{"id":"https://openalex.org/W4393311335","doi":"https://doi.org/10.1186/s12911-024-02480-9","title":"Post-surgery survival and associated factors for cardiac patients in Ethiopia: applications of machine learning, semi-parametric and parametric modelling","display_name":"Post-surgery survival and associated factors for cardiac patients in Ethiopia: applications of machine learning, semi-parametric and parametric modelling","publication_year":2024,"publication_date":"2024-03-29","ids":{"openalex":"https://openalex.org/W4393311335","doi":"https://doi.org/10.1186/s12911-024-02480-9","pmid":"https://pubmed.ncbi.nlm.nih.gov/38553701"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-024-02480-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-024-02480-9","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-024-02480-9","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-024-02480-9","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002663694","display_name":"Melaku Tadege","orcid":"https://orcid.org/0000-0002-9510-4034"},"institutions":[{"id":"https://openalex.org/I4210090959","display_name":"Amhara Regional Health Bureau","ror":"https://ror.org/00b2nf889","country_code":"ET","type":"government","lineage":["https://openalex.org/I4210090959"]},{"id":"https://openalex.org/I4210127983","display_name":"Kyushu International University","ror":"https://ror.org/02s22e816","country_code":"JP","type":"education","lineage":["https://openalex.org/I4210127983"]},{"id":"https://openalex.org/I57092466","display_name":"Bahir Dar University","ror":"https://ror.org/01670bg46","country_code":"ET","type":"education","lineage":["https://openalex.org/I57092466"]}],"countries":["ET","JP"],"is_corresponding":true,"raw_author_name":"Melaku Tadege","raw_affiliation_strings":["College of Science, Bahir Dar University, Bahir Dar, Ethiopia. melakutadege@yahoo.com","Department of Statistics, Injibara University, Injibara, Amhara, Ethiopia. melakutadege@yahoo.com","Regional Data Management Center for Health (RDMC), Amhara Public Health Institute (APHI), Bahir Dar, Ethiopia. melakutadege@yahoo.com","College of Science, Bahir Dar University, Bahir Dar, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-9510-4034","affiliations":[{"raw_affiliation_string":"College of Science, Bahir Dar University, Bahir Dar, Ethiopia. melakutadege@yahoo.com","institution_ids":["https://openalex.org/I57092466"]},{"raw_affiliation_string":"Department of Statistics, Injibara University, Injibara, Amhara, Ethiopia. melakutadege@yahoo.com","institution_ids":["https://openalex.org/I4210127983"]},{"raw_affiliation_string":"Regional Data Management Center for Health (RDMC), Amhara Public Health Institute (APHI), Bahir Dar, Ethiopia. melakutadege@yahoo.com","institution_ids":["https://openalex.org/I4210090959"]},{"raw_affiliation_string":"College of Science, Bahir Dar University, Bahir Dar, Ethiopia","institution_ids":["https://openalex.org/I57092466"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089394965","display_name":"Awoke Seyoum Tegegne","orcid":"https://orcid.org/0000-0001-9132-8025"},"institutions":[{"id":"https://openalex.org/I57092466","display_name":"Bahir Dar University","ror":"https://ror.org/01670bg46","country_code":"ET","type":"education","lineage":["https://openalex.org/I57092466"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Awoke Seyoum Tegegne","raw_affiliation_strings":["College of Science, Bahir Dar University, Bahir Dar, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Science, Bahir Dar University, Bahir Dar, Ethiopia","institution_ids":["https://openalex.org/I57092466"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5010494510","display_name":"Zelalem G. Dessie","orcid":"https://orcid.org/0000-0001-9056-6822"},"institutions":[{"id":"https://openalex.org/I57092466","display_name":"Bahir Dar University","ror":"https://ror.org/01670bg46","country_code":"ET","type":"education","lineage":["https://openalex.org/I57092466"]},{"id":"https://openalex.org/I95023434","display_name":"University of KwaZulu-Natal","ror":"https://ror.org/04qzfn040","country_code":"ZA","type":"education","lineage":["https://openalex.org/I95023434"]}],"countries":["ET","ZA"],"is_corresponding":false,"raw_author_name":"Zelalem G. Dessie","raw_affiliation_strings":["College of Science, Bahir Dar University, Bahir Dar, Ethiopia","School of Mathematics, Statistics and Computer Science, University of KwaZulu- Natal, Durban, South Africa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Science, Bahir Dar University, Bahir Dar, Ethiopia","institution_ids":["https://openalex.org/I57092466"]},{"raw_affiliation_string":"School of Mathematics, Statistics and Computer Science, University of KwaZulu- Natal, Durban, South Africa","institution_ids":["https://openalex.org/I95023434"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5002663694"],"corresponding_institution_ids":["https://openalex.org/I4210090959","https://openalex.org/I4210127983","https://openalex.org/I57092466"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":0.7042,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.70108266,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":95},"biblio":{"volume":"24","issue":"1","first_page":"91","last_page":"91"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.09939999878406525,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.09939999878406525,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11396","display_name":"Artificial Intelligence in Healthcare","score":0.06440000236034393,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.04960000142455101,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.829544186592102},{"id":"https://openalex.org/keywords/cardiac-surgery","display_name":"Cardiac surgery","score":0.679882287979126},{"id":"https://openalex.org/keywords/ejection-fraction","display_name":"Ejection fraction","score":0.6671178340911865},{"id":"https://openalex.org/keywords/logistic-regression","display_name":"Logistic regression","score":0.4718843698501587},{"id":"https://openalex.org/keywords/proportional-hazards-model","display_name":"Proportional hazards model","score":0.41483449935913086},{"id":"https://openalex.org/keywords/surgery","display_name":"Surgery","score":0.34628522396087646},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.3307812809944153},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.24525055289268494},{"id":"https://openalex.org/keywords/heart-failure","display_name":"Heart failure","score":0.2354840338230133}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.829544186592102},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.679882287979126},{"id":"https://openalex.org/C78085059","wikidata":"https://www.wikidata.org/wiki/Q641303","display_name":"Ejection fraction","level":3,"score":0.6671178340911865},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4718843698501587},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.41483449935913086},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.34628522396087646},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3307812809944153},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.24525055289268494},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.2354840338230133}],"mesh":[{"descriptor_ui":"D000069550","descriptor_name":"Machine Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000069550","descriptor_name":"Machine Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000069550","descriptor_name":"Machine Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006331","descriptor_name":"Heart Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006331","descriptor_name":"Heart Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006331","descriptor_name":"Heart Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12911-024-02480-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-024-02480-9","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-024-02480-9","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:38553701","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38553701","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10979627","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10979627","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10979627/pdf/12911_2024_Article_2480.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Inform Decis Mak","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:c037bb06f7d140d59d223a4cddebad32","is_oa":true,"landing_page_url":"https://doaj.org/article/c037bb06f7d140d59d223a4cddebad32","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Informatics and Decision Making, Vol 24, Iss 1, Pp 1-12 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12911-024-02480-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-024-02480-9","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-024-02480-9","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"No poverty","id":"https://metadata.un.org/sdg/1","score":0.7799999713897705}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4393311335.pdf"},"referenced_works_count":69,"referenced_works":["https://openalex.org/W108660209","https://openalex.org/W289059651","https://openalex.org/W1853913569","https://openalex.org/W1901743643","https://openalex.org/W1970479852","https://openalex.org/W1998640784","https://openalex.org/W2000282767","https://openalex.org/W2001972347","https://openalex.org/W2016269434","https://openalex.org/W2022202291","https://openalex.org/W2034859046","https://openalex.org/W2037622417","https://openalex.org/W2044848461","https://openalex.org/W2048471256","https://openalex.org/W2051791773","https://openalex.org/W2053685508","https://openalex.org/W2056156025","https://openalex.org/W2058079878","https://openalex.org/W2058314727","https://openalex.org/W2061677561","https://openalex.org/W2062119180","https://openalex.org/W2062146364","https://openalex.org/W2077275615","https://openalex.org/W2081381728","https://openalex.org/W2096750760","https://openalex.org/W2097431588","https://openalex.org/W2100847975","https://openalex.org/W2109933769","https://openalex.org/W2113483345","https://openalex.org/W2122122177","https://openalex.org/W2139619455","https://openalex.org/W2159323340","https://openalex.org/W2162336822","https://openalex.org/W2164084043","https://openalex.org/W2290479003","https://openalex.org/W2310544086","https://openalex.org/W2311450116","https://openalex.org/W2411169465","https://openalex.org/W2419228363","https://openalex.org/W2432350780","https://openalex.org/W2538568614","https://openalex.org/W2567824789","https://openalex.org/W2709581992","https://openalex.org/W2801933430","https://openalex.org/W2807911310","https://openalex.org/W2892371839","https://openalex.org/W2899343344","https://openalex.org/W2905448450","https://openalex.org/W2912735925","https://openalex.org/W2940834286","https://openalex.org/W3011773069","https://openalex.org/W3039047585","https://openalex.org/W3047353720","https://openalex.org/W3087544975","https://openalex.org/W3113178943","https://openalex.org/W3118026432","https://openalex.org/W3128328841","https://openalex.org/W3147894994","https://openalex.org/W4206165154","https://openalex.org/W4210919583","https://openalex.org/W4213291995","https://openalex.org/W4226224163","https://openalex.org/W4247292921","https://openalex.org/W4296292763","https://openalex.org/W4321611949","https://openalex.org/W4323664388","https://openalex.org/W4385433979","https://openalex.org/W4386238158","https://openalex.org/W7008185989"],"related_works":["https://openalex.org/W2011390101","https://openalex.org/W4385397996","https://openalex.org/W3110630109","https://openalex.org/W3090392807","https://openalex.org/W3187572025","https://openalex.org/W2605975631","https://openalex.org/W3155674270","https://openalex.org/W2033060138","https://openalex.org/W2150981544","https://openalex.org/W3127097979"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Living":[1],"in":[2,5,27,50,67,87,102,221,238,265,299],"poverty,":[3],"especially":[4],"low-income":[6],"countries,":[7,17],"are":[8,236],"more":[9,277],"affected":[10],"by":[11],"cardiovascular":[12],"disease.":[13],"Unlike":[14],"the":[15,28,35,70,74,80,98,103,138,155,182,226,230,239,283,289],"developed":[16],"it":[18,174,267],"remains":[19],"a":[20],"significant":[21,211],"cause":[22],"of":[23,38,73,109,195,213,225,232,274,291],"preventable":[24],"heart":[25,113],"disease":[26,114],"Sub-Saharan":[29],"region,":[30],"including":[31],"Ethiopia.":[32,68,88,222,300],"According":[33],"to":[34,78,95,166,204,247,287],"Ethiopian":[36],"Ministry":[37],"Health":[39],"statement,":[40],"around":[41],"40,000":[42],"cardiac":[43,61,65,196,263,292,297],"patients":[44,91,235,248],"have":[45],"been":[46],"waiting":[47,168,202,251],"for":[48,137,159,216,229,276],"surgery":[49,66,83,167,218,234,298],"Ethiopia":[51,266],"since":[52],"September":[53],"2020.":[54],"There":[55],"is":[56,268],"insufficient":[57],"information":[58],"about":[59],"long-term":[60,81],"patients'":[62,84,219],"post-survival":[63],"after":[64,199],"Therefore,":[69],"main":[71],"objective":[72],"current":[75,104,240],"study":[76,284],"was":[77,111,120,134,162],"determine":[79],"post-cardiac":[82,217,233],"survival":[85,149,220],"status":[86],"METHODS:":[89],"All":[90],"attended":[92],"from":[93,122,270],"2012":[94],"2023":[96],"throughout":[97],"country":[99],"were":[100,130,151,209,258],"included":[101],"study.":[105],"The":[106,116],"total":[107],"number":[108,273,290],"participants":[110],"1520":[112],"patients.":[115,255],"data":[117],"collection":[118],"procedure":[119],"conducted":[121],"February":[123],"2022-":[124],"January":[125],"2023.":[126],"Machine":[127],"learning":[128,146],"algorithms":[129],"applied.":[131],"Gompertz":[132,183],"regression":[133],"used":[135],"also":[136],"multivariable":[139],"analysis":[140],"report.":[141],"RESULTS:":[142],"From":[143,181],"possible":[144],"machine":[145],"models,":[147],"random":[148],"forest":[150],"preferred.":[152],"It":[153],"emphasizes,":[154],"most":[156],"important":[157],"variable":[158],"clinical":[160],"prediction":[161],"SPO2,":[163],"Age,":[164],"time":[165,203],"time,":[169],"and":[170,173,178,206,253],"creatinine":[171],"value":[172,208],"accounts,":[175],"42.55%,":[176],"25.17%,11.82%,":[177],"12.19%":[179],"respectively.":[180],"regression,":[184],"lower":[185,190],"saturated":[186],"oxygen,":[187],"higher":[188],"age,":[189],"ejection":[191],"fraction,":[192],"short":[193],"period":[194],"center":[197],"stays":[198],"surgery,":[200,205],"prolonged":[201,250],"creating":[207],"statistically":[210],"predictors":[212],"death":[214,231],"outcome":[215],"CONCLUSION:":[223],"Some":[224],"risk":[227],"factors":[228],"identified":[237],"investigation.":[241],"Particular":[242],"attention":[243],"should":[244],"be":[245],"given":[246],"with":[249],"times":[252],"aged":[254],"Since":[256],"there":[257],"only":[259],"two":[260],"fully":[261],"active":[262],"centers":[264,275,293],"far":[269],"an":[271],"adequate":[272],"than":[278],"120":[279],"million":[280],"population,":[281],"therefore,":[282],"highly":[285],"recommended":[286],"increase":[288],"that":[294],"serve":[295],"as":[296]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}