Evidence map›Paper›PMID 39127039›Full record

Trial reportCell reports. Medicine2024

Unraveling the impact of therapeutic drug monitoring via machine learning for patients with sepsis.

H Ceren Ates, Abdallah Alshanawani, Stefan Hagel, Menino O Cotta, Jason A Roberts, Can Dincer, Cihan Ates

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell reports. Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline 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

7 authors.

H Ceren AtesUniversity of Freiburg, FIT Freiburg Centre for Interactive Materials and Bioinspired Technology, 79110 Freiburg, Germany; University of Freiburg, Department of Microsystems Engineering (IMTEK), 79110 Freiburg, Germany.
Abdallah AlshanawaniUniversity of Freiburg, Department of Microsystems Engineering (IMTEK), 79110 Freiburg, Germany.
Stefan HagelInstitute for Infectious Diseases and Infection Control, Jena University Hospital - Friedrich Schiller University Jena, 07747 Jena, Germany.
Menino O CottaFaculty of Medicine, University of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, QLD 4006, Australia.
Jason A RobertsFaculty of Medicine, University of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, QLD 4006, Australia; Departments of Intensive Care Medicine and Pharmacy, Royal Brisbane and Women's Hospital, Brisbane, QLD 4006, Australia; Division of Anaesthesiology Critical Care Emergency and Pain Medicine, Nîmes University Hospital, University of Montpellier, 34295 Nîmes, France.
Can DincerUniversity of Freiburg, FIT Freiburg Centre for Interactive Materials and Bioinspired Technology, 79110 Freiburg, Germany; University of Freiburg, Department of Microsystems Engineering (IMTEK), 79110 Freiburg, Germany. Electronic address: dincer@imtek.de.
Cihan AtesKarlsruhe Institute of Technology (KIT), Machine Intelligence in Energy Systems, 76131 Karlsruhe, Germany; Karlsruhe Institute of Technology (KIT), Center of Health Technologies, 76131 Karlsruhe, Germany. Electronic address: cihan.ates@kit.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical studies investigating the benefits of beta-lactam therapeutic drug monitoring (TDM) among critically ill patients are hindered by small patient groups, variability between studies, patient heterogeneity, and inadequate use of TDM. Accordingly, definitive conclusions regarding the efficacy of TDM remain elusive. To address these challenges, we propose an innovative approach that leverages data-driven methods to unveil the concealed connections between therapy effectiveness and patient data, collected through a randomized controlled trial (DRKS00011159; 10th October 2016). Our findings reveal that machine learning algorithms can successfully identify informative features that distinguish between healthy and sick states. These hold promise as potential markers for disease classification and severity stratification, as well as offering a continuous and data-driven "multidimensional" Sequential Organ Failure Assessment (SOFA) score. The positive impact of TDM on patient recovery rates is demonstrated by unraveling the intricate connections between therapy effectiveness and clinically relevant data via machine learning.

Indexed as

Drug MonitoringMachine LearningSepsisAgedAlgorithmsAnti-Bacterial Agentsbeta-LactamsCritical IllnessFemaleHumansMaleMiddle AgedOrgan Dysfunction ScoresAnti-Bacterial Agentsbeta-Lactamsbeta-lactam antibioticsintensive care unitmachine learningMahalanobis distancemathematical similaritypiperacillin/tazobactamsepsisseptic shockSOFA scorestate space approachtherapeutic drug monitoring

Identifiers

PMID39127039
PMCPMC11384951

What OpenQuestion holds

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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.