Machine Learning-Based Prediction of Digoxin Toxicity in Heart Failure: A Multicenter Retrospective Study.

Author: AriharaHiroki, AsaiYuki, HashimotoEi, HayakawaYuji, HayashiMakoto, HiguchiTakashi, KondoYoshihiro, MuroHiroya, OmoteSaki, SuzukiRyohei, TanioEna, TashiroTakumi, TsujiHinako, YamadaMomoko, YamamotoYoshiaki, YamashitaSaena

Paper Details 
Original Abstract of the Article :
Digoxin toxicity (plasma digoxin concentration ≥0.9 ng/mL) is associated with worsening heart failure (HF). Decision tree (DT) analysis, a machine learning method, has a flowchart-like model where users can easily predict the risk of adverse drug reactions. The present study aimed to construct a flo...See full text at original site
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引用元:
https://doi.org/10.1248/bpb.b22-00823

データ提供:米国国立医学図書館(NLM)

Digoxin Toxicity in Heart Failure: A Machine Learning Approach to Navigating the Desert

This study explores the potential of machine learning, specifically decision tree analysis, to predict digoxin toxicity in patients with heart failure (HF). The study utilized a retrospective analysis of 333 adult patients with HF who received oral digoxin treatment. The research developed a decision tree model to identify patients at risk for digoxin toxicity based on factors such as creatinine clearance, daily digoxin dose, and left ventricular ejection fraction.

A Decision Tree in the Desert: Identifying Digoxin Toxicity Risk

The study found that patients with creatinine clearance less than 32 mL/min, daily digoxin dose of 1.6 µg/kg or higher, and left ventricular ejection fraction of 50% or higher were at high risk for digoxin toxicity. This finding suggests that the decision tree model can accurately predict digoxin toxicity, providing valuable insights for clinicians to adjust digoxin dosage and minimize potential risks.

Navigating the Heart Failure Desert: A Machine Learning Approach to Digoxin Management

This research highlights the potential of machine learning to improve patient care in HF. The decision tree model offers a valuable tool for clinicians to manage digoxin treatment, potentially reducing the risk of toxicity and improving patient outcomes. However, further validation of the model is needed to ensure its reliability and effectiveness in clinical practice.

Dr.Camel's Conclusion

Imagine the heart as a vast and intricate desert, filled with complex pathways and delicate systems. Digoxin, like a carefully placed oasis, can provide vital hydration for the heart, but too much water can lead to flooding (toxicity). This research explores the use of a machine learning decision tree as a guide through this desert, helping us identify those who are at risk of flooding and adjust our water supplies accordingly. While this tool needs further refinement, it holds promise for improving the management of digoxin therapy and ensuring a safe and healthy journey through the heart failure desert.
Date :
  1. Date Completed 2023-04-04
  2. Date Revised 2023-04-04
Further Info :

Pubmed ID

37005306

DOI: Digital Object Identifier

10.1248/bpb.b22-00823

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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