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Development and external validation of a machine learning model for predicting in-hospital mortality in ICU patients with diabetic kidney disease: a study utilizing the MIMIC database and a Chinese co

4 hours ago
  • #diabetic kidney disease
  • #ICU mortality
  • #machine learning
  • Study aimed to develop and validate a machine learning model for predicting in-hospital mortality in ICU patients with diabetic kidney disease (DKD).
  • Utilized data from the MIMIC-IV database (n=3,403) for model development and a Chinese cohort (n=260) for external validation.
  • XGBoost algorithm showed superior performance with AUROC of 0.738 (internal) and 0.746 (external validation).
  • Key predictors identified included respiratory failure, lymphocyte count, SOFA score, RDW, age, and SAPS II.
  • Model demonstrated good predictive performance, generalizability, and interpretability for early risk stratification.