Evidence map›Paper›PMID 41285832›Full record

Observational studyNature communications2025

Explainable AI unravels sepsis heterogeneity via coagulation-inflammation profiles for prognosis and stratification.

Li Zhu, Zengtian Chen, Hong Zhang, Hongjun Chen, Lanqi Liu, Wei Yu, Kai Wu, Yijin Chen, Xingyu Tao, Zefeng Yu and 11 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
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  9. Review
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

21 authors.

Li Zhu *School of Information Engineering, Jiangxi Provincial Key Laboratory of Advanced Signal Processing and Intelligent Communications, Nanchang University, Nanchang, Jiangxi, China.ORCID http://orcid.org/0000-0002-2927-9821
Zengtian Chen *School of Information Engineering, Jiangxi Provincial Key Laboratory of Advanced Signal Processing and Intelligent Communications, Nanchang University, Nanchang, Jiangxi, China.ORCID http://orcid.org/0009-0009-7230-3477
Hong Zhang *Department of Laboratory Medicine, Chongqing Center for Clinical Laboratory, Chongqing Academy of Medical Sciences, Chongqing General Hospital, School of Medicine, Chongqing University, Chongqing, China.ORCID http://orcid.org/0009-0004-6854-8934
Hongjun ChenSchool of Information Engineering, Jiangxi Provincial Key Laboratory of Advanced Signal Processing and Intelligent Communications, Nanchang University, Nanchang, Jiangxi, China.ORCID http://orcid.org/0009-0004-3840-1472
Lanqi LiuSchool of Medicine, Nanchang University, Nanchang, Jiangxi, China.
Wei YuNingbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, China.ORCID http://orcid.org/0009-0006-0581-0709
Kai WuSchool of Information Engineering, Jiangxi Provincial Key Laboratory of Advanced Signal Processing and Intelligent Communications, Nanchang University, Nanchang, Jiangxi, China.ORCID http://orcid.org/0009-0006-7460-5370
Yijin ChenNingbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, China.ORCID http://orcid.org/0009-0006-3514-3353
Xingyu TaoDepartment of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing, China.ORCID http://orcid.org/0009-0001-3812-3191
Zefeng YuSchool of Information Engineering, Jiangxi Provincial Key Laboratory of Advanced Signal Processing and Intelligent Communications, Nanchang University, Nanchang, Jiangxi, China.
Linhui ShiDepartment of Intensive Care Medicine, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, China.
Jialian WangDepartment of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing, China.
Fan ZhangDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Jiaying ShenNingbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, China.
Fen LiuSchool of Medicine, Nanchang University, Nanchang, Jiangxi, China.ORCID http://orcid.org/0009-0001-5216-3931
Chongke HuNingbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, China.ORCID http://orcid.org/0009-0001-5517-0977
Yangguang RenCollege of Life Science and Laboratory Medicine, Kunming Medical University, Kunming, Yunnan, China.ORCID http://orcid.org/0009-0009-9314-1585
Tzu-Ming LiuInstitute of Translational Medicine, Faculty of Health Sciences & Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Macau, China.ORCID http://orcid.org/0000-0003-4260-6169
Yang LuoDepartment of Laboratory Medicine, Chongqing Center for Clinical Laboratory, Chongqing Academy of Medical Sciences, Chongqing General Hospital, School of Medicine, Chongqing University, Chongqing, China. luoy@cqu.edu.cn.ORCID http://orcid.org/0000-0002-0166-9027
Fei GuoNingbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, China. lhlguofei@nbu.edu.cn.
Bailin NiuDepartment of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing, China. bniu@cqu.edu.cn.ORCID http://orcid.org/0000-0001-9582-7884

Funding

National Natural Science Foundation of China (National Science Foundation of China) 62461038National Natural Science Foundation of China (National Science Foundation of China) 81772083National Natural Science Foundation of China (National Science Foundation of China) 82241059, 82125022
6 · The paper itself

Abstract

Sepsis is a leading cause of hospital mortality, and its significant heterogeneity complicates prognosis and stratification. To address this challenge, we developed an explainable artificial intelligence prognostic model (SepsisFormer, a transformer-based neural network) and an automated risk-stratification tool (SMART) for sepsis. In a multi-center retrospective study of 12,408 sepsis patients, SepsisFormer achieved high predictive accuracy (AUC: 0.9301, sensitivity: 0.9346, and specificity: 0.8312). SMART (AUC: 0.7360) surpassed most established scoring systems. Seven coagulation-inflammatory routine laboratory measurements and patient age were identified to classify patients' four risk levels (mild, moderate, severe, dangerous) and two subphenotypes (CIS1 and CIS2), each with distinct clinical characteristics and mortality rates. Notably, patients with moderate/severe levels or CIS2 derive more significant benefits from anticoagulant treatment. Our work, therefore, offers a set of simple, real-time executable tools for sepsis heterogeneity, demonstrating the potential to enhance sepsis clinical practice globally, particularly in resource-constrained healthcare settings.

Indexed as

Artificial IntelligenceBlood CoagulationInflammationSepsisAgedFemaleHospital MortalityHumansMaleMiddle AgedNeural Networks, ComputerPrognosisRetrospective StudiesRisk Assessment

Identifiers

PMID41285832
PMCPMC12644763

What OpenQuestion holds

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Registered trials

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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.