Evidence map›Paper›PMID 35361861›Full record

ReviewNPJ digital medicine2022

The principles of whole-hospital predictive analytics monitoring for clinical medicine originated in the neonatal ICU.

J Randall Moorman

Open access · goldAbstract readReview
In one paragraph

Review in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
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

1 author at 1 institution in 1 country.

J Randall MoormanCardiovascular Division, Department of Internal Medicine, Center for Advanced Medical Analytics, University of Virginia, Charlottesville, VA, USA. rm3h@virginia.edu.ORCID http://orcid.org/0000-0002-5772-1648
University of Virginia Medical Center · US

Funding

Prematurity-Related Ventilatory Control: Leadership Data and Coordination Center (LDCC)U01HL133708 · NHLBI · UNIVERSITY OF VIRGINIA · PI LAKE, DOUGLAS E, MOORMAN, JOSEPH RANDALL · 2016 to 2020
$3.7M
Heart rate characteristics monitoring in newborn infantsR01GM064640 · NIGMS · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI MOORMAN, JOSEPH RANDALL · 2002 to 2008
$2.4M
NHLBI NIH HHS U01 HL133708NIGMS NIH HHS R01 GM064640U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD 048562U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD 064448U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD 072071U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL 133708U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) GM 064640
6 · The paper itself

Abstract

In 2011, a multicenter group spearheaded at the University of Virginia demonstrated reduced mortality from real-time continuous cardiorespiratory monitoring in the neonatal ICU using what we now call Artificial Intelligence, Big Data, and Machine Learning. The large, randomized heart rate characteristics trial made real, for the first time that we know of, the promise that early detection of illness would allow earlier and more effective intervention and improved patient outcomes. Currently, though, we hear as much of failures as we do of successes in the rapidly growing field of predictive analytics monitoring that has followed. This Perspective aims to describe the principles of how we developed heart rate characteristics monitoring for neonatal sepsis and then applied them throughout adult ICU and hospital medicine. It primarily reflects the work since the 1990s of the University of Virginia group: the theme is that sudden and catastrophic deteriorations can be preceded by subclinical but measurable physiological changes apparent in the continuous cardiorespiratory monitoring and electronic health record.

Identifiers

PMID35361861
PMCPMC8971442
OpenAlexW4220722250

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.