Evidence map›Paper›PMID 40781071›Full record

ArticleNature communications2025

Real-time prediction of intensive care unit patient acuity and therapy requirements using state-space modelling.

Miguel Contreras, Brandon Silva, Benjamin Shickel, Andrea Davidson, Tezcan Ozrazgat-Baslanti, Yuanfang Ren, Ziyuan Guan, Jeremy Balch, Jiaqing Zhang, Sabyasachi Bandyopadhyay and 7 more

Abstract 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. 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. Review
  5. Review
  6. 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

17 authors.

Miguel ContrerasDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, USA.
Brandon SilvaIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.
Benjamin ShickelIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-5304-7027
Andrea DavidsonIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.
Tezcan Ozrazgat-BaslantiIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.
Yuanfang RenIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.
Ziyuan GuanIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0009-0009-4824-6927
Jeremy BalchIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-1826-7884
Jiaqing ZhangIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.
Sabyasachi BandyopadhyayDepartment of Medicine, Stanford University, Stanford, CA, USA.
Tyler LoftusIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0001-5354-443X
Kia KhezeliDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, USA.
Gloria LiporiDeparment of Pharmaceutical Outcomes & Policy, University of Florida, Gainesville, FL, USA.
Jessica SenaDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-5128-3632
Subhash NerellaDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0003-2940-6517
Azra BihoracIntelligent Clinical Care Center (IC3), University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-5745-2863
Parisa RashidiDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, USA. parisa.rashidi@ufl.edu.ORCID http://orcid.org/0000-0003-4530-2048

Funding

ADAPT: Autonomous Delirium Monitoring and Adaptive PreventionR01NS120924 · NINDS · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2021 to 2025
$2.9M
Intelligent Intensive Care Unit (I2CU): Pervasive Sensing and Artificial Intelligence for Augmented Clinical Decision-makingR01EB029699 · NIBIB · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2021 to 2024
$2.4M
NIBIB NIH HHS R01 EB029699NINDS NIH HHS R01 NS120924
6 · The paper itself

Abstract

Intensive care unit (ICU) patients often experience rapid changes in clinical status, requiring timely identification of deterioration to guide life-sustaining interventions. Current artificial intelligence (AI) models for acuity assessment rely on mortality as a proxy and lack direct prediction of clinical instability or treatment needs. Here we present APRICOT-M, a state-space model to predict real-time ICU acuity outcomes and transitions, and the need for life-sustaining therapies within the next four hours. The model integrates vital signs, laboratory results, medications, assessment scores, and patient characteristics, to make predictions, handling sparse, irregular data efficiently. Our model is trained on over 140,000 ICU admissions across 55 hospitals and validated on external and real-time data, outperforming clinical scores in predicting mortality and instability. The model demonstrates clinical relevance, with physicians reporting alerts as actionable and timely in a substantial portion of cases. These results highlight APRICOT-M's potential to support earlier, more informed ICU interventions.

Indexed as

Intensive Care UnitsPatient AcuityArtificial IntelligenceCritical CareHospital MortalityHumans

Identifiers

PMID40781071
PMCPMC12334695

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.