Evidence map›Paper›PMID 40425547›Full record

ArticleNature communications2025

A machine learning and centrifugal microfluidics platform for bedside prediction of sepsis.

Lidija Malic, Peter G Y Zhang, Pamela J Plant, Liviu Clime, Christina Nassif, Dillon Da Fonte, Evan E Haney, Byeong-Ui Moon, Victor Mun-Sing Sit, Daniel Brassard and 13 more

Erratum issuedAbstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Breaking the Stalemate: Advancing Sepsis Therapeutics Beyond Supportive Care.Public health reports (Washington, D.C. : 1974) · 2026
    Article
  5. Article
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Lidija Malic *Life Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Peter G Y Zhang *Sepset Biosciences Inc., 420 - 730 View St, Victoria, BC, V8W 3S2, Canada.
Pamela J Plant *Keenan Research Centre for Biomedical Science, St. Michael's Hospital, University of Toronto, Critical Care Medicine, 30 Bond Street, Toronto, ON, M5G 1W8, Canada.
Liviu ClimeLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Christina NassifLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Dillon Da FonteLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Evan E HaneySepset Biosciences Inc., 420 - 730 View St, Victoria, BC, V8W 3S2, Canada.
Byeong-Ui MoonLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Victor Mun-Sing SitLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.ORCID http://orcid.org/0009-0001-8897-6555
Daniel BrassardLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Maxence MounierLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Eryn ChurcherKeenan Research Centre for Biomedical Science, St. Michael's Hospital, University of Toronto, Critical Care Medicine, 30 Bond Street, Toronto, ON, M5G 1W8, Canada.ORCID http://orcid.org/0009-0006-1269-7492
James T TsoporisKeenan Research Centre for Biomedical Science, St. Michael's Hospital, University of Toronto, Critical Care Medicine, 30 Bond Street, Toronto, ON, M5G 1W8, Canada.
Reza FalsafiCentre for Microbial Diseases and Immunity Research, University of British Colombia, 232-2259 Lower Mall, Vancouver, BC, V6T 1Z4, Canada.
Manjeet BainsCentre for Microbial Diseases and Immunity Research, University of British Colombia, 232-2259 Lower Mall, Vancouver, BC, V6T 1Z4, Canada.
Andrew BakerKeenan Research Centre for Biomedical Science, St. Michael's Hospital, University of Toronto, Critical Care Medicine, 30 Bond Street, Toronto, ON, M5G 1W8, Canada.
Uriel TrahtembergKeenan Research Centre for Biomedical Science, St. Michael's Hospital, University of Toronto, Critical Care Medicine, 30 Bond Street, Toronto, ON, M5G 1W8, Canada.ORCID http://orcid.org/0000-0001-9103-2494
Ljuboje LukicLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
John C MarshallKeenan Research Centre for Biomedical Science, St. Michael's Hospital, University of Toronto, Critical Care Medicine, 30 Bond Street, Toronto, ON, M5G 1W8, Canada.ORCID http://orcid.org/0000-0002-7902-6291
Matthias GeisslerLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Robert E W HancockSepset Biosciences Inc., 420 - 730 View St, Victoria, BC, V8W 3S2, Canada.ORCID http://orcid.org/0000-0001-5989-8503
Teodor VeresLife Sciences Division, National Research Council of Canada, 75 de Mortagne Boulevard, Boucherville, QC, J4B 6Y4, Canada.
Claudia C Dos SantosCenter for Research and Applications in Fluidic Technologies (CRAFT), University of Toronto, 5 King's College Rd, Toronto, ON, M5S 1A8, Canada. Claudia.santos@utoronto.ca.ORCID http://orcid.org/0000-0002-6446-8791

Funding

Canada Research Chairs (Chaires de recherche du Canada) CRC2024Gouvernement du Canada | Instituts de Recherche en Santé du Canada | CIHR Skin Research Training Centre (Skin Research Training Centre) FDN-420463
6 · The paper itself

Abstract

Sepsis is a life-threatening organ dysfunction due to a dysfunctional response to infection. Delays in diagnosis have substantial impact on survival. Herein, blood samples from 586 in-house patients with suspected sepsis are used in conjunction with machine learning and cross-validation to define a six-gene expression signature of immune cell reprogramming, termed Sepset, to predict clinical deterioration within the first 24 h (h) of clinical presentation. Prediction accuracy (~90% in early intensive care unit (ICU) and 70% in emergency room patients) is validated in 3178 patients from existing independent cohorts. A RT-PCR-based Sepset detection test shows a 94% sensitivity in 248 patients to predict worsening of the sequential organ failure assessment scores within the first 24 h. A stand-alone centrifugal microfluidic instrument that automates whole-blood Sepset classifier detection is tested, showing a sensitivity of 92%, and specificity of 89% in identifying the risk of clinical deterioration in patients with suspected sepsis.

Indexed as

Machine LearningMicrofluidicsPoint-of-Care SystemsSepsisAgedFemaleHumansIntensive Care UnitsMaleMiddle AgedOrgan Dysfunction ScoresSensitivity and Specificity

Identifiers

PMID40425547
PMCPMC12117141

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.