{"id":"https://openalex.org/W4409896229","doi":"https://doi.org/10.1038/s41746-025-01643-w","title":"Artificial intelligence based multispecialty mortality prediction models for septic shock in a multicenter retrospective study","display_name":"Artificial intelligence based multispecialty mortality prediction models for septic shock in a multicenter retrospective study","publication_year":2025,"publication_date":"2025-04-28","ids":{"openalex":"https://openalex.org/W4409896229","doi":"https://doi.org/10.1038/s41746-025-01643-w","pmid":"https://pubmed.ncbi.nlm.nih.gov/40295871"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-025-01643-w","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-01643-w","pdf_url":"https://www.nature.com/articles/s41746-025-01643-w.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-025-01643-w.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5104033420","display_name":"Shurui Wang","orcid":"https://orcid.org/0009-0006-6636-3586"},"institutions":[{"id":"https://openalex.org/I47720641","display_name":"Huazhong University of Science and Technology","ror":"https://ror.org/00p991c53","country_code":"CN","type":"education","lineage":["https://openalex.org/I47720641"]},{"id":"https://openalex.org/I4210160344","display_name":"Tongji Hospital","ror":"https://ror.org/04xy45965","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210160344"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Shurui Wang","raw_affiliation_strings":["Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China"],"affiliations":[{"raw_affiliation_string":"Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China","institution_ids":["https://openalex.org/I4210160344","https://openalex.org/I47720641"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100395660","display_name":"Xinyi Liu","orcid":"https://orcid.org/0000-0002-2720-0171"},"institutions":[{"id":"https://openalex.org/I47720641","display_name":"Huazhong University of Science and Technology","ror":"https://ror.org/00p991c53","country_code":"CN","type":"education","lineage":["https://openalex.org/I47720641"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xinyi Liu","raw_affiliation_strings":["School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China"],"affiliations":[{"raw_affiliation_string":"School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China","institution_ids":["https://openalex.org/I47720641"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041572291","display_name":"Shauna H. Yuan","orcid":"https://orcid.org/0000-0003-4058-4146"},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Shaohua Yuan","raw_affiliation_strings":["School of Cyber Science and Engineering, Zhengzhou University, Zhengzhou, China"],"affiliations":[{"raw_affiliation_string":"School of Cyber Science and Engineering, Zhengzhou University, Zhengzhou, China","institution_ids":["https://openalex.org/I38877650"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007252981","display_name":"Yi Bian","orcid":"https://orcid.org/0000-0002-8374-0658"},"institutions":[{"id":"https://openalex.org/I47720641","display_name":"Huazhong University of Science and Technology","ror":"https://ror.org/00p991c53","country_code":"CN","type":"education","lineage":["https://openalex.org/I47720641"]},{"id":"https://openalex.org/I4210160344","display_name":"Tongji Hospital","ror":"https://ror.org/04xy45965","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210160344"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yi Bian","raw_affiliation_strings":["Department of Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China","Department of Emergency Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China"],"affiliations":[{"raw_affiliation_string":"Department of Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China","institution_ids":["https://openalex.org/I47720641","https://openalex.org/I4210160344"]},{"raw_affiliation_string":"Department of Emergency Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China","institution_ids":["https://openalex.org/I4210160344","https://openalex.org/I47720641"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071742749","display_name":"Hong Wu","orcid":"https://orcid.org/0000-0001-5397-4800"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hong Wu","raw_affiliation_strings":["School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. hongwu@hust.edu.cn"],"affiliations":[{"raw_affiliation_string":"School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. hongwu@hust.edu.cn","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102729057","display_name":"Qing Ye","orcid":"https://orcid.org/0000-0002-6756-0630"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Qing Ye","raw_affiliation_strings":["Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. qye@tjh.tjmu.edu.cn"],"affiliations":[{"raw_affiliation_string":"Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. qye@tjh.tjmu.edu.cn","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5104033420"],"corresponding_institution_ids":["https://openalex.org/I4210160344","https://openalex.org/I47720641"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":17.719,"has_fulltext":true,"cited_by_count":14,"citation_normalized_percentile":{"value":0.99400701,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"8","issue":"1","first_page":"228","last_page":"228"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9998000264167786,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9998000264167786,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T14374","display_name":"Statistical Methods in Epidemiology","score":0.979200005531311,"subfield":{"id":"https://openalex.org/subfields/2613","display_name":"Statistics and Probability"},"field":{"id":"https://openalex.org/fields/26","display_name":"Mathematics"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.7768399119377136},{"id":"https://openalex.org/keywords/septic-shock","display_name":"Septic shock","score":0.7271082997322083},{"id":"https://openalex.org/keywords/topsis","display_name":"TOPSIS","score":0.5775018930435181},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.5290024876594543},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.35588550567626953},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.2512205243110657},{"id":"https://openalex.org/keywords/sepsis","display_name":"Sepsis","score":0.16314977407455444},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.11285483837127686},{"id":"https://openalex.org/keywords/operations-research","display_name":"Operations research","score":0.09789204597473145}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7768399119377136},{"id":"https://openalex.org/C2777628635","wikidata":"https://www.wikidata.org/wiki/Q1765564","display_name":"Septic shock","level":3,"score":0.7271082997322083},{"id":"https://openalex.org/C51566761","wikidata":"https://www.wikidata.org/wiki/Q1235853","display_name":"TOPSIS","level":2,"score":0.5775018930435181},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5290024876594543},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.35588550567626953},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2512205243110657},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.16314977407455444},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.11285483837127686},{"id":"https://openalex.org/C42475967","wikidata":"https://www.wikidata.org/wiki/Q194292","display_name":"Operations research","level":1,"score":0.09789204597473145}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-025-01643-w","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-01643-w","pdf_url":"https://www.nature.com/articles/s41746-025-01643-w.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:40295871","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40295871","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:doaj.org/article:15db814cfba64fa08bedd29ac23caee6","is_oa":true,"landing_page_url":"https://doaj.org/article/15db814cfba64fa08bedd29ac23caee6","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 8, Iss 1, Pp 1-10 (2025)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12037723","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12037723","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1038/s41746-025-01643-w","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-01643-w","pdf_url":"https://www.nature.com/articles/s41746-025-01643-w.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8799999952316284,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"awards":[{"id":"https://openalex.org/G2087396116","display_name":null,"funder_award_id":"China","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G2961730655","display_name":null,"funder_award_id":"72001087","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G3085993365","display_name":null,"funder_award_id":"(Grant No.","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G3317480652","display_name":null,"funder_award_id":"Science","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G391238517","display_name":null,"funder_award_id":", and","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G5994120800","display_name":null,"funder_award_id":"Natural","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G7033253288","display_name":null,"funder_award_id":"Grants","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G7726157001","display_name":null,"funder_award_id":"Grant No.","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G8595995555","display_name":null,"funder_award_id":"72371111","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"}],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409896229.pdf","grobid_xml":"https://content.openalex.org/works/W4409896229.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W1981976602","https://openalex.org/W1991181258","https://openalex.org/W2039251546","https://openalex.org/W2105911199","https://openalex.org/W2111292719","https://openalex.org/W2280404143","https://openalex.org/W2372800617","https://openalex.org/W2746067197","https://openalex.org/W2750557731","https://openalex.org/W2755626276","https://openalex.org/W2808829764","https://openalex.org/W2891115123","https://openalex.org/W2985159277","https://openalex.org/W2992764683","https://openalex.org/W2996897273","https://openalex.org/W3015460073","https://openalex.org/W3016555942","https://openalex.org/W3027548201","https://openalex.org/W3045451131","https://openalex.org/W3139236016","https://openalex.org/W3202964273","https://openalex.org/W4200229168","https://openalex.org/W4316669402","https://openalex.org/W4381059784","https://openalex.org/W4385737100","https://openalex.org/W4385762558","https://openalex.org/W4390719370","https://openalex.org/W4391598924","https://openalex.org/W4393342936","https://openalex.org/W4394857110","https://openalex.org/W6622210551"],"related_works":["https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W4213252971","https://openalex.org/W1984304831","https://openalex.org/W2141522520","https://openalex.org/W2039927067","https://openalex.org/W775370007","https://openalex.org/W4311297742"],"abstract_inverted_index":{"Septic":[0],"shock":[1,33,119],"is":[2],"one":[3],"of":[4,72,91],"the":[5,58,79,84],"most":[6],"lethal":[7],"conditions":[8],"in":[9,31,74,78,83,102],"ICU,":[10,81,86],"and":[11,93,100,104],"early":[12,123],"risk":[13,30],"prediction":[14],"may":[15],"help":[16],"reduce":[17,126],"mortality.":[18,127],"We":[19],"developed":[20],"a":[21,113],"TOPSIS-based":[22],"Classification":[23],"Fusion":[24],"(TCF)":[25],"model":[26,51,109],"to":[27,44,65,125],"predict":[28],"mortality":[29,120],"septic":[32,118],"patients":[34,40],"using":[35],"data":[36],"from":[37,41],"4872":[38],"ICU":[39],"February":[42],"2003":[43],"November":[45],"2023":[46],"across":[47],"three":[48],"hospitals.":[49],"The":[50],"integrates":[52],"seven":[53],"machine":[54],"learning":[55],"models":[56],"via":[57],"Technique":[59],"for":[60,117],"Order":[61],"Preference":[62],"by":[63],"Similarity":[64],"an":[66],"Ideal":[67],"Solution":[68],"(TOPSIS),":[69],"achieving":[70],"AUCs":[71,90],"0.733":[73],"internal":[75],"validation,":[76],"0.808":[77],"pediatric":[80],"0.662":[82],"respiratory":[85],"with":[87,112],"external":[88],"validation":[89],"0.784":[92],"0.786,":[94],"respectively.":[95],"It":[96],"demonstrated":[97],"high":[98],"stability":[99],"accuracy":[101],"cross-specialty":[103],"multi-center":[105],"validation.":[106],"This":[107],"interpretable":[108],"provides":[110],"clinicians":[111],"reliable":[114],"early-warning":[115],"tool":[116],"risk,":[121],"facilitating":[122],"intervention":[124]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":9}],"updated_date":"2026-04-13T07:58:08.660418","created_date":"2025-10-10T00:00:00"}
