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Record W7084028924 · doi:10.1016/j.chstcc.2025.100215

Treatment Response Phenotyping Informed by Patient Physiologic Characteristics Could Drive Precision Critical Care Through Augmented Intelligence

2025· article· en· W7084028924 on OpenAlexfundno aff

Bibliographic record

VenueCHEST Critical Care · 2025
Typearticle
Languageen
FieldHealth Professions
TopicFood Security and Health in Diverse Populations
Canadian institutionsnot available
FundersCanadian Institutes of Health ResearchNational Institutes of HealthSociété de Réanimation de Langue FrançaiseNational Sanitarium AssociationFondation pour la Recherche MédicaleNational Security AgencyNational Institute of General Medical SciencesFondation de l'Avenir pour la Recherche Médicale Appliquée
KeywordsMEDLINEPatient careFight-or-flight responsePrecision medicine

Abstract

fetched live from OpenAlex

The paradigm of precision medicine often focuses on novel biomarkers, but other types of data directly applicable to patient care could individualize treatment. The response to a cardiovascular and pulmonary intervention is important to critical care providers because it may determine the need and intensity of organ support. Using patient response to predict benefit (or no effect or harm) from an intervention could streamline care better for common syndromes of critical illness such as shock and ARDS, but the necessary data collection and analysis often are complex. Augmented intelligence technologies could assist with this kind of phenotyping because they can analyze and interpret complex multimodal data. In this narrative review, we summarize how augmented intelligence has been used to phenotype responses to diagnostic and therapeutic interventions in cardiovascular and pulmonary failure. We also discuss opportunities for future research that could make this precision approach useful in the clinical environment.

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.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.014
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.004
Threshold uncertainty score0.023

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.014
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0000.001
Scholarly communication0.0030.002
Open science0.0010.002
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0030.001

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 head0.158
GPT teacher head0.505
Teacher spread0.347 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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