An approach to rapidly assess sepsis through multi-biomarker host response using machine learning algorithm.

Journal: Scientific reports
Published Date:

Abstract

Sepsis is a life-threatening condition and understanding the disease pathophysiology through the use of host immune response biomarkers is critical for patient stratification. Lack of accurate sepsis endotyping impedes clinicians from making timely decisions alongside insufficiencies in appropriate sepsis management. This work aims to demonstrate the potential feasibility of a data-driven validation model for supporting clinical decisions to predict sepsis host-immune response. Herein, we used a machine learning approach to determine the predictive potential of identifying sepsis host immune response for patient stratification by combining multiple biomarker measurements from a single plasma sample. Results were obtained using the following cytokines and chemokines IL-6, IL-8, IL-10, IP-10 and TRAIL where the test dataset was 70%. Supervised machine learning algorithm naïve Bayes and decision tree algorithm showed good accuracy of 96.64% and 94.64%. These promising findings indicate the proposed AI approach could be a valuable testing resource for promoting clinical decision making.

Authors

  • Abha Umesh Sardesai
    Department of Computer Engineering, University of Texas at Dallas, 800 W. Campbell Rd., Richardson, TX, USA.
  • Ambalika Sanjeev Tanak
    Department of Bioengineering, The University of Texas at Dallas, Richardson, TX, 75080, USA.
  • Subramaniam Krishnan
    Austere Environments Consortium for Enhanced Sepsis Outcomes (ACESO), Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, 20817, USA.
  • Deborah A Striegel
    Austere Environments Consortium for Enhanced Sepsis Outcomes (ACESO), Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, 20817, USA.
  • Kevin L Schully
    Biological Defense Research Directorate, Naval Medical Research Center-Frederick, Ft. Detrick, MD, 21702, USA.
  • Danielle V Clark
    Austere Environments Consortium for Enhanced Sepsis Outcomes (ACESO), Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, 20817, USA.
  • Sriram Muthukumar
    EnLiSense LLC, 1813 Audubon Pondway, Allen, TX, 75013, USA.
  • Shalini Prasad
    Department of Bioengineering, The University of Texas at Dallas, Richardson, TX, 75080, USA.