Evidence map›Paper›PMID 40696002›Full record

ArticleNPJ digital medicine2025

Modeling trajectories of routine blood tests as dynamic biomarkers for outcome in spinal cord injury.

Marzieh Mussavi Rizi, Daniel Fernández, John L K Kramer, Rajiv Saigal, Anthony M DiGiorgio, Michael S Beattie, Adam R Ferguson, Nikos Kyritsis, Abel Torres-Espín, TRACK-SCI

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

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

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

  1. Pooled it
  2. Article
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

10 authors.

Marzieh Mussavi RiziSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Daniel FernándezDepartment of Statistics and Operations Research (DEIO), Universitat Politècnica de Catalunya BarcelonaTech (UPC), Barcelona, Spain.
John L K KramerInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
Rajiv SaigalWeill Institute for Neuroscience, Brain and Spinal Injury Center (BASIC), University of California San Francisco, San Francisco, CA, USA.
Anthony M DiGiorgioWeill Institute for Neuroscience, Brain and Spinal Injury Center (BASIC), University of California San Francisco, San Francisco, CA, USA.
Michael S BeattieWeill Institute for Neuroscience, Brain and Spinal Injury Center (BASIC), University of California San Francisco, San Francisco, CA, USA.
Adam R FergusonWeill Institute for Neuroscience, Brain and Spinal Injury Center (BASIC), University of California San Francisco, San Francisco, CA, USA.
Nikos KyritsisWeill Institute for Neuroscience, Brain and Spinal Injury Center (BASIC), University of California San Francisco, San Francisco, CA, USA. nikolaos.Kyritsis@ucsf.edu.
Abel Torres-EspínSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada. abel.torresespin@uwaterloo.ca.
TRACK-SCI

Funding

Departament de Recerca i Universitats de la Generalitat de Catalunya (Spain) 2021 SGR 01421 (GRBIO)Department of Defense W81XWH-13-1-0297 and W81XWH-16-1-0497Ministerio de Ciencia e Innovación y Universidades (Spain) PID2023-148033OB-C21Wings for Life WFL-CA-21/23
6 · The paper itself

Abstract

Routinely collected blood tests can reflect underlying pathophysiological processes. We demonstrate that the dynamics of routinely collected blood tests hold prediction validity in acute Spinal Cord Injury (SCI). Using MIMIC data (n = 2615) for modeling and TRACK-SCI study data (n = 137) for validation, we identified multiple trajectories for common blood markers. We developed machine learning models for the dynamic prediction of in-hospital mortality, SCI occurrence in spine trauma patients, and SCI severity (motor complete vs. incomplete). The in-hospital mortality model achieved an out-of-train ROC-AUC of 0.79 [0.77-0.81] day one post-injury, improving to 0.89 [0.88-0.89] by day 21. For detecting the presence of SCI after spine trauma, the highest ROC-AUC was 0.71 [0.69-0.72] achieved by day 21. By day seven, the ROC-AUC for SCI severity was 0.81 [0.77-0.85]. Our full models outperformed the severity score SAPS II following seven days of hospitalization.

Identifiers

PMID40696002
PMCPMC12284016

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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.