Complete Blood Count and Monocyte Distribution Width-Based Machine Learning Algorithms for Sepsis Detection: Multicentric Development and External Validation Study.

Journal: Journal of medical Internet research
PMID:

Abstract

BACKGROUND: Sepsis is an organ dysfunction caused by a dysregulated host response to infection. Early detection is fundamental to improving the patient outcome. Laboratory medicine can play a crucial role by providing biomarkers whose alteration can be detected before the onset of clinical signs and symptoms. In particular, the relevance of monocyte distribution width (MDW) as a sepsis biomarker has emerged in the previous decade. However, despite encouraging results, MDW has poor sensitivity and positive predictive value when compared to other biomarkers.

Authors

  • Andrea Campagner
    IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161, Milano, Italy. Electronic address: a.campagner@campus.unimib.it.
  • Luisa Agnello
    University of Palermo, Palermo, Italy.
  • Anna Carobene
    Laboratory Medicine, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Andrea Padoan
    Department of Laboratory Medicine, University-Hospital of Padova, via Giustiniani 2, Padova 35128, Italy.
  • Fabio Del Ben
    Immunopathology and Cancer Biomarkers, CRO Aviano National Cancer Institute Aviano, Italy.
  • Massimo Locatelli
    Laboratory Medicine Service, San Raffaele Hospital, Via Olgettina, 60, 20132, Milano, Italy.
  • Mario Plebani
    Department of Laboratory Medicine, University-Hospital of Padova, Padova, Italy.
  • Agostino Ognibene
    San Donato Hospital of Arezzo, Arezzo, Italy.
  • Maria Lorubbio
    San Donato Hospital of Arezzo, Arezzo, Italy.
  • Elena De Vecchi
    IRCCS Istituto Ortopedico Galeazzi, Laboratory of Clinical Chemistry and Microbiology, Milan, Italy.
  • Andrea Cortegiani
    University of Palermo, Palermo, Italy.
  • Elisa Piva
    Azienda Socio Sanitaria Territoriale di Mantova, Mantova, Italy.
  • Donatella Poz
    University Hospital of Udine, Udine, Italy.
  • Francesco Curcio
    University Hospital of Udine, Udine, Italy.
  • Federico Cabitza
    Department of Informatics, Systems and Communication, University of Milano-Bicocca, Milano, Italy.
  • Marcello Ciaccio
    University of Palermo, Palermo, Italy.