Evidence map›Paper›PMID 39838426›Full record

ArticleJournal of translational medicine2025

Developing a rapid screening tool for high-risk ICU patients of sepsis: integrating electronic medical records with machine learning methods for mortality prediction in hospitalized patients-model establishment, internal and external validation, and visualization.

Songchang Shi, Lihui Zhang, Shujuan Zhang, Jinyang Shi, Donghuang Hong, Siqi Wu, Xiaobin Pan, Wei Lin

Abstract readValidation StudyMulticenter Study
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. 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

8 authors.

Songchang Shi *Department of Critical Care Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital South Branch, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, People's Republic of China.ORCID 0000-0001-5793-569X
Lihui Zhang *Department of Critical Care Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital South Branch, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, People's Republic of China.
Shujuan ZhangDepartment of Critical Care Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital South Branch, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, People's Republic of China.
Jinyang ShiFujian Medical University, Fuzhou, 350001, People's Republic of China.
Donghuang HongDepartment of Critical Care Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, People's Republic of China.
Siqi WuShengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, People's Republic of China.
Xiaobin PanDepartment of Critical Care Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital South Branch, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, People's Republic of China.
Wei LinDepartment of Endocrinology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, No 134 Dongjie Street, Gulou District, Fuzhou, Fujian, 350001, People's Republic of China. caolalin0929@163.com.ORCID 0000-0002-0455-8752

Funding

Fujian Joint Fund for Scientific and Technological Innovation Projects 2023Y9295Fujian Research and Training Grants for Young and Middle-aged Leaders in Healthcare (2023)417#Natural Science Foundation of Fujian Province 2022J011017Startup Fund for scientific research, Fujian Medical University 2022QH1282the Innovation Project of Fujian Provincial Health Commission 2021CXA003
6 · The paper itself

Abstract

objectivesTo develop a machine learning-based prediction model using clinical data from the first 24 h of ICU admission to enable rapid screening and early intervention for sepsis patients.

methodsThis multicenter retrospective cohort study analyzed electronic medical records of sepsis patients using machine learning methods. We evaluated model performance in predicting sepsis outcomes within the first 24 h of ICU admission across US and Chinese healthcare settings.

resultsFrom 31 clinical features, machine learning models demonstrated significantly better predictive performance than traditional approaches for sepsis outcomes. While linear regression achieved low test scores (0.25), machine learning methods reached scores of 0.78 and AUCs above 0.8 in testing. Importantly, these models maintained robust performance (scores 0.63-0.77) in external validation.

conclusionsThe application of machine learning-based prediction models for sepsis could significantly improve patient outcomes through early detection and timely intervention in the critical first 24 h of ICU admission, supporting clinical decision-making.

Indexed as

Electronic Health RecordsHospitalizationIntensive Care UnitsMachine LearningSepsisAgedFemaleHumansMaleMiddle AgedReproducibility of ResultsRetrospective StudiesRisk FactorsROC CurveMachine learningMortalityPredictionSepsisVisualization

Identifiers

PMID39838426
PMCPMC11753157

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.