Evidence map›Paper›PMID 42147400›Full record

ArticleInternational journal of critical illness and injury science

A Bayesian genomic-enhanced precision critical care early warning model for septic shock outcomes.

Amado Alejandro Báez, Naomi Reyes, Raghavan Raju

Abstract read
In one paragraph

Article in International journal of critical illness and injury science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Amado Alejandro BáezResearch and Development, VA Augusta Health Care System, Augusta, GA, USA.
Naomi ReyesResearch and Development, VA Augusta Health Care System, Augusta, GA, USA.
Raghavan RajuResearch and Development, VA Augusta Health Care System, Augusta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Septic shock remains a significant contributor to mortality, with high patient variability in treatment response. Precision medicine offers promise in addressing this complexity. This study aimed to develop a Bayesian genomic-enhanced precision critical care clinical decision/probability model to predict outcomes in septic shock patients. Methods: Utilizing Bayesian modeling, we integrated clinical scoring systems (e.g., the Miami sepsis score and point of care lactate) with genomic data. Sensitivity and specificity from prior studies were incorporated into the model. The effectiveness of a genomic-based approach versus a Bayesian model was evaluated using paired Results: The mean difference between the GENOMIC and Bayesian groups was -19.8900, with a 95% confidence interval ranging from -39.7944 to 0.0144. The combined Bayesian model, integrating clinical, lactate, and genomic data outperformed standalone genomic models. Mean score for the Bayesian model was 92.75 (standard deviation [SD] = 5.1881), significantly higher than the genomic model's 72.86 (SD = 15.4196) ( Conclusion: A Bayesian genomic-enhanced model offers a promising pathway for improving septic shock outcomes. Future studies with larger datasets and further model refinement are warranted to validate its potential and explore its broader application in critical care.

Indexed as

Bayesiancritical careearly warninggenomicsprecision medicineseptic shock

Identifiers

PMID42147400
PMCPMC13178824

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.