Refining empiric subgroups of pediatric sepsis using machine-learning techniques on observational data

Sepsis contributes to 1 of every 5 deaths globally with 3 million per year occurring in children. To improve clinical outcomes in pediatric sepsis, it is critical to avoid "one-size-fits-all" approaches and to employ a precision medicine approach. To advance a precision medicine approach t...

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Main Authors: Yidi Qin (Author), Rebecca I. Caldino Bohn (Author), Aditya Sriram (Author), Kate F. Kernan (Author), Joseph A. Carcillo (Author), Soyeon Kim (Author), Hyun Jung Park (Author)
Format: Book
Published: Frontiers Media S.A., 2023-01-01T00:00:00Z.
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Summary:Sepsis contributes to 1 of every 5 deaths globally with 3 million per year occurring in children. To improve clinical outcomes in pediatric sepsis, it is critical to avoid "one-size-fits-all" approaches and to employ a precision medicine approach. To advance a precision medicine approach to pediatric sepsis treatments, this review provides a summary of two phenotyping strategies, empiric and machine-learning-based phenotyping based on multifaceted data underlying the complex pediatric sepsis pathobiology. Although empiric and machine-learning-based phenotypes help clinicians accelerate the diagnosis and treatments, neither empiric nor machine-learning-based phenotypes fully encapsulate all aspects of pediatric sepsis heterogeneity. To facilitate accurate delineations of pediatric sepsis phenotypes for precision medicine approach, methodological steps and challenges are further highlighted.
Item Description:2296-2360
10.3389/fped.2023.1035576