Evidence map›Paper›PMID 40443788›Full record

Observational studyCritical care explorations2025

Machine Learning Accurately Predicts Need for Critical Care Support in Patients Admitted to Hospital for Community-Acquired Pneumonia.

George S Chen, Terry Lee, Jennifer L Y Tsang, Alexandra Binnie, Anne McCarthy, Juthaporn Cowan, Patrick Archambault, Francois Lellouche, Alexis F Turgeon, Jennifer Yoon and 17 more

Abstract readObservational Study
In one paragraph

Observational study in Critical care explorations, 2025. 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. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors.

George S ChenUniversity of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-1425-6475
Terry LeeCentre for Advancing Health Outcomes, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Jennifer L Y TsangCritical Care Medicine, Niagara Health Knowledge Institute, St Catharines, ON, Canada.
Alexandra BinnieCritical Care Department, William Osler Health System, Brampton, ON, Canada.
Anne McCarthyInfectious Disease, Ottawa Research Institute, University of Ottawa, Ottawa, ON, Canada.
Juthaporn CowanInfectious Disease, Ottawa Research Institute, University of Ottawa, Ottawa, ON, Canada.
Patrick ArchambaultSt. George Hospital, Levis, QC, Canada.
Francois LelloucheCHU de Québec-Université Laval Research Center, Population Health and Optimal Health Practices Unit, Trauma- Emergency- Critical Care Medicine, Québec City, QC, Canada.
Alexis F TurgeonCHU de Québec-Université Laval Research Center, Population Health and Optimal Health Practices Unit, Trauma- Emergency- Critical Care Medicine, Québec City, QC, Canada.
Jennifer YoonCritical Care Medicine, Humber River Hospital, Toronto, ON, Canada.
Francois LamontagneCritical Care Medicine, University of Sherbrooke, Sherbrooke, QC, Canada.
Allison McGeerMt. Sinai Hospital, University of Toronto, Toronto, ON, Canada.
Josh DouglasCritical Care Medicine, Lion's Gate Hospital, North Vancouver, BC, Canada.
Peter DaleyInfectious Disease, Memorial University of Newfoundland, St. John's, NL, Canada.
Robert FowlerCritical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
David M MasloveDepartment of Critical Care, Kingston General Hospital and Queen's University, Kingston, ON, Canada.
Brent W WinstonDepartments of Critical Care Medicine, Medicine and Biochemistry and Molecular Biology, Foothills Medical Centre, University of Calgary, Calgary, AB, Canada.
Todd C LeeDivision of Infectious Disease, McGill University, Montreal, QC, Canada.
Karen C TranDivision of General Internal Medicine, Vancouver General Hospital, Vancouver, BC, Canada.
Matthew P ChengDivision of Infectious Disease, McGill University, Montreal, QC, Canada.
Donald C VinhDivision of Infectious Disease, McGill University, Montreal, QC, Canada.
John H BoydCentre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Keith R WalleyCentre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Joel SingerCentre for Advancing Health Outcomes, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
John C MarshallDepartment of Surgery, St. Michael's Hospital, Toronto, ON, Canada.
James A RussellCentre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Community-Acquired Pneumonia: Toward InnoVAtive Treatment (CAPTIVATE) Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHospitalized community-acquired pneumonia (CAP) patients are admitted for ventilation, vasopressors, and renal replacement therapy (RRT). This study aimed to develop a machine learning (ML) model that predicts the need for such interventions and compare its accuracy to that of logistic regression (LR).

designThis retrospective observational study trained separate models using random-forest classifier (RFC), support vector machines (SVMs), Extreme Gradient Boosting (XGBoost), and multilayer perceptron (MLP) to predict three endpoints: eventual use of invasive ventilation, vasopressors, and RRT during hospitalization. RFC-based models were overall most accurate in a derivation COVID-19 CAP cohort and were validated in one COVID-19 CAP and two non-COVID-19 CAP cohorts.

settingThis study is part of the Community-Acquired Pneumonia: Toward InnoVAtive Treatment (CAPTIVATE) Research program. PATIENTS: Two thousand four hundred twenty COVID-19 and 1909 non-COVID-19 CAP patients over 18 years old hospitalized and not needing invasive ventilation, vasopressors, and RRT on the day of admission were included.

interventionsNone. MEASUREMENTS AND MAIN

resultsPerformance was evaluated with area under the receiver operating characteristic curve (AUROC) and accuracy. RFCs performed better than XGBoost, SVM, and MLP models. For comparison, we evaluated LR models in the same cohorts. AUROC was very high ranging from 0.74 to 0.95 in predicting ventilation, vasopressors, and RRT use in our derivation and validation cohorts. ML used and variables such as Fio

conclusionsA ML algorithm more accurately predicts need of invasive ventilation, vasopressors, or RRT in hospitalized non-COVID-19 CAP and COVID-19 patients than regression models and could augment clinician judgment for triage and care of hospitalized CAP patients.

Indexed as

Community-Acquired InfectionsCOVID-19Critical CareMachine LearningPneumoniaAgedCommunity-Acquired PneumoniaFemaleHospitalizationHumansMaleMiddle AgedRenal Replacement TherapyRespiration, ArtificialRetrospective StudiesSARS-CoV-2Vasoconstrictor Agentscommunity-acquired pneumoniaCOVID-19machine learningrenal replacement therapyvasopressorsventilation

Identifiers

PMID40443788
PMCPMC12119046

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.