Search for: All records

Sepsis is a dysregulated host response to infection with high mortality and morbidity. Early detection and intervention have been shown to improve patient outcomes, but existing computational models relying on structured electronic health record data often miss contextual information from unstructured clinical notes. This study introduces COMPOSER-LLM, an open-source large language model (LLM) integrated with the COMPOSER model to enhance early sepsis prediction. For high-uncertainty predictions, the LLM extracts additional context to assess sepsis-mimics, improving accuracy. Evaluated on 2500 patient encounters, COMPOSER-LLM achieved a sensitivity of 72.1%, positive predictive value of 52.9%, F-1 score of 61.0%, and 0.0087 false alarms per patient hour, outperforming the standalone COMPOSER model. Prospective validation yielded similar results. Manual chart review found 62% of false positives had bacterial infections, demonstrating potential clinical utility. Our findings suggest that integrating LLMs with traditional models can enhance predictive performance by leveraging unstructured data, representing a significant advance in healthcare analytics. 

ABSTRACT This paper presents a new optical imaging survey of four deep drilling fields (DDFs), two Galactic and two extragalactic, with the Dark Energy Camera (DECam) on the 4-m Blanco telescope at the Cerro Tololo Inter-American Observatory (CTIO). During the first year of observations in 2021, >4000 images covering 21 deg2 (seven DECam pointings), with ∼40 epochs (nights) per field and 5 to 6 images per night per filter in g, r, i, and/or z have become publicly available (the proprietary period for this program is waived). We describe the real-time difference-image pipeline and how alerts are distributed to brokers via the same distribution system as the Zwicky Transient Facility (ZTF). In this paper, we focus on the two extragalactic deep fields (COSMOS and ELAIS-S1) characterizing the detected sources, and demonstrating that the survey design is effective for probing the discovery space of faint and fast variable and transient sources. We describe and make publicly available 4413 calibrated light curves based on difference-image detection photometry of transients and variables in the extragalactic fields. We also present preliminary scientific analysis regarding the Solar system small bodies, stellar flares and variables, Galactic anomaly detection, fast-rising transients and variables, supernovae, and active Galactic nuclei.