A machine-learning model for accurate diuresis prediction in acute heart failure (DRC-AHF)

Gracjan Iwanek, Mateusz Guzik, Amadeusz Oleszczak, Iga Karbowiak, Dominik Marciniak, Matteo Pagnesi, Julio Nuñez, Robert Zymliński, Piotr Ponikowski, Jan Biegus · 2026

Read A machine-learning model for accurate diuresis prediction in acute heart failure (DRC-AHF) by Gracjan Iwanek, Mateusz Guzik, Amadeusz Oleszczak, Iga Karbowiak, Dominik Marciniak, Matteo Pagnesi, Julio Nuñez, Robert Zymliński, Piotr Ponikowski, Jan Biegus (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13585464.txt.

Description

Iwanek and colleagues built a machine learning tool in 2026 to forecast how much urine a patient with acute heart failure will make after a water pill. That output is a key sign of whether treatment is working. The prospective study enrolled 296 patients at one center to build the model, then tested it in a separate group of 50. Just three inputs feed the model: kidney function and two urine measures taken two hours after the intravenous drug.

In the test group, forecast and actual six-hour urine output tracked each other closely. The model sorted 88 percent of patients into the right output band, against 58 percent for a standard formula. Error shrank steadily as more training patients were added, by roughly 200 milliliters per hundred patients. The calculator is freely available online. The authors present it as a practical aid for early, personal adjustment of diuretic therapy.

Catalog record

CREATORGracjan Iwanek, Mateusz Guzik, Amadeusz Oleszczak, Iga Karbowiak, Dominik Marciniak, Matteo Pagnesi, Julio Nuñez, Robert Zymliński, Piotr Ponikowski, Jan Biegus
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE37 KB
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13585464

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