CON:低血压预测指数不是低血压的验证预测指标
Simon Tilma Vistisen1, Johannes Enevoldsen
1From the Institute of Clinical Medicine, Aarhus University (STV, JE) and Department of Anaesthesiology & Intensive Care, Aarhus University Hospital, Aarhus, Denmark (STV, JE).
European journal of anaesthesiology
|December 12, 2023
概括
低血压预测指数 (HPI) 算法
科学领域:
- 关键护理医学 关键护理医学
- 医疗器械技术 医疗器械技术
- 临床信息学是一种临床信息学.
背景情况:
- 低血压预测指数 (HPI) 是一种商业算法,旨在预测低血压 (平均动脉压<65 mmHg).
- 人们对HPI预测准确度的夸大存在担忧,可能是由于选择偏差偏好了平均动脉压 (MAP) 数据.
- 最近的一篇错误论文撤回了验证研究的主要结论,进一步质疑HPI的可靠性.
研究的目的:
- 批判性地评估HPI算法的科学状态和预测能力.
- 描述可能影响HPI性能的选择偏差.
- 论证HPI的重新验证或重新开发,以确保临床相关性.
主要方法:
- 对HPI算法的现有研究进行审查和分析.
- 检查报告的选择偏差在HPI发展中的影响.
- 讨论最近与HPI验证相关的错误.
主要成果:
- 惠普指数算法可能是在显著的选择偏差下开发的,主要是从平均动脉压 (MAP) 中学习.
- 人们对HPI的预测准确性提出了担忧,这表明HPI可能夸大了.
- 一个撤回的错误强调了与以前的HPI验证研究结论相关的问题.
结论:
- 该HPI算法需要重新验证或完全重新开发.
- 与简单的平均动脉压 (MAP) 报警值相比,HPI的临床附加值是可疑的.
- 一个MAP警报值在70-75mmHg之间可以提供可比或优越的无偏差的预测性能.
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