Redefining critical illness

DM Maslove, B Tang, M Shankar-Hari, PR Lawler… - Nature medicine, 2022 - nature.com
Research and practice in critical care medicine have long been defined by syndromes,
which, despite being clinically recognizable entities, are, in fact, loose amalgams of …

Biological phenotyping in sepsis and acute respiratory distress syndrome

P Sinha, NJ Meyer, CS Calfee - Annual review of medicine, 2023 - annualreviews.org
Heterogeneity in sepsis and acute respiratory distress syndrome (ARDS) is increasingly
being recognized as one of the principal barriers to finding efficacious targeted therapies …

Sepsis biomarkers and diagnostic tools with a focus on machine learning

M Komorowski, A Green, KC Tatham, C Seymour… - …, 2022 - thelancet.com
Over the last years, there have been advances in the use of data-driven techniques to
improve the definition, early recognition, subtypes characterisation, prognostication and …

Prognostic and predictive enrichment in sepsis

NL Stanski, HR Wong - Nature Reviews Nephrology, 2020 - nature.com
Sepsis is a heterogeneous disease state that is both common and consequential in critically
ill patients. Unfortunately, the heterogeneity of sepsis at the individual patient level has …

Subphenotypes in critical care: translation into clinical practice

K Reddy, P Sinha, CM O'Kane, AC Gordon… - The Lancet …, 2020 - thelancet.com
Despite progress in the supportive care available for critically ill patients, few advances have
been made in the search for effective disease-modifying therapeutic options. The fact that …

Toward smarter lumping and smarter splitting: rethinking strategies for sepsis and acute respiratory distress syndrome clinical trial design

HC Prescott, CS Calfee, BT Thompson… - American journal of …, 2016 - atsjournals.org
Both quality improvement and clinical research efforts over the past few decades have
focused on consensus definition of sepsis and acute respiratory distress syndrome (ARDS) …

Developing a clinically feasible personalized medicine approach to pediatric septic shock

HR Wong, NZ Cvijanovich, N Anas… - American journal of …, 2015 - atsjournals.org
Rationale: Using microarray data, we previously identified gene expression–based
subclasses of septic shock with important phenotypic differences. The subclass-defining …

Diagnostics for neonatal sepsis: current approaches and future directions

PY Iroh Tam, CM Bendel - Pediatric research, 2017 - nature.com
Progress has been made in the reduction of morbidity and mortality from neonatal sepsis.
However, diagnosis continues to rely primarily on conventional microbiologic techniques …

The pediatric sepsis biomarker risk model

HR Wong, S Salisbury, Q Xiao, NZ Cvijanovich, M Hall… - Critical care, 2012 - Springer
Introduction The intrinsic heterogeneity of clinical septic shock is a major challenge. For
clinical trials, individual patient management, and quality improvement efforts, it is unclear …

Defining critical illness using immunological endotypes in patients with and without sepsis: a cohort study

JA Balch, UI Chen, O Liesenfeld, P Starostik, TJ Loftus… - Critical Care, 2023 - Springer
Background Sepsis is a heterogenous syndrome with limited therapeutic options. Identifying
immunological endotypes through gene expression patterns in septic patients may lead to …