The Challenges of Predicting Rare Outcomes: A Critical Appraisal of Machine Learning Using the Pediatric Resuscitation and Trauma Outcome (PRESTO) Model in a Tanzanian Injury Registry
Background Injuries are responsible for 950,000 deaths per year among children and adolescents under 18 years old. Trauma prediction scores are useful in determining severity and prognosis of injury patients. The pediatric resuscitation and trauma outcome (PRESTO) score was developed as a simple score for short-term mortality prediction in pediatric populations in low- and middle-income countries (LMICs). Using variables available at the bedside in resource-limited settings, PRESTO has been validated in South Af…
The Challenges of Predicting Rare Outcomes: A Critical Appraisal of Machine Learning Using the Pediatric Resuscitation and Trauma Outcome (PRESTO) Model in a Tanzanian Injury Registry: These findings highlight the challenge of predicting a rare outcome, and emphasize the need to increase pediatric registry sample sizes to develop more accurate models for mortality risk stratification in LMICs.
Evidence
- Peer-reviewedWorld Journal of Surgery2026-09-03
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Truvace Impact Record TRV-2026-0987, v1: “The Challenges of Predicting Rare Outcomes: A Critical Appraisal of Machine Learning Using the Pediatric Resuscitation and Trauma Outcome (PRESTO) Model in a Tanzanian Injury Registry.” Truvace, 2026-09-05. /record/TRV-2026-0987 (accessed at citation time). sha256 24cede7c0e9fd5ec…
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