Evidence map›Paper›PMID 37375609›Full record

ArticleNutrients2023

Using Machine-Learning to Assess the Prognostic Value of Early Enteral Feeding Intolerance in Critically Ill Patients: A Retrospective Study.

Orit Raphaeli, Liran Statlender, Chen Hajaj, Itai Bendavid, Anat Goldstein, Eyal Robinson, Pierre Singer

Abstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Use of Machine Learning Models to Predict Microaspiration Measured by Tracheal Pepsin A.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025
    Article
  9. Article
  10. Role of artificial intelligence in critical care nutrition support and research.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2024
    Review
  11. Article
  12. Feeding Intolerance in Critically Ill Patients with Enteral Nutrition: A Meta-Analysis and Systematic Review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024
    Review
  13. 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

7 authors.

Orit RaphaeliIndustrial Engineering and Management, Ariel University, Ariel 40700, Israel.ORCID 0000-0001-7465-9674
Liran StatlenderIntensive Care Unit, Beilinson Hospital, Rabin Medical Center, Petah Tikva 4941492, Israel.
Chen HajajIndustrial Engineering and Management, Ariel University, Ariel 40700, Israel.ORCID 0000-0001-9940-5654
Itai BendavidIntensive Care Unit, Beilinson Hospital, Rabin Medical Center, Petah Tikva 4941492, Israel.
Anat GoldsteinIndustrial Engineering and Management, Ariel University, Ariel 40700, Israel.
Eyal RobinsonIntensive Care Unit, Beilinson Hospital, Rabin Medical Center, Petah Tikva 4941492, Israel.
Pierre SingerInstitute for Nutrition Research, Beilinson Hospital, Rabin Medical Center, Petah Tikva 4941492, Israel.

Funding

Fresenius (Germany) A1
6 · The paper itself

Abstract

backgroundThe association between gastrointestinal intolerance during early enteral nutrition (EN) and adverse clinical outcomes in critically ill patients is controversial. We aimed to assess the prognostic value of enteral feeding intolerance (EFI) markers during early ICU stays and to predict early EN failure using a machine learning (ML) approach.

methodsWe performed a retrospective analysis of data from adult patients admitted to Beilinson Hospital ICU between January 2011 and December 2018 for more than 48 h and received EN. Clinical data, including demographics, severity scores, EFI markers, and medications, along with 72 h after admission, were analyzed by ML algorithms. Prediction performance was assessed by the area under the receiver operating characteristics (AUCROC) of a ten-fold cross-validation set.

resultsThe datasets comprised 1584 patients. The means of the cross-validation AUCROCs for 90-day mortality and early EN failure were 0.73 (95% CI 0.71-0.75) and 0.71 (95% CI 0.67-0.74), respectively. Gastric residual volume above 250 mL on the second day was an important component of both prediction models.

conclusionsML underlined the EFI markers that predict poor 90-day outcomes and early EN failure and supports early recognition of at-risk patients. Results have to be confirmed in further prospective and external validation studies.

Indexed as

Critical IllnessEnteral NutritionAdultHospitalizationHumansInfant, NewbornPrognosisRetrospective Studiesenteral feeding intoleranceenteral nutritiongastrointestinal intolerancemachine learningprediction models

Identifiers

PMID37375609
PMCPMC10305247

What Socratic holds

Textmetadata
LicenceCC BY
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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.