Evidence map›Paper›PMID 33685592›Full record

ArticleArtificial intelligence in medicine2021

DeepAISE - An interpretable and recurrent neural survival model for early prediction of sepsis.

Supreeth P Shashikumar, Christopher S Josef, Ashish Sharma, Shamim Nemati

Abstract read
In one paragraph

Article in Artificial intelligence in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing 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

41 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

4 authors.

Supreeth P ShashikumarDivision of Biomedical Informatics, University of California San Diego, La Jolla, USA.
Christopher S JosefDepartment of Surgery, Emory University School of Medicine, Atlanta, USA.
Ashish SharmaDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, USA.
Shamim NematiDivision of Biomedical Informatics, University of California San Diego, La Jolla, USA. Electronic address: snemati@health.ucsd.edu.

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
Enhanced Metadata Design, Architecture, and Learning (MeDAL) for Development of Generalizable Deep Learning-based Predictive Analytics from Electronic Health RecordsR56LM013517 · NLM · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NEMATI, SHAMIM · 2020 to 2020
$394k
NCATS NIH HHS L30 TR001819NIEHS NIH HHS K01 ES025445NLM NIH HHS R56 LM013517
6 · The paper itself

Abstract

Sepsis, a dysregulated immune system response to infection, is among the leading causes of morbidity, mortality, and cost overruns in the Intensive Care Unit (ICU). Early prediction of sepsis can improve situational awareness among clinicians and facilitate timely, protective interventions. While the application of predictive analytics in ICU patients has shown early promising results, much of the work has been encumbered by high false-alarm rates and lack of trust by the end-users due to the 'black box' nature of these models. Here, we present DeepAISE (Deep Artificial Intelligence Sepsis Expert), a recurrent neural survival model for the early prediction of sepsis. DeepAISE automatically learns predictive features related to higher-order interactions and temporal patterns among clinical risk factors that maximize the data likelihood of observed time to septic events. A comparative study of four baseline models on data from hospitalized patients at three different healthcare systems indicates that DeepAISE produces the most accurate predictions (AUCs between 0.87 and 0.90) at the lowest false alarm rates (FARs between 0.20 and 0.25) while simultaneously producing interpretable representations of the clinical time series and risk factors.

Indexed as

Artificial IntelligenceSepsisArea Under CurveCritical CareHumansIntensive Care UnitsArtificial intelligenceDeep learningInterpretabilitySepsisTransfer learning

Identifiers

PMID33685592
PMCPMC8029104

What OpenQuestion holds

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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.