Evidence map›Paper›PMID 42404781›Full record

ArticleFrontiers in cellular and infection microbiology2026

Machine learning-assisted prognostic model for mortality in ICU patients with culture-confirmed

Xu Ran, Zhaojun Wang, Jingjing Shao, Ziyue Ma, Qinfu Liu, Dan Yang, Gang Li, Xiaojun Yang

Abstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Xu Ran *The First School of Clinical Medicine, Ningxia Medical University, Yinchuan, China.
Zhaojun Wang *Department of Critical Care Medicine, General Hospital of Ningxia Medical University, Yinchuan, China.
Jingjing ShaoThe First School of Clinical Medicine, Ningxia Medical University, Yinchuan, China.
Ziyue MaThe First School of Clinical Medicine, Ningxia Medical University, Yinchuan, China.
Qinfu LiuDepartment of Critical Care Medicine, General Hospital of Ningxia Medical University, Yinchuan, China.
Dan YangMedical Experimental Center, General Hospital of Ningxia Medical University, Yinchuan, China.
Gang LiMedical Experimental Center, General Hospital of Ningxia Medical University, Yinchuan, China.
Xiaojun YangDepartment of Critical Care Medicine, General Hospital of Ningxia Medical University, Yinchuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Methods: A total of 587 adult ICU patients with culture-confirmed KP infection (first positive culture) at a tertiary hospital between August 2020 and February 2025 were retrospectively included. Candidate predictors were screened using least absolute shrinkage and selection operator (LASSO) and bootstrap-based stability selection to identify stable prognostic predictors. Using the final stable predictors, 11 models (including logistic regression and tree-based approaches) with 10-fold cross-validation were developed and compared. Model performance was evaluated using discrimination, calibration, and clinical utility. Generalized additive models (GAMs) were used to explore potential non-linear predictor-outcome associations. Results: Mortality occurred in 122/587 patients (20.8%). Five stable prognostic factors were identified: Acute Physiology and Chronic Health Evaluation II (APACHE II) score, lactate, viral co-infection, acute kidney injury (AKI), and the alveolar-arterial oxygen gradient (A-aDO Conclusion: A parsimonious model based on five stable variables showed good performance for predicting mortality among ICU patients with KP infection. However, these findings are exploratory and require external validation before any clinical application.

Indexed as

Intensive Care UnitsKlebsiella InfectionsKlebsiella pneumoniaeMachine LearningAgedAPACHEFemaleHumansLogistic ModelsMaleMiddle AgedPredictive Learning ModelsPrognosisRetrospective StudiesROC Curveintensive care unitKlebsiella pneumoniaemachine learningmortalityprognostic model

Identifiers

PMID42404781
PMCPMC13328191

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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.