Evidence map›Paper›PMID 31885832›Full record

ArticleJournal of healthcare engineering2019

Machine Learning Models for Analysis of Vital Signs Dynamics: A Case for Sepsis Onset Prediction.

Eli Bloch, Tammy Rotem, Jonathan Cohen, Pierre Singer, Yehudit Aperstein

Abstract read
In one paragraph

Article in Journal of healthcare engineering, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

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

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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

5 authors.

Eli BlochDepartment of Industrial Engineering and Management, Afeka Academic College of Engineering, Tel Aviv, Israel.ORCID 0000-0002-9180-9934
Tammy RotemDepartment of Industrial Engineering and Management, Afeka Academic College of Engineering, Tel Aviv, Israel.ORCID 0000-0003-3490-9215
Jonathan CohenDepartment of General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel.ORCID 0000-0002-4379-8767
Pierre SingerDepartment of General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel.
Yehudit ApersteinDepartment of Software Engineering, Afeka Academic College of Engineering, Tel Aviv, Israel.ORCID 0000-0001-6390-9463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Achieving accurate prediction of sepsis detection moment based on bedside monitor data in the intensive care unit (ICU). A good clinical outcome is more probable when onset is suspected and treated on time, thus early insight of sepsis onset may save lives and reduce costs. Methodology: We present a novel approach for feature extraction, which focuses on the hypothesis that unstable patients are more prone to develop sepsis during ICU stay. These features are used in machine learning algorithms to provide a prediction of a patient's likelihood to develop sepsis during ICU stay, hours before it is diagnosed. Results: Five machine learning algorithms were implemented using R software packages. The algorithms were trained and tested with a set of 4 features which represent the variability in vital signs. These algorithms aimed to calculate a patient's probability to become septic within the next 4 hours, based on recordings from the last 8 hours. The best area under the curve (AUC) was achieved with Support Vector Machine (SVM) with radial basis function, which was 88.38%. Conclusions: The high level of predictive accuracy along with the simplicity and availability of input variables present great potential if applied in ICUs. Variability of a patient's vital signs proves to be a good indicator of one's chance to become septic during ICU stay.

Indexed as

Machine LearningVital SignsAdolescentAdultAgedAged, 80 and overAlgorithmsAnalysis of VarianceArea Under CurveCase-Control StudiesDiagnosis, Computer-AssistedEarly DiagnosisFemaleHumansIntensive Care UnitsMale

Identifiers

PMID31885832
PMCPMC6925691

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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.