Evidence map›Paper›PMID 36267121›Full record

ArticleJAMIA open2022

Performance effectiveness of vital parameter combinations for early warning of sepsis-an exhaustive study using machine learning.

Ekanath Srihari Rangan, Rahul Krishnan Pathinarupothi, Kanwaljeet J S Anand, Michael P Snyder

Open access · goldAbstract read
In one paragraph

Article in JAMIA open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  3. Diagnostic accuracy of PCT, IL-6, and MR-ProADM for early identification of sepsis in the emergency department.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Observational
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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 at 2 institutions in 2 countries.

Ekanath Srihari RanganDepartment of Genetics, Stanford University School of Medicine, Stanford, California, USA.ORCID https://orcid.org/0000-0001-5168-3508
Rahul Krishnan PathinarupothiCenter for Wireless Networks & Applications, School of Engineering, Amrita University, Amritapuri, India.ORCID https://orcid.org/0000-0002-0435-6085
Kanwaljeet J S AnandDivision of Critical Care, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Michael P SnyderDepartment of Genetics, Stanford University School of Medicine, Stanford, California, USA.ORCID https://orcid.org/0000-0003-0784-7987
Stanford University · USAmrita Vishwa Vidyapeetham · IN

Funding

Do Hair Cortisol and Hair Oxytocin represent the Stressful and Supportive Experiences of Preschool Children?R01HD099296 · NICHD · STANFORD UNIVERSITY · PI KANWALJEET S ANAND · 2019 to 2026
$5.8M
Multi-Modal Wireless COVID Monitoring & Infection Alerts for Concentrated PopulationsR01NR020105 · NINR · STANFORD UNIVERSITY · PI SNYDER, MICHAEL P. · 2021 to 2023
$3.3M
NICHD NIH HHS R01 HD099296NINR NIH HHS R01 NR020105
6 · The paper itself

Abstract

Objective: To carry out exhaustive data-driven computations for the performance of noninvasive vital signs heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO Materials and methods: By extracting features interpretable by clinicians, we applied Gradient Boosted Decision Tree machine learning on a dataset of 2630 patients to build 240 models. Validation was performed on a geographically distinct dataset. Relative to onset, predictions were clocked as per 16 pairs of monitoring intervals and prediction times, and the outcomes were ranked. Results: The combination of HR and Temp was found to be a minimal feature set yielding maximal predictability with area under receiver operating curve 0.94, sensitivity of 0.85, and specificity of 0.90. Whereas HR and RR each directly enhance prediction, the effects of SpO Conclusion: It can be concluded that using intensive care unit data even 2 vital signs are adequate to predict sepsis upto 6 h in advance with promising accuracy comparable to standard scoring methods and other sepsis predictive tools reported in literature. Vital-SEP can be used for fast-track prediction especially in limited resource hospital settings where laboratory based hematologic or biochemical assays may be unavailable, inaccurate, or entail clinically inordinate delays. A prospective study is essential to determine the clinical impact of the proposed sepsis prediction model and evaluate other outcomes such as mortality and duration of hospital stay.

Indexed as

machine learningsepsis predictionvitals parametersXGBoost

Identifiers

PMID36267121
PMCPMC9566305
OpenAlexW4306248985

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.