Evidence map›Paper›PMID 38369749›Full record

ArticleRenal failure2024

Machine learning-based prediction of in-hospital mortality for critically ill patients with sepsis-associated acute kidney injury.

Tianyun Gao, Zhiqiang Nong, Yuzhen Luo, Manqiu Mo, Zhaoyan Chen, Zhenhua Yang, Ling Pan

Open access · goldAbstract read
In one paragraph

Article in Renal failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
13.5field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 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

7 authors at 1 institution in 1 country.

Tianyun GaoDepartment of Nephrology, The First Affiliated Hospital of Guangxi Medical University, Nanning City, PR China.
Zhiqiang NongDepartment of Nephrology, The First Affiliated Hospital of Guangxi Medical University, Nanning City, PR China.
Yuzhen LuoDepartment of Nephrology, The First Affiliated Hospital of Guangxi Medical University, Nanning City, PR China.
Manqiu MoDepartment of Nephrology, The First Affiliated Hospital of Guangxi Medical University, Nanning City, PR China.
Zhaoyan ChenDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning City, PR China.
Zhenhua YangDepartment of Nephrology, The First Affiliated Hospital of Guangxi Medical University, Nanning City, PR China.
Ling PanDepartment of Nephrology, The First Affiliated Hospital of Guangxi Medical University, Nanning City, PR China.ORCID 0000-0003-3730-1176
Guangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to develop and validate a prediction model in-hospital mortality in critically ill patients with sepsis-associated acute kidney injury (SA-AKI) based on machine learning algorithms.

methodsPatients who met the criteria for inclusion were identified in the Medical Information Mart for Intensive Care-IV (MIMIC-IV) database and divided according to the validation (

resultsA total of 12,196 patients were enrolled in this study. Eleven variables were finally chosen to develop the prediction model. The AUC of the random forest (RF) model was the highest value both in the Ten-fold cross-validation and evaluation (AUC: 0.798, 95% CI: 0.774-0.821). According to the SHAP plots, old age, low Glasgow Coma Scale (GCS) score, high AKI stage, reduced urine output, high Simplified Acute Physiology Score (SAPS II), high respiratory rate, low temperature, low absolute lymphocyte count, high creatinine level, dysnatremia, and low body mass index (BMI) increased the risk of poor prognosis.

conclusionsThe RF model developed in this study is a good predictor of in-hospital mortality for patients with SA-AKI in the intensive care unit (ICU), which may have potential applications in mortality prediction.

Indexed as

Acute Kidney InjurySepsisCritical IllnessHospital MortalityHumansIntensive Care UnitsMachine Learningacute kidney injurymachine learning algorithmsprediction model of prognosisSepsis

Identifiers

PMID38369749
PMCPMC10878338
OpenAlexW4391932283

What Socratic 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 Socratic graph.