Evidence map›Paper›PMID 40295871›Full record

ArticleNPJ digital medicine2025

Artificial intelligence based multispecialty mortality prediction models for septic shock in a multicenter retrospective study.

Shurui Wang, Xinyi Liu, Shaohua Yuan, Yi Bian, Hong Wu, Qing Ye

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 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

6 authors.

Shurui Wang *Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xinyi Liu *School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Shaohua YuanSchool of Cyber Science and Engineering, Zhengzhou University, Zhengzhou, China.
Yi BianDepartment of Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Hong WuSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. hongwu@hust.edu.cn.
Qing YeTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. qye@tjh.tjmu.edu.cn.

Funding

CCF-BaiChuan-Ebtech Foundation Model Fund 2023012CIPSC-SMP-Zhipu Large Model Cross-Disciplinary Fund ZPCG20241107362National Natural Science Foundation of China 72371111
6 · The paper itself

Abstract

Septic shock is one of the most lethal conditions in ICU, and early risk prediction may help reduce mortality. We developed a TOPSIS-based Classification Fusion (TCF) model to predict mortality risk in septic shock patients using data from 4872 ICU patients from February 2003 to November 2023 across three hospitals. The model integrates seven machine learning models via the Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS), achieving AUCs of 0.733 in internal validation, 0.808 in the pediatric ICU, 0.662 in the respiratory ICU, with external validation AUCs of 0.784 and 0.786, respectively. It demonstrated high stability and accuracy in cross-specialty and multi-center validation. This interpretable model provides clinicians with a reliable early-warning tool for septic shock mortality risk, facilitating early intervention to reduce mortality.

Identifiers

PMID40295871
PMCPMC12037723

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Registered trials

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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.