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The Transition Law of Sepsis Patients’ Illness States Based on Complex Network

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Artificial Intelligence in Medicine (AIME 2022)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 13263))

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Abstract

Sepsis is a disease with a high mortality rate of 15%–50%. It is of great significance to study disease development rules of sepsis patients, which can summarize the clinical pattern and provide support for clinicians.

This paper proposes a complex network-based model of sepsis disease progression, which can quantify and study the transition law of sepsis patients. The paper presents that the human body is abstracted into a complex system composed of seven organ systems and the patient’s condition state at every moment is expressed as a seven-dimensional vector. The complex network of sepsis disease regression is constructed by using the disease states as nodes and the state changes as connecting edges. The transition law of sepsis patients’ illness states is that the complex network of sepsis is scale-free but does not have small-world characteristics. The important state nodes in the network determine the changes of patients’ condition, and patients will eventually leave Intensive Care Unit(ICU) or die in ICU. Clinicians should pay attention to intermediate state nodes, especially to patients’ respiratory system.

First Author and Second Author contribute equally to this work.

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References

  1. Fleischmann, C., et al.: Assessment of global incidence and mortality of hospital-treated sepsis. Current estimates and limitations. Am. J. Respir. Crit. Care Med. 193(3), 259–272 (2016)

    Article  Google Scholar 

  2. Alliances, R.S.: Regional sepsis alliances. https://www.global-sepsis-alliance.org/sepsis

  3. Lelubre, C., Vincent, J.L.: Mechanisms and treatment of organ failure in sepsis. Nat. Rev. Nephrol. 14(7), 417–427 (2018)

    Article  Google Scholar 

  4. Harley, A., Johnston, A., Denny, K., Keijzers, G., Crilly, J., Massey, D.: Emergency nurses’ knowledge and understanding of their role in recognising and responding to patients with sepsis: a qualitative study. Int. Emerg. Nurs. 43, 106–112 (2019)

    Article  Google Scholar 

  5. Mannhardt, F., Blinde, D.: Analyzing the trajectories of patients with sepsis using process mining. In: RADAR+ EMISA@ CAiSE, pp. 72–80 (2017)

    Google Scholar 

  6. Nemati, S., Holder, A., Razmi, F., Stanley, M.D., Clifford, G.D., Buchman, T.G.: An interpretable machine learning model for accurate prediction of sepsis in the ICU. Crit. Care Med. 46(4), 547 (2018)

    Article  Google Scholar 

  7. Fleuren, L.M., et al.: Machine learning for the prediction of sepsis: a systematic review and meta-analysis of diagnostic test accuracy. Intensive Care Med. 46(3), 383–400 (2020). https://doi.org/10.1007/s00134-019-05872-y

    Article  Google Scholar 

  8. Goh, K.H., Wang, L., Yeow, A.Y.K., Poh, H., Li, K., Yeow, J.J.L., Tan, G.Y.H.: Artificial intelligence in sepsis early prediction and diagnosis using unstructured data in healthcare. Nat. Commun. 12(1), 1–10 (2021)

    Article  Google Scholar 

  9. Tsoukalas, A., Albertson, T., Tagkopoulos, I.: From data to optimal decision making: a data-driven, probabilistic machine learning approach to decision support for patients with sepsis. JMIR Med. Inform. 3(1), e3445 (2015)

    Article  Google Scholar 

  10. Komorowski, M., Celi, L.A., Badawi, O., Gordon, A.C., Faisal, A.A.: The artificial intelligence clinician learns optimal treatment strategies for sepsis in intensive care. Nat. Med. 24(11), 1716–1720 (2018)

    Article  Google Scholar 

  11. Hofmann, S.G., Curtiss, J.: A complex network approach to clinical science. Eur. J. Clin. Inv. 48(8), e12986 (2018)

    Article  Google Scholar 

  12. Liu, Y., Sanhedrai, H., Dong, G., Shekhtman, L.M., Wang, F., Buldyrev, S.V., Havlin, S.: Efficient network immunization under limited knowledge. Natl. Sci. Rev. 8(1), nwaa229 (2021)

    Google Scholar 

  13. Pagani, G.A., Aiello, M.: The power grid as a complex network: a survey. Physica A: Stat. Mech. Appl. 392(11), 2688–2700 (2013)

    Article  MathSciNet  Google Scholar 

  14. Clauset, A., Shalizi, C.R., Newman, M.E.: Power-law distributions in empirical data. SIAM Rev. 51(4), 661–703 (2009)

    Article  MathSciNet  Google Scholar 

  15. Alstott, J., Bullmore, E., Plenz, D.: Powerlaw: a python package for analysis of heavy-tailed distributions. PLoS One 9(1), e85777 (2014)

    Article  Google Scholar 

  16. Vuong, Q.H.: Likelihood ratio tests for model selection and non-nested hypotheses. Econometrica: J. Econometric Soc. 57(2), 307–333 (1989)

    Article  Google Scholar 

  17. Kleinberg, J.M.: Navigation in a small world. Nature 406(6798), 845–845 (2000)

    Article  Google Scholar 

  18. Watts, D.J., Strogatz, S.H.: Collective dynamics of ‘small-world’networks. Nature 393(6684), 440–442 (1998)

    Article  Google Scholar 

  19. Aksu, Arif, Gulen, Muge, Avci, Akkan, Satar, Salim: Adding lactate to SOFA and qSOFA scores predicts in-hospital mortality better in older patients in critical care. Eur. Geriatr. Med. 10(3), 445–453 (2019). https://doi.org/10.1007/s41999-019-00179-z

    Article  Google Scholar 

  20. Shetty, A., et al.: Lactate\(\ge \) 2 mmol/l plus qsofa improves utility over qSOFA alone in emergency department patients presenting with suspected sepsis. Emerg. Med. Australasia 29(6), 626–634 (2017)

    Article  Google Scholar 

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Correspondence to Chunping Li .

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A Appendix

A Appendix

Table 4. State Score Table
Fig. 7.
figure 7

KS test comparison of alternative hypothetical, (a) Maximum likelihood ratio R, (b) Significance level p

Fig. 8.
figure 8

Comparison of alternative hypothetical fitting (a) degree, (b) in-degree, (c) out-degree

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Wang, R., Liu, J., Chen, Z., Gong, M., Li, C., Guo, W. (2022). The Transition Law of Sepsis Patients’ Illness States Based on Complex Network. In: Michalowski, M., Abidi, S.S.R., Abidi, S. (eds) Artificial Intelligence in Medicine. AIME 2022. Lecture Notes in Computer Science(), vol 13263. Springer, Cham. https://doi.org/10.1007/978-3-031-09342-5_31

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  • DOI: https://doi.org/10.1007/978-3-031-09342-5_31

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  • Online ISBN: 978-3-031-09342-5

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