Correction to: Combining adult with pediatric patient data to develop a clinical decision support tool intended for children: leveraging machine learning to model heterogeneity.

Abstract

Following publication of the original article [1], it was reported that part of the ‘Outcome Variable Definition’ and the entirety of the ‘Descriptive statistics’ subsection was missing. These two subsections are given below with the previously missing text highlighted in bold. The original article [1] has been updated. Outcome Variable Definition In the initial development of the CDS tool, we were tasked with predicting four outcomes related to hospital resource utilization: overall length of stay, admission to the intensive care unit (ICU), requirement for mechanical ventilation, and discharge to a skilled nursing facility. Because children are rarely discharged to a skilled nursing facility and evaluating continuous outcomes poses unique challenges, we focused on the two binary outcomes: admission to the ICU and requirement for mechanical ventilation. Statistical Analysis Descriptive statistics We compared the pediatric and adult patient populations. We report standardized mean differences (SMDs) where an SMD > 0.10 indicates that the two groups are out of balance.

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Citation

Published Version (Please cite this version)

10.1186/s12911-022-01846-1

Publication Info

Sabharwal, Paul, Jillian H Hurst, Rohit Tejwani, Kevin T Hobbs, Jonathan C Routh and Benjamin A Goldstein (2022). Correction to: Combining adult with pediatric patient data to develop a clinical decision support tool intended for children: leveraging machine learning to model heterogeneity. BMC medical informatics and decision making, 22(1). p. 128. 10.1186/s12911-022-01846-1 Retrieved from https://hdl.handle.net/10161/29063.

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Scholars@Duke

Hurst

Jillian Hurst

Assistant Professor in Pediatrics

Children's Health & Discovery Initiative:
The prenatal period, infancy, childhood, and adolescence, represent critical time periods of human development that include more developmental milestones than any other period of the lifespan. Conditions during these developmental windows – including biological, social, economic, health, and environmental factors – have a profound impact on lifelong health. The Children’s Health and Discovery Initiative (CHDI) was founded on the hypothesis that interventions early in life will improve population health across the lifespan. To this end, the overarching goal of the CHDI is to create a robust coalition of multidisciplinary investigators and a pipeline of infrastructure, data, and research projects focused on developing innovative approaches to identifying and modulating early life factors that impact lifelong health and well-being.

Intersections of the upper respiratory microbiome, environmental exposures, and childhood respiratory infections
Early life exposure to and colonization with microbes has a profound influence on the education of the immune system and susceptibility to viral and bacterial infections later in life. My research is focused on the influence of the upper respiratory microbiome on the development of recurrent respiratory infections, including acute otitis media (AOM), the leading cause of antibiotic prescriptions and healthcare consultations among children. Importantly, some children develop recurrent infections that are thought to be linked to dysbiosis of the nasopharyngeal microbiome. My overarching goals are to identify alterations in the upper respiratory microbiome associated with AOM and to elucidate host factors and exposures that predispose some children to the development of recurrent AOM episodes.

Routh

Jonathan Charles Routh

Paul H. Sherman, M.D. Distinguished Associate Professor of Surgery

I am a pediatric urologist and health services researcher who is interested in caring for children with urological problems, conducting research on how to improve that care, and mentoring young researchers to ensure that the next generation does both better than I currently can. 

My clinical interests include minimally-invasive surgery, neurogenic and non-neurogenic voiding dysfunction, complex urologic reconstruction (particularly in children with spina bifida), and pediatric urologic oncology (particularly Wilms tumor and rhabdomyosarcoma). My research has been funded by awards from the NIH, CDC, FDA, and multiple foundations and industry partners, and during my time on faculty at Duke I have had the pleasure of collaborating with many groups and individuals around the world on a number of projects. Over the past 15 years, I have formally mentored nearly 3 dozen undergraduates, medical students, urology residents, post-doctoral students, and junior faculty members across multiple disciplines (pediatrics, urogynecology, urology, and nursing).

Goldstein

Benjamin Alan Goldstein

Professor of Biostatistics & Bioinformatics

I study the meaningful use of Electronic Health Records data. My research interests sit at the intersection of biostatistics, biomedical informatics, machine learning and epidemiology. I collaborate with researchers both locally at Duke as well as nationally. I am interested in speaking with any students, methodologistis or collaborators interested in EHR data.

Please find more information at: https://sites.duke.edu/bgoldstein/


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