Evidence map›Paper›PMID 36899986›Full record

ArticleDiagnostics (Basel, Switzerland)2023

XGBoost-Based Simple Three-Item Model Accurately Predicts Outcomes of Acute Ischemic Stroke.

Chen-Chih Chung, Emily Chia-Yu Su, Jia-Hung Chen, Yi-Tui Chen, Chao-Yang Kuo

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Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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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

5 authors.

Chen-Chih ChungDepartment of Neurology, Taipei Medical University-Shuang Ho Hospital, New Taipei City 235, Taiwan.ORCID 0000-0001-6743-6667
Emily Chia-Yu SuGraduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei City 110, Taiwan.ORCID 0000-0003-4801-5159
Jia-Hung ChenDepartment of Neurology, Taipei Medical University-Shuang Ho Hospital, New Taipei City 235, Taiwan.ORCID 0000-0002-7982-0612
Yi-Tui ChenSmart Healthcare Interdisciplinary College, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan.ORCID 0000-0001-7362-1965
Chao-Yang KuoSmart Healthcare Interdisciplinary College, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan.ORCID 0000-0001-8867-5683

Funding

Taipei Medical University TMU111-AE1-B23
6 · The paper itself

Abstract

An all-inclusive and accurate prediction of outcomes for patients with acute ischemic stroke (AIS) is crucial for clinical decision-making. This study developed extreme gradient boosting (XGBoost)-based models using three simple factors-age, fasting glucose, and National Institutes of Health Stroke Scale (NIHSS) scores-to predict the three-month functional outcomes after AIS. We retrieved the medical records of 1848 patients diagnosed with AIS and managed at a single medical center between 2016 and 2020. We developed and validated the predictions and ranked the importance of each variable. The XGBoost model achieved notable performance, with an area under the curve of 0.8595. As predicted by the model, the patients with initial NIHSS score > 5, aged over 64 years, and fasting blood glucose > 86 mg/dL were associated with unfavorable prognoses. For patients receiving endovascular therapy, fasting glucose was the most important predictor. The NIHSS score at admission was the most significant predictor for those who received other treatments. Our proposed XGBoost model showed a reliable predictive power of AIS outcomes using readily available and simple predictors and also demonstrated the validity of the model for application in patients receiving different AIS treatments, providing clinical evidence for future optimization of AIS treatment strategies.

Indexed as

acute ischemic strokeglucosemachine learningNIHSSprognosisXGBoost

Identifiers

PMID36899986
PMCPMC10000880

What Socratic 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 Socratic graph.