Evidence map›Paper›PMID 40500319›Full record

ArticleNPJ digital medicine2025

Evaluating sepsis watch generalizability through multisite external validation of a sepsis machine learning model.

Bruno Valan, Anusha Prakash, William Ratliff, Michael Gao, Srikanth Muthya, Ajit Thomas, Jennifer L Eaton, Matt Gardner, Marshall Nichols, Mike Revoir and 5 more

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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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

15 authors.

Bruno Valan *Duke Institute for Health Innovation, Durham, NC, USA.
Anusha Prakash *Duke Institute for Health Innovation, Durham, NC, USA.
William RatliffDuke Institute for Health Innovation, Durham, NC, USA.
Michael GaoDuke Institute for Health Innovation, Durham, NC, USA.
Srikanth MuthyaCohere Med Inc, 110 Corcoran St, 5th Floor, Durham, NC, USA.
Ajit ThomasCohere Med Inc, 110 Corcoran St, 5th Floor, Durham, NC, USA.
Jennifer L EatonSumma Health Research & Innovation, Akron, OH, USA.
Matt GardnerDuke Institute for Health Innovation, Durham, NC, USA.
Marshall NicholsDuke Institute for Health Innovation, Durham, NC, USA.
Mike RevoirDuke Institute for Health Innovation, Durham, NC, USA.
Dustin TartDuke University Hospital, Durham, NC, USA.
Cara O'BrienDuke University Hospital, Durham, NC, USA.
Manesh PatelDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Suresh BaluDuke Institute for Health Innovation, Durham, NC, USA.
Mark SendakDuke Institute for Health Innovation, Durham, NC, USA. mark.sendak@duke.edu.

Funding

Solving Sepsis: Early Identification and Prompt Management Using Machine LearningR42GM144999 · NIGMS · COHERE-MED, INC. · PI PATEL, MANESH R · 2022 to 2024
$2.1M
NIGMS NIH HHS R42 GM144999NIH HHS R42 GM144999-03
6 · The paper itself

Abstract

Sepsis accounts for a substantial portion of global deaths and healthcare costs. The objective of this reproducibility study is to validate Duke Health's Sepsis Watch ML model, in a new community healthcare setting and assess its performance and clinical utility in early sepsis detection at Summa Health's emergency departments. The study analyzed the model's ability to predict sepsis using a combination of static and dynamic patient data using 205,005 encounters between 2020 and 2021 from 101,584 unique patients. 54.7% (n = 112,223) patients were female and the average age was 50 (IQR [38,71]). The AUROC ranged from 0.906 to 0.960, and the AUPRC ranged from 0.177 to 0.252 across the four sites. Ultimately, the reproducibility of the Sepsis Watch model in a community health system setting confirmed its strong and robust performance and portability across different geographical and demographic contexts with little variation.

Identifiers

PMID40500319
PMCPMC12159134

What OpenQuestion holds

Textmetadata
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.