Evidence map›Paper›PMID 39478824›Full record

SynthesisFrontiers in medicine2024

Early detection of sepsis using machine learning algorithms: a systematic review and network meta-analysis.

Mikhail Ya Yadgarov, Giovanni Landoni, Levan B Berikashvili, Petr A Polyakov, Kristina K Kadantseva, Anastasia V Smirnova, Ivan V Kuznetsov, Maria M Shemetova, Alexey A Yakovlev, Valery V Likhvantsev

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. From Glycocalyx Shedding to Microvascular Collapse in Sepsis: Endothelial Pathophysiology, Organ Dysfunction, and Mechanistic Biomarkers.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Artificial intelligence for early diagnosis in emergency department.Journal of anesthesia, analgesia and critical care · 2026
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

10 authors.

Mikhail Ya YadgarovFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Giovanni LandoniDepartment of Anaesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Levan B BerikashviliFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Petr A PolyakovFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Kristina K KadantsevaFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Anastasia V SmirnovaFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Ivan V KuznetsovFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Maria M ShemetovaFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Alexey A YakovlevFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Valery V LikhvantsevFederal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With machine learning (ML) carving a niche in diverse medical disciplines, its role in sepsis prediction, a condition where the 'golden hour' is critical, is of paramount interest. This study assesses the factors influencing the efficacy of ML models in sepsis prediction, aiming to optimize their use in clinical practice. Methods: We searched Medline, PubMed, Google Scholar, and CENTRAL for studies published from inception to October 2023. We focused on studies predicting sepsis in real-time settings in adult patients in any hospital settings without language limits. The primary outcome was area under the curve (AUC) of the receiver operating characteristic. This meta-analysis was conducted according to PRISMA-NMA guidelines and Cochrane Handbook recommendations. A Network Meta-Analysis using the CINeMA approach compared ML models against traditional scoring systems, with meta-regression identifying factors affecting model quality. Results: From 3,953 studies, 73 articles encompassing 457,932 septic patients and 256 models were analyzed. The pooled AUC for ML models was 0.825 and it significantly outperformed traditional scoring systems. Neural Network and Decision Tree models demonstrated the highest AUC metrics. Significant factors influencing AUC included ML model type, dataset type, and prediction window. Conclusion: This study establishes the superiority of ML models, especially Neural Network and Decision Tree types, in sepsis prediction. It highlights the importance of model type and dataset characteristics for prediction accuracy, emphasizing the necessity for standardized reporting and validation in ML healthcare applications. These findings call for broader clinical implementation to evaluate the effectiveness of these models in diverse patient groups. Systematic review registration: https://inplasy.com/inplasy-2023-12-0062/, identifier, INPLASY2023120062.

Indexed as

decision treesmachine learningnetwork meta-analysisneural networkssepsis

Identifiers

PMID39478824
PMCPMC11523135

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.