机器学习用于对重症监护结果进行基准评估
Louis Atallah1, Mohsen Nabian1, Ludmila Brochini2
1Clinical Integration and Insights, Philips, Cambridge, MA, USA.
Healthcare informatics research
|November 15, 2023
概括
机器学习 (ML) 通过改善结果预测来增强重症监护的基准评估. 需要进一步研究重症监护的ML模型中的阶级不平衡,公平性和通用性.
科学领域:
- 关键护理医学 关键护理医学
- 人工智能的人工智能是人工智能.
- 医疗信息学 医疗信息学
背景情况:
- 临床护理的有效性取决于系统的评估和改进.
- 基准测试,对标准进行比较分析,有助于确定需要改进的领域.
- 在过去的二十年中,机器学习 (ML) 模型已经在临床结果预测方面取得了先进的进展.
研究的目的:
- 审查ML中的关键发现和结果,以进行重症监护的基准评估.
- 引导临床医生和研究人员选择最佳的ML方法.
- 突出预测临床护理结果的进展,如死亡率,停留时间和机械通风.
主要方法:
- 使用PubMed和谷歌学者,对2003-2023年的文学进行叙事审查.
- 搜索了利用ML用于死亡率,停留时间和机械通风的预测模型.
- 手动策划的文章提供了全面的读者视角.
主要成果:
- ML有效地解决了关键护理结果预测挑战.
- 在功能工程,数据预处理,模型选择和验证方面取得的进展.
- 机器学习模型在处理非线性关系,类不平衡,缺失数据和文档变化方面取得了成功.
结论:
- ML提供了新的工具来增强重症监护结果的基准评估.
- 需要在诸如阶级不平衡,公平,校准和通用性等领域进行进一步的研究.
- 在重症监护中,公布的ML模型的长期验证至关重要.
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