人工智能在儿科重症监护神经病学中的使用现状和未来方向
Sameer Thadani1,2, Christopher M Horvat3, Christin Silos4
1Department of Pediatrics, Division of Critical Care Medicine, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA. Sameer.thadani@bcm.edu.
Pediatric nephrology (Berlin, Germany)
|November 25, 2025
概括
人工智能 (AI) 和机器学习 (ML) 在儿科重症监护神经病学方面表现有前途,但临床实施落后于发展. 解决数据异质性和验证挑战是临床应用的关键.
科学领域:
- 儿科重症监护 腎病学
- 医疗人工智能 医疗人工智能
- 机器学习应用 机器学习应用
背景情况:
- 人工智能 (AI) 为推进医疗实践提供了巨大的潜力.
- 人工智能和机器学习 (ML) 在儿科重症监护神经病学的应用目前尚不发达.
- 非常需要评估AI/ML在这个专业领域的进展和挑战.
研究的目的:
- 从2000年到2024年,对儿童重症护理神经病学中的AI/ML算法进行范围审查.
- 为了确定AI/ML应用常见儿科病理的趋势.
- 评估AI/ML模型开发和临床实施之间的差距.
主要方法:
- 在儿科重症监护神经病学中对AI/ML研究进行系统的文献搜索.
- 提取有关病理,AI/ML技术和结果的数据.
- 分析研究设计,局限性和实施障碍.
主要成果:
- 确定了24篇文章,重点关注急性损伤 (AKI),电解质/酸障碍,液体管理和透析.
- 80%的研究集中在AKI预测/检测上;只有4%评估了临床影响.
- 显著的局限性包括单中心设计,缺乏外部验证,数据异质性和算法可移植性差.
结论:
- 在AI/ML模型开发和在儿科重症监护脏病学中床边实施之间存在很大的差距.
- 挑战包括儿科特定数据异质性,缺少算法可移植性和有限的可扩展性.
- 需要共同努力来弥合差距,并促进AI/ML在临床实践中的采用.
相关概念视频
01:30Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
01:20Acute Kidney Injury V: Interprofessional Care
284
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...
284
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
249
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...
249
01:28Chronic Kidney Disease III: Interprofessional Care
326
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...
326
01:29Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
196
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
196