Evidence map›Paper›PMID 42215588›Full record

ArticleNPJ digital medicine2026

Development and validation of a machine learning-based diagnostic system for 22 pediatric respiratory pathogens: a large-scale multicenter study.

Dubin Su, Qun Chen, Ruizhi Xu, Qihong Chen, Chiyuan Ma, Xi Chen, Yunyun Yang, Feibo Qin, Ziwei Zhou, Sixian Li and 9 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. 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

19 authors.

Dubin Su *Institute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Qun Chen *Institute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Ruizhi Xu *Institute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Qihong Chen *Department of Pediatrics, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Chiyuan Ma *Institute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Xi Chen *Department of Clinical Laboratory, Children's Hospital of Fudan University (Xiamen Branch), Xiamen Children's Hospital, Xiamen, Fujian, China.
Yunyun YangDepartment of Laboratory Medicine, Xiamen Key Laboratory of Genetic Testing, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Feibo QinDepartment of Pathophysiology, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, Henan, China.
Ziwei ZhouDepartment of Pathophysiology, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, Henan, China.
Sixian LiDepartment of Functional Neurology, Shenzhen Second People's Hospital, Shenzhen, Guangdong, China.
Jie PengDepartment of Pediatrics, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Dandan GeDepartment of Pediatrics, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Jiajun FanSiebel School of Computing and Data Science, University of Illinois Urbana-Champaign, Urbana, Champaign, IL, USA.
Xingyu LiInstitute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Yanbo WangNanjing Drum Tower Hospital Center of Molecular Diagnostic and Therapy, State Key Laboratory of Pharmaceutical Biotechnology, Jiangsu Engineering Research Center for MicroRNA Biology and Biotechnology, NJU Advanced Institute of Life Sciences (NAILS), School of Life Sciences, Nanjing University, Nanjing, Jiangsu, China.
Yungang YangDepartment of Pediatrics, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China. xmyyg@sina.com.
Yaping GuoDepartment of Pathophysiology, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, Henan, China. guoyaping@zzu.edu.cn.
Jingjing YangDepartment of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China. Jingjingyang_xmu@126.com.
Wanshan NingInstitute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China. ningwanshan@xmu.edu.cn.

Funding

Fujian Provincial Health Technology Project 2024GGB18Fujian Science and Technology Program Guiding Project 2025D022National Key R&D Program of China 2021ZD0201300National Natural Science Foundation of China 32400532National Natural Science Foundation of China 32570802Project of Xiamen Cell Therapy Research Center 3502Z20214001the Guided Project of Medical and Health Care in Xiamen 3502Z20254ZD1004the Guided Project of Medical and Health Care in Xiamen 3502Z20254ZD1032
6 · The paper itself

Abstract

Respiratory tract infections (RTIs) are a significant cause of morbidity in children, caused by a wide range of pathogens. As treatment strategies depend on the causative pathogen, early and accurate diagnosis is crucial. We developed and validated an interpretable Pathogen Diagnostic System for Pediatric Respiratory Infections (Pathog-PDx), conducting a multicenter study involving 134,500 hospitalized children across three clinical centers and two databases. The model integrated 42 clinical and laboratory features from electronic health records (EHR) to enable early pathogen identification. Prospective validation was carried out on an independent cohort of 1338 children to assess the real-world applicability of the model. Pathog-PDx accurately distinguished 22 pathogen subtypes and outperformed conventional models in identifying both single and mixed infections. The model achieved high classification performance for key pathogens, such as influenza virus (AUC = 0.95; Sn: 0.88; Sp: 0.86), with mean AUCs of 0.88 for various pathogens of RTIs. The model has been deployed as a web-based decision support system, which is freely accessible at https://pathogpdx.zzu.edu.cn . Altogether, Pathog-PDx represents a potential tool for the early identification of respiratory tract pathogens in pediatric patients, which can provide actionable predictions ahead of conventional test results to guide timely and targeted therapy.

Identifiers

PMID42215588
PMCPMC13507185

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.