Evidence mapPaperPMID 38577104Full record

ArticleiScience2024

Machine learning approaches for practical predicting outpatient near-future AECOPD based on nationwide electronic medical records.

Kuang-Ming Liao, Kuo-Chen Cheng, Mei-I Sung, Yu-Ting Shen, Chong-Chi Chiu, Chung-Feng Liu, Shian-Chin Ko

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Article in iScience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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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

7 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

7 authors.

Kuang-Ming LiaoDepartment of Internal Medicine, Chi Mei Medical Center, Chiali, Tainan 722013, Taiwan.
Kuo-Chen ChengDepartment of Pulmonary Medicine, Chi Mei Medical Center, Tainan 710402, Taiwan.
Mei-I SungDepartment of Medical Research, Chi Mei Medical Center, Tainan 710402, Taiwan.
Yu-Ting ShenDepartment of Medical Research, Chi Mei Medical Center, Tainan 710402, Taiwan.
Chong-Chi ChiuDepartment of General Surgery, E-Da Cancer Hospital, I-Shou University, Kaohsiung 82445, Taiwan.
Chung-Feng LiuDepartment of Medical Research, Chi Mei Medical Center, Tainan 710402, Taiwan.
Shian-Chin KoDepartment of Pulmonary Medicine, Chi Mei Medical Center, Tainan 710402, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this research, we aimed to harness machine learning to predict the imminent risk of acute exacerbation in chronic obstructive pulmonary disease (AECOPD) patients. Utilizing retrospective data from electronic medical records of two Taiwanese hospitals, we identified 26 critical features. To predict 3- and 6-month AECOPD occurrences, we deployed five distinct machine learning algorithms alongside ensemble learning. The 3-month risk prediction was best realized by the XGBoost model, achieving an AUC of 0.795, whereas the XGBoost was superior for the 6-month prediction with an AUC of 0.813. We conducted an explainability analysis and found that the episode of AECOPD, mMRC score, CAT score, respiratory rate, and the use of inhaled corticosteroids were the most impactful features. Notably, our approach surpassed predictions that relied solely on CAT or mMRC scores. Accordingly, we designed an interactive prediction system that provides physicians with a practical tool to predict near-term AECOPD risk in outpatients.

Indexed as

Health sciencesMachine learning

Identifiers

PMID38577104
PMCPMC10993192

What Socratic holds

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LicenceCC BY-NC-ND
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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.