Evidence map›Paper›PMID 30111827›Full record

ArticleScientific reports2018

Machine learning for fast identification of bacteraemia in SIRS patients treated on standard care wards: a cohort study.

Franz Ratzinger, Helmuth Haslacher, Thomas Perkmann, Matilde Pinzan, Philip Anner, Athanasios Makristathis, Heinz Burgmann, Georg Heinze, Georg Dorffner

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. 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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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

9 authors at 3 institutions in 1 country.

Franz RatzingerDepartment of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-1910-1018
Helmuth HaslacherDepartment of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-4605-2503
Thomas PerkmannDepartment of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria.
Matilde PinzanDepartment of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria.
Philip AnnerCenter for Medical Statistics, Informatics and Intelligent Systems, Section for Artificial Intelligence and Decision Support, Medical University of Vienna, Vienna, Austria.
Athanasios MakristathisDepartment of Laboratory Medicine, Division of Clinical Microbiology, Medical University of Vienna, Vienna, Austria.
Heinz BurgmannDepartment of Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.
Georg HeinzeCenter for Medical Statistics, Informatics, and Intelligent Systems, Section for Clinical Biometrics, Medical University of Vienna, Vienna, Austria.
Georg DorffnerCenter for Medical Statistics, Informatics and Intelligent Systems, Section for Artificial Intelligence and Decision Support, Medical University of Vienna, Vienna, Austria. georg.dorffner@meduniwien.ac.at.
Medical University of Vienna · ATStatistics Austria · ATAustrian Research Institute for Artificial Intelligence · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacteraemia is a life-threating condition requiring immediate diagnostic and therapeutic actions. Blood culture (BC) analyses often result in a low true positive result rate, indicating its improper usage. A predictive model might assist clinicians in deciding for whom to conduct or to avoid BC analysis in patients having a relevant bacteraemia risk. Predictive models were established by using linear and non-linear machine learning methods. To obtain proper data, a unique data set was collected prior to model estimation in a prospective cohort study, screening 3,370 standard care patients with suspected bacteraemia. Data from 466 patients fulfilling two or more systemic inflammatory response syndrome criteria (bacteraemia rate: 28.8%) were finally used. A 29 parameter panel of clinical data, cytokine expression levels and standard laboratory markers was used for model training. Model tuning was performed in a ten-fold cross validation and tuned models were validated in a test set (80:20 random split). The random forest strategy presented the best result in the test set validation (ROC-AUC: 0.729, 95%CI: 0.679-0.779). However, procalcitonin (PCT), as the best individual variable, yielded a similar ROC-AUC (0.729, 95%CI: 0.679-0.779). Thus, machine learning methods failed to improve the moderate diagnostic accuracy of PCT.

Indexed as

AdultAgedArea Under CurveBacteremiaBiomarkersCalcitoninCohort StudiesFemaleForecastingHumansMachine LearningMaleMiddle AgedModels, TheoreticalProspective StudiesProtein PrecursorsBiomarkersCalcitoninProtein Precursors

Identifiers

PMID30111827
PMCPMC6093921
OpenAlexW2887221563

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.