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Development of an Early Warning System for Sepsis

2019· article· en· W3006920821 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueComputing in Cardiology · 2019
Typearticle
Languageen
FieldMedicine
TopicSepsis Diagnosis and Treatment
Canadian institutionsSt. Michael's Hospital
Fundersnot available
KeywordsUndersamplingSepsisRandom forestMedicineRanking (information retrieval)StatisticsComputer scienceEmergency medicineInternal medicineArtificial intelligenceIntensive care medicineMathematics

Abstract

fetched live from OpenAlex

Sepsis is a life-threatening condition that is caused by infection, and is estimated to affects an estimated 1.7 million adults in the United States and contributes to 265,000 deaths annually. Identifying sepsis before it happens and treating it earlier leads to decreased mortality and decreased lengths of stay. As part of the PhysioNet/Computing in Cardiology Challenge 2019, we developed an ensemble-based approach for the early detection of sepsis in ICU patients.Our final model predicted sepsis using the previous 24 hours of data, and consisted of a combination of two con-volutional neural networks and a random forest trained on different subsets of the data. In training our models, we experimented with random undersampling and cluster-based undersampling as a means for addressing severe class imbalance. On validation data, our final model achieved a utility score of 0.432 on hospital A (AUROC: 0.794, AUPRC: 0.101), 0.247 on hospital B (AUROC: 0.816, AUPRC: 0.056), and a utility of 0.375 on combined data from both hospitals (AUROC: 0.809, AUPRC: 0.089). On the heldout test data, the model obtained a utility score of 0.266 and we received an official ranking of 31/79.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.019
Threshold uncertainty score0.309

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.071
GPT teacher head0.342
Teacher spread0.271 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it