Evidence mapPaperPMID 41488366Full record

ArticleiScience2025

Prediction of ICU needs and organ failures in infectious patients using machine learning.

Chiyuan Ma, Ruizhi Xu, Dubin Su, Jingjing Yang, Ziwei Zhou, Qun Chen, Yaping Guo, Lihong Huang, Wanshan Ning

Abstract read
In one paragraph

Article in iScience, 2025. 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

9 authors.

Chiyuan MaInstitute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361003, China.
Ruizhi XuInstitute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361003, China.
Dubin SuInstitute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361003, China.
Jingjing YangDepartment of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361003, China.
Ziwei ZhouDepartment of Pathophysiology, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, Henan 450001, China.
Qun ChenInstitute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361003, China.
Yaping GuoDepartment of Pathophysiology, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, Henan 450001, China.
Lihong HuangDepartment of Information Center, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361003, China.
Wanshan NingInstitute for Clinical Medical Research, the First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361003, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective multicenter cohort study developed predictive models to identify patients at high risk for intensive care and major organ failure, using data from the First Affiliated Hospital of Xiamen University and the MIMIC-III/IV databases. A total of 18,689 infectious patients were analyzed. Nine machine learning algorithms were employed, with CatBoost demonstrating the best performance. The intensive care model achieved an area under the receiver operating characteristic curve (AUC) of 0.956, while organ failure prediction models for renal, heart, respiratory, hepatic, and coagulation systems showed strong accuracy, with most models achieving AUCs over 0.8. Random Forest performed best for predicting respiratory and renal failures, with AUCs of 0.677 and 0.836, respectively. Model interpretability was supported by real clinical cases, where abnormal indicators aligned with key predictive features. These models offer valuable insights for early decision-making, enhancing resource allocation and patient outcomes.

Indexed as

Health sciencesMachine learning

Identifiers

PMID41488366
PMCPMC12756568

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.