Evidence map›Paper›PMID 39613924›Full record

ArticleNPJ digital medicine2024

An optimal antibiotic selection framework for Sepsis patients using Artificial Intelligence.

Philipp Wendland, Christof Schenkel-Häger, Ingobert Wenningmann, Maik Kschischo

Abstract read
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Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Review
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.

Philipp WendlandUniversity of Applied Sciences Koblenz, Department of Mathematics and Technology, Remagen, 53424, Germany.ORCID http://orcid.org/0000-0002-7170-0915
Christof Schenkel-HägerUniversity of Applied Sciences Koblenz, Department of Economics and Social Studies, Remagen, 53424, Germany.
Ingobert WenningmannUniversity Hospital Bonn, Department of Anesthesieology and Operative Intensive Care Medicine, Bonn, 53127, Germany.
Maik KschischoUniversity of Applied Sciences Koblenz, Department of Mathematics and Technology, Remagen, 53424, Germany. kschischo@uni-koblenz.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this work we present OptAB, the first completely data-driven online-updateable antibiotic selection model based on Artificial Intelligence for Sepsis patients accounting for side-effects. OptAB performs an iterative optimal antibiotic selection for real-world Sepsis patients focussing on minimizing the Sepsis-related organ failure score (SOFA-Score) as treatment success while accounting for nephrotoxicity and hepatotoxicity as serious antibiotic side-effects. OptAB provides disease progression forecasts for (combinations of) the antibiotics Vancomycin, Ceftriaxone and Piperacillin/Tazobactam and learns realistic treatment influences on the SOFA-Score and the laboratory values creatinine, bilirubin total and alanine-transaminase indicating possible side-effects. OptAB is based on a hybrid neural network differential equation algorithm and can handle the special characteristics of patient data including irregular measurements, a large amount of missing values and time-dependent confounding. OptAB's selected optimal antibiotics exhibit faster efficacy than the administered antibiotics.

Identifiers

PMID39613924
PMCPMC11607445

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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.