Evidence map›Paper›PMID 32704168›Full record

Trial reportScientific reports2020

Novel application of an automated-machine learning development tool for predicting burn sepsis: proof of concept.

Nam K Tran, Samer Albahra, Tam N Pham, James H Holmes, David Greenhalgh, Tina L Palmieri, Jeffery Wajda, Hooman H Rashidi

2 registry-linked trialsOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.5field-weighted citation impact, top 4% 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.

NCT07223684 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Surgical Critical Care Initiative (SC2i) Tissue and Data Acquisition Protocol (TDAP) in Burn Patients Improving the Robustness and Generalizability of Post-Burn Sepsis Prediction With the Post-Burn Sepsis Digital Twin

TypeobservationalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2026 to 2027Enrolled80ConditionsSepsis, Burn Injury, Wound Healing, Critical IllnessArmsObservational Cohort (No Intervention)
NCT07249762 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Surgical Critical Care Initiative (SC2i) Tissue and Data Acquisition Protocol (TDAP) in Burn Patients Improving the Robustness and Generalizability of Post-burn Sepsis Prediction With the Post-Burn Sepsis Digital Twin. Group 1

TypeobservationalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2026 to 2027Enrolled40ConditionsSepsis, Burn Injury, Wound Healing, Critical IllnessArmsObservational Cohort (No Intervention)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. [Current applications and prospects of artificial intelligence in burn diagnosis and treatment].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. An Overview of Recent Developments in the Management of Burn Injuries.International journal of molecular sciences · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
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  15. Review
  16. Article
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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

8 authors at 4 institutions in 1 country.

Nam K TranDepartment of Pathology and Laboratory Medicine, University of California Davis, 4400 V St., Sacramento, CA, 95817, USA. nktran@ucdavis.edu.
Samer AlbahraDepartment of Pathology and Laboratory Medicine, University of California Davis, 4400 V St., Sacramento, CA, 95817, USA.
Tam N PhamDepartment of Surgery, University of Washington, Washington, USA.
James H HolmesDepartment of Surgery, Wake Forest University, Winston-Salem, USA.
David GreenhalghDepartment of Surgery, UC Davis, Davis, USA.
Tina L PalmieriDepartment of Surgery, UC Davis, Davis, USA.
Jeffery WajdaUC Davis Health, Davis, USA.
Hooman H RashidiDepartment of Pathology and Laboratory Medicine, University of California Davis, 4400 V St., Sacramento, CA, 95817, USA. hrashidi@ucdavis.edu.
University of California, Davis · USUC Davis Health System · USUniversity of Washington · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is the primary cause of burn-related mortality and morbidity. Traditional indicators of sepsis exhibit poor performance when used in this unique population due to their underlying hypermetabolic and inflammatory response following burn injury. To address this challenge, we developed the Machine Intelligence Learning Optimizer (MILO), an automated machine learning (ML) platform, to automatically produce ML models for predicting burn sepsis. We conducted a retrospective analysis of 211 adult patients (age ≥ 18 years) with severe burn injury (≥ 20% total body surface area) to generate training and test datasets for ML applications. The MILO approach was compared against an exhaustive "non-automated" ML approach as well as standard statistical methods. For this study, traditional multivariate logistic regression (LR) identified seven predictors of burn sepsis when controlled for age and burn size (OR 2.8, 95% CI 1.99-4.04, P = 0.032). The area under the ROC (ROC-AUC) when using these seven predictors was 0.88. Next, the non-automated ML approach produced an optimal model based on LR using 16 out of the 23 features from the study dataset. Model accuracy was 86% with ROC-AUC of 0.96. In contrast, MILO identified a k-nearest neighbor-based model using only five features to be the best performer with an accuracy of 90% and a ROC-AUC of 0.96. Machine learning augments burn sepsis prediction. MILO identified models more quickly, with less required features, and found to be analytically superior to traditional ML approaches. Future studies are needed to clinically validate the performance of MILO-derived ML models for sepsis prediction.

Indexed as

BurnsDatabases, FactualMachine LearningModels, BiologicalSepsisAdultAge FactorsDisease-Free SurvivalFemaleHumansMaleMiddle AgedPredictive Value of TestsSurvival Rate

Identifiers

PMID32704168
PMCPMC7378181
OpenAlexW3044835521

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.