183, respectively. In conclusion, machine learning models based on EHRs can help predict the risk of deep vein thrombosis after knee/hip arthroplasty.

Indexed as

Arthroplasty, Replacement, HipVenous ThrombosisAgedArtificial IntelligenceHumansLower ExtremityMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk Factorsarthroplastyartificial intelligencedeep vein thrombosis

Identifiers

PMID36596268
PMCPMC9830569
OpenAlexW4313452686

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.