Acute cardiac care & resuscitation

A pilot study to predict cardiac arrest in the pediatric intensive care unit

ResuscitationPublished Diagnostic accuracy study

Authors' conclusion

We have created high-performing models that identify signatures of in-hospital cardiac arrest (IHCA) that may not be evident to clinicians.

Study context

Population
Children in the pediatric ICU at the Johns Hopkins Hospital15 with cardiac arrest
Participants
1,145 children
Comparison
Six machine learning models for prediction of cardiac arrest
Outcome
Prediction of cardiac arrest up to three hours in advance
Follow-up
Up to three hours in advance
Methodological detailspilot study, single-centre
  • Pilot study
  • Single-centre

Performance

As reported in the abstract

Cardiac arrest prediction (independent test set)
Test or modelauROCauPRCSensitivitySpecificity
XGBoost0.9710.79799.5%69.6%

XGBoost

auROC0.971
auPRC0.797
Sensitivity99.5%
Specificity69.6%

Original publication

A pilot study to predict cardiac arrest in the pediatric intensive care unit. Resuscitation. Published 16 February 2023. doi:10.1016/j.resuscitation.2023.109740

Summarised from the published abstract; every number is checked against it

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