Evidence map›Paper›PMID 28916175›Full record

ArticleJournal of electrocardiology

Early sepsis detection in critical care patients using multiscale blood pressure and heart rate dynamics.

Supreeth P Shashikumar, Matthew D Stanley, Ismail Sadiq, Qiao Li, Andre Holder, Gari D Clifford, Shamim Nemati

Open access · greenAbstract read
In one paragraph

Article in Journal of electrocardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 6 pooled it
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 6 syntheses or guidelines pooled it, 158 citations in OpenAlex.

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  14. Smart Imitator: Learning from Imperfect Clinical Decisions.Journal of the American Medical Informatics Association : JAMIA · 2026
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Supreeth P ShashikumarDepartment of Electrical and Computer Engineering, Georgia Institute of Technology, United States.
Matthew D StanleyDepartment of Surgery, Emory University School of Medicine, Atlanta, GA, United States.
Ismail SadiqDepartment of Electrical and Computer Engineering, Georgia Institute of Technology, United States.
Qiao LiDepartment of Biomedical Informatics, Emory University, Atlanta, GA, United States.
Andre HolderDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, United States.
Gari D CliffordDepartment of Biomedical Engineering, Georgia Institute of Technology, United States; Department of Biomedical Informatics, Emory University, Atlanta, GA, United States.
Shamim NematiDepartment of Biomedical Informatics, Emory University, Atlanta, GA, United States. Electronic address: shamim.nemati@emory.edu.
Emory University · USGeorgia Institute of Technology · US

Funding

Critical Care Training ProgramT32GM095442 · NIGMS · EMORY UNIVERSITY · PI Craig M Coopersmith · 2011 to 2026
$4.7M
Deep Learning and Streaming Analytics for Prediction of Adverse Events in the ICUK01ES025445 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NEMATI, SHAMIM · 2015 to 2019
$951k
NIEHS NIH HHS K01 ES025445NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

Sepsis remains a leading cause of morbidity and mortality among intensive care unit (ICU) patients. For each hour treatment initiation is delayed after diagnosis, sepsis-related mortality increases by approximately 8%. Therefore, maximizing effective care requires early recognition and initiation of treatment protocols. Antecedent signs and symptoms of sepsis can be subtle and unrecognizable (e.g., loss of autonomic regulation of vital signs), causing treatment delays and harm to the patient. In this work we investigated the utility of high-resolution blood pressure (BP) and heart rate (HR) times series dynamics for the early prediction of sepsis in patients from an urban, academic hospital, meeting the third international consensus definition of sepsis (sepsis-III) during their ICU admission. Using a multivariate modeling approach we found that HR and BP dynamics at multiple time-scales are independent predictors of sepsis, even after adjusting for commonly measured clinical values and patient demographics and comorbidities. Earlier recognition and diagnosis of sepsis has the potential to decrease sepsis-related morbidity and mortality through earlier initiation of treatment protocols.

Indexed as

Blood Pressure DeterminationCritical CareCritical IllnessAgedAlgorithmsEarly DiagnosisElectrocardiographyFemaleHeart RateHospital MortalityHumansIntensive Care UnitsMachine LearningMaleMiddle AgedPredictive Value of TestsCritical careDynamicsECGInfectionMachine learningSepsis

Identifiers

PMID28916175
PMCPMC5696025
OpenAlexW2748885884

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.