人工智能和预测模型用于急性损伤的早期检测:改变临床实践
Tu T Tran1,2, Giae Yun3,4, Sejoong Kim5,6,7
1Department of Internal Medicine, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.
BMC nephrology
|October 16, 2024
概括
早期发现急性损伤 (AKI) 对于改善患者的治疗结果至关重要. 本综述探讨了用于预测AKI的当前模型和人工智能 (AI),强调了实施挑战和机遇.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
背景情况:
- 急性损伤 (AKI) 是一种急性疾病,其进展迅速,导致严重并发症和潜在的替代疗法.
- 基于早期AKI检测和预测的及时干预对于改善患者预后至关重要.
- 当前的医疗保健系统面临着在早期有效识别和管理AKI的挑战.
研究的目的:
- 对AKI早期检测和预测的最先进模型进行叙事文献综述.
- 分析现有的AKI预测模型的优点,局限性和实际实施考虑因素.
- 检查人工智能 (AI) 辅助模型在AKI检测和预测中的作用,临床适用性和挑战.
主要方法:
- 综合的文献搜索和对AKI检测和预测模型研究的审查.
- 发现的叙述综合,重点关注模型性能和临床实用性.
- 对AI在AKI管理中的整合挑战和机会的分析.
主要成果:
- 各种模型显示了早期AKI检测的潜力,每个模型都有明显的优点和缺点.
- 实施强大的早期检测系统是成功整合AI的先决条件.
- 人工智能辅助模型提供了有希望的进步,但需要仔细验证和考虑临床适用性.
结论:
- 建立有效的早期检测系统对于改善AKI患者护理至关重要.
- 人工智能具有显著的潜力,可以提高AKI预测的准确性和及时性.
- 解决实施障碍是实现高级AKI预测工具在临床实践中的全部好处的关键.
相关概念视频
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
2
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
2
01:22Acute Kidney Injury I: Introduction
2
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
2
01:20Acute Kidney Injury V: Interprofessional Care
2
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
2
01:28Chronic Kidney Disease III: Interprofessional Care
2
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
2
01:29Acute Kidney Injury III: Clinical Manifestations
2
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
2
01:22Acute Kidney Injury VI: Nursing Management
2
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
2