基于人工智能的模型,用于在ICU中生命结束时的临床预后
Mariana González Garcés1, Juanita Valencia García1, Jerónimo Cárdenas Montoya1
1Primary Care Physician, Faculty of Medicine, Universidad de La Sabana, Chía, Colombia.
International journal of medical informatics
|October 22, 2025
概括
人工智能 (AI) 在预测生命临终的重症监护室 (ICU) 患者的预后方面表现有前途. 需要进一步验证,以将人工智能纳入临床决策中,以预测重症监护的预后.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 临界护理医学 临界护理医学
背景情况:
- 人工智能 (AI) 为重症监护室 (ICU) 的临床预测提供了先进的能力.
- 人工智能有可能克服传统预后尺度对临终危重病患者的局限性.
- 在ICU中预测生命终点是改善决策支持的关键领域.
研究的目的:
- 系统地识别和描述人工智能 (AI) 模型,用于在重症监护室 (ICU) 进行生命末期预后决策.
- 审查人工智能在预测临床结果的应用,为生命末期的重症患者.
主要方法:
- 进行了全面的范围审查.
- 在PubMed,Scopus和Web of Science数据库中进行了搜索.
- 包括2015年至2025年间发表的研究,重点是用于ICU生命末期预后的AI算法.
主要成果:
- 二十八项研究符合纳入标准.
- 人工智能算法在预测死亡率,停止生命支持和临床恶化方面表现良好.
- 人工智能算法,数据源和报告指标的变化阻碍了研究之间的直接比较.
结论:
- 人工智能是改善临床预后的有希望的工具,在危急疾病,生命末期的ICU患者中.
- 提高方法严谨性和现实世界的验证对于强大的临床整合至关重要.
- 人工智能有可能显著改善临终关怀决策在重症监护机构.
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