Evidence map›Paper›PMID 29091053›Full record

ArticlePhysiological measurement2017

Multiscale network representation of physiological time series for early prediction of sepsis.

Supreeth P Shashikumar, Qiao Li, Gari D Clifford, Shamim Nemati

Abstract read
In one paragraph

Article in Physiological measurement, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Diagnostic performance of machine-learning algorithms for sepsis prediction: An updated meta-analysis.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
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  20. AIDEx - An Open-source Platform for Real-Time Forecasting Sepsis and A Case Study on Taking ML Algorithms to Production.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2020
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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

4 authors.

Supreeth P ShashikumarDepartment of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America.ORCID 0000-0002-0348-4261
Qiao LiDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA, United States of America.
Gari D CliffordDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America.
Shamim NematiDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA, United States of America.

Funding

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 ES025445
6 · The paper itself

Abstract

Objective and Approach: Sepsis, a dysregulated immune-mediated host response to infection, is the leading cause of morbidity and mortality in critically ill patients. Indices of heart rate variability and complexity (such as entropy) have been proposed as surrogate markers of neuro-immune system dysregulation with diseases such as sepsis. However, these indices only provide an average, one dimensional description of complex neuro-physiological interactions. We propose a novel multiscale network construction and analysis method for multivariate physiological time series, and demonstrate its utility for early prediction of sepsis. MAIN

resultsWe show that features derived from a multiscale heart rate and blood pressure time series network provide approximately 20% improvement in the area under the receiver operating characteristic (AUROC) for four-hour advance prediction of sepsis over traditional indices of heart rate entropy ([Formula: see text] versus [Formula: see text]). Our results indicate that this improvement is attributable to both the improved network construction method proposed here, as well as the information embedded in the higher order interaction of heart rate and blood pressure time series dynamics. Our final model, which included the most commonly available clinical measurements in patients' electronic medical records and multiscale entropy features, as well as the proposed network-based features, achieved an AUROC of [Formula: see text]. SIGNIFICANCE: Prediction of the onset of sepsis prior to clinical recognition will allow for meaningful earlier interventions (e.g. antibiotic and fluid administration), which have the potential to decrease sepsis-related morbidity, mortality and healthcare costs.

Indexed as

AlgorithmsBlood PressureHeart RateAgedArea Under CurveEarly DiagnosisFemaleHumansMaleMiddle AgedModels, BiologicalMultivariate AnalysisROC CurveSepsisTime Factors

Identifiers

PMID29091053
PMCPMC5736369

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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.