Predicting clinical outcomes using artificial intelligence and machine learning in neonatal intensive care units: a
Ryan M McAdams1, Ravneet Kaur2, Yao Sun3
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Background:
Advances in technology, data availability, and analytics have helped improve quality of care in the neonatal intensive care unit.
Objective:
To provide an in-depth review of artificial intelligence (AI) and machine learning techniques being utilized to predict neonatal outcomes.
Methods:
The PRISMA protocol was followed that considered articles from established digital repositories. Included articles were categorized based on predictions of: (a) major neonatal morbidities such as sepsis, bronchopulmonary dysplasia, intraventricular hemorrhage, necrotizing enterocolitis, and retinopathy of prematurity; (b) mortality; and (c) length of stay.
Results:
A total of 366 studies were considered; 68 studies were eligible for inclusion in the review. The current set of predictor models are primarily built on supervised learning and mostly used regression models built on retrospective data.
Conclusion:
With the availability of EMR data and data-sharing of NICU outcomes across neonatal research networks, machine learning algorithms have shown breakthrough performance in predicting neonatal disease.
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