Evidence map›Paper›PMID 41535791›Full record

ArticleBMC infectious diseases2026

Prediction hospital mortality for critical illness lung cancer patients with pneumonia.

Caiyun Xu, Jing Li, Zhe Huang, Lan Yao, Huayun Liu, Fuxing Deng, Can Zhu, Qinjuan Jiang

Abstract read
In one paragraph

Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Caiyun XuDepartment of Critical Care, Yueyang Central Hospital, No.39 Dongmaoling Road, Yueyang, 414000, China.
Jing LiDepartment of Critical Care, Yueyang Central Hospital, No.39 Dongmaoling Road, Yueyang, 414000, China.
Zhe HuangDepartment of Critical Care, Yueyang Central Hospital, No.39 Dongmaoling Road, Yueyang, 414000, China.
Lan YaoDepartment of Critical Care, Yueyang Central Hospital, No.39 Dongmaoling Road, Yueyang, 414000, China.
Huayun LiuDepartment of Critical Care, Yueyang Central Hospital, No.39 Dongmaoling Road, Yueyang, 414000, China.
Fuxing DengThe First Affiliated Hospital of Xiamen University, No.55 Zhenhai Road, Amoy, 410008, China.
Can ZhuDepartment of Critical Care, Yueyang Central Hospital, No.39 Dongmaoling Road, Yueyang, 414000, China.
Qinjuan JiangDepartment of Critical Care, Yueyang Central Hospital, No.39 Dongmaoling Road, Yueyang, 414000, China. 31638687@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPneumonia is a common and severe complication in patients with lung cancer, often resulting in prolonged intensive care stays and increased risk of death. Despite this, no predictive models have been specifically developed for this high-risk population to aid clinical decision-making and early risk identification.

methodsThis study retrospectively analyzed patient data from two large critical care databases: one used for model development and the other for external validation. Adult patients with a diagnosis of lung cancer and pneumonia were included. Clinical features associated with in-hospital death were first screened using single-variable regression, and those with statistical significance were further refined using a variable selection method based on penalized regression. A visual prediction tool was then developed using multivariable regression analysis. Performance was evaluated using standard metrics of discrimination and calibration. Additional machine learning algorithms, including tree-based models, were used to compare performance. Survival analysis was conducted to assess risk grouping capability.

resultsA total of 1046 patients were included in the final analysis. The visual prediction tool incorporated clinical features such as severity scores, mental status assessments, white blood cell count, blood gas indicators, and use of life-support measures. It demonstrated high predictive accuracy (C-index: 0.763) in the external test cohort. The tool outperformed several commonly used machine learning models. Survival curves showed a clear distinction between high-risk and low-risk groups. Calibration and decision analysis confirmed the tool’s clinical usefulness.

conclusionsThis study developed and validated a practical, interpretable prediction model for hospital mortality in patients with lung cancer complicated by pneumonia. The tool enables risk stratification and supports personalized clinical management in intensive care settings. CLINICAL TRAIN NUMBER: Not applicable.

Indexed as

Critical IllnessHospital MortalityLung NeoplasmsPneumoniaAgedAged, 80 and overFemaleHumansMachine LearningMaleMiddle AgedPrediction AlgorithmsPredictive Learning ModelsRetrospective StudiesCritical careIn-hospital mortalityLung cancerMachine learningNomogramPneumonia

Identifiers

PMID41535791
PMCPMC12888532

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.