I have been in the informatics space for some time and none of these ML generated sepsis alerts are helpful in the ED.
We can readily tell who has sepsis when confronted with patient appearance, vital signs, and workup.
The issue is trying to find a signal in all of this data where they have an occult condition that we are not yet observing. These folks get sick real bad and real quick and we often do miss this!
Trying to find that signal with our current medical technology is difficult but there are some immune markers that could potentially alert us. These tests are now coming online and should be prevalent within the next few years. Hopefully, more research will show whether they are helpful or not.
Sometimes, even the best tests or calculators or ML generated alerts do not measure up to physician gestalt.
We can readily tell who has sepsis when confronted with patient appearance, vital signs, and workup.
The issue is trying to find a signal in all of this data where they have an occult condition that we are not yet observing. These folks get sick real bad and real quick and we often do miss this!
Trying to find that signal with our current medical technology is difficult but there are some immune markers that could potentially alert us. These tests are now coming online and should be prevalent within the next few years. Hopefully, more research will show whether they are helpful or not.
Sometimes, even the best tests or calculators or ML generated alerts do not measure up to physician gestalt.