Heart failure & cardiomyopathies

Machine Learning-Based Prediction of Elevated N Terminal Pro Brain Natriuretic Peptide Among US General Population

ESC Heart FailPublished Cross-sectional study

Authors' conclusion

Using nationally representative data from the United States, both logistic regression and machine learning models well predicted elevated NT-proBNP.

Study context

Population
US adults aged 20–79 years without CVD, NHANES 1999–20046 prediction models
Participants
10,237 adults
Exposure
Machine learning vs conventional regression models for predicting elevated N terminal pro brain natriuretic peptide (NT-proBNP)
Outcome
Prediction of elevated NT-proBNP (>125 pg/mL), AUC
Methodological detailsprediction model development and validation, nationally representative, temporal validation (trained 1999-2002, tested 2003-2004)
  • Prediction model development and validation
  • Nationally representative
  • Temporal validation (trained 1999-2002, tested 2003-2004)

Main finding

As reported in the abstract

Elevated NT-proBNP (>125 pg/mL), AUC
GroupAUC
SuperLearner0.862 (95% CI 0.847-0.878)
Logistic regression with splines0.857 (95% CI 0.841-0.874)

AUC

SuperLearner0.862 (95% CI 0.847-0.878)
Logistic regression with splines0.857 (95% CI 0.841-0.874)
  • SuperLearner vs Logistic regression: P < 0.001
  • Logistic regression with splines vs Logistic regression: P = 0.08
Prevalence of NT-proBNP >125 pg/mL
1510 (14.8%)

Observational data: associations, not effects.

Further findings

Alternative NT-proBNP thresholds, SuperLearner AUC
0.846 (0.830-0.861) · AUC, NT-proBNP > 100 pg/mL · AUC, NT-proBNP > 150 pg/mL 0.866 (0.849-0.884)

Excluding socio-economic information

Similar prediction performance

Original publication

Machine Learning-Based Prediction of Elevated N Terminal Pro Brain Natriuretic Peptide Among US General Population. ESC Heart Fail. Published 19 November 2024. doi:10.1002/ehf2.15056

Composed by AI from the published abstract and checked against it. How Briefs are made →

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