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Role of artificial intelligence in predicting disease-related malnutrition - A narrative review
Daniel de Luis Román1, Juan José López Gómez2, David Emilio Barajas Galindo3
1Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario de Valladolid. Centro de Investigación en Endocrinología y Nutrición Clínica (IENVA). Facultad de Medicina. Universidad de Valladolid.
Introduction:
Background: disease-related malnutrition (DRM) affects 30-50 % of hospitalized patients and is often underdiagnosed, increasing risks of complications and healthcare costs. Traditional DRM detection has relied on manual methods that lack accuracy and efficiency. Objective: this narrative review explores how artificial intelligence (AI), specifically machine learning (ML) and deep learning (DL), can transform the prediction and management of DRM in clinical settings. Methods: we examine widely used ML and DL models, assessing their clinical applicability, advantages, and limitations. The integration of these models into electronic health record systems allows for automated risk detection and optimizes real-time patient management. Results: ML and DL models show significant potential for accurate assessment of nutritional status and prediction of complications in patients with DRM. These models facilitate improved clinical decision-making and more efficient resource management, although their implementation faces challenges related to the need for large volumes of standardized data and integration with existing systems. Conclusion: AI offers promising prospects for proactive DRM management, highlighting the need for interdisciplinary collaboration to overcome existing barriers and maximize its positive impact on patient care.
Insights
Artificial intelligence (AI), including machine learning (ML) and deep learning (DL), can improve the detection and management of disease-related malnutrition (DRM) in hospitalized patients. These advanced methods offer more accurate predictions and efficient patient care compared to traditional approaches.
Area of Science:
- Clinical Nutrition
- Medical Informatics
- Artificial Intelligence in Healthcare
Background:
- Disease-related malnutrition (DRM) impacts 30-50% of hospitalized patients, leading to increased complications and healthcare costs.
- Current manual methods for DRM detection are often inaccurate and inefficient, contributing to underdiagnosis.
- There is a critical need for advanced tools to improve the identification and management of DRM.
Purpose of the Study:
- To review the application of artificial intelligence (AI), machine learning (ML), and deep learning (DL) in predicting and managing DRM.
- To assess the clinical utility, benefits, and drawbacks of various AI models for DRM.
- To explore the integration of AI tools with electronic health records for real-time patient management.
Main Methods:
- A narrative review of existing literature on ML and DL models for DRM.
- Examination of the clinical applicability, advantages, and limitations of these AI models.
- Analysis of how AI integration into electronic health records can automate risk detection and optimize management.
Main Results:
- ML and DL models demonstrate significant potential for accurate nutritional status assessment and complication prediction in DRM patients.
- AI facilitates enhanced clinical decision-making and more efficient resource allocation.
- Implementation challenges include the need for large, standardized datasets and seamless integration with existing healthcare systems.
Conclusions:
- AI presents a promising avenue for proactive DRM management in clinical settings.
- Interdisciplinary collaboration is essential to address implementation barriers and maximize AI's benefits for patient care.
- AI-driven solutions can lead to improved patient outcomes and reduced healthcare burdens associated with DRM.
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