术后人工智能驱动的手术综合建模,使用麻醉,身体和认知状态来预测医院结果
Sabyasachi Bandyopadhyay1, Jiaqing Zhang2, Ronald L Ison2
1Stanford University.
Research square
|December 3, 2025
概括
通过时钟绘图测试评估的手术前认知状态显著预测了手术结果,如住院和死亡率. 时钟尺寸成为不良事件的关键认知预测指标.
科学领域:
- 神经外科 神经外科
- 医疗信息学 医疗信息学
- 老年医学 老年医学
背景情况:
- 手术前的认知状态对于手术结果至关重要,但仍未得到充分研究.
- 时钟绘图测试提供了一种评估认知功能的实用方法.
- 深度学习可以从时钟图纸中提取详细的特征.
研究的目的:
- 评估手术前认知状态对手术结果的预测能力.
- 为了确定认知评估是否在预测结果方面超过了传统的风险因素.
- 确定与不良手术事件相关的特定认知和手术内特征.
主要方法:
- 使用深度学习算法进行时钟绘图测试,提取10个结构特征.
- 训练有素的机器学习模型具有5倍的交叉验证,以预测术后结果.
- 采用沙普利添加剂解释功能可解释性的解释.
主要成果:
- 术后认知数据集是18个手术结果对中的12个最好的预测因素.
- 手术持续时间和麻醉剂度是不良结果的重要预测因素.
- 低平均血压,高血压变性和时钟大小预测了不良结果.
结论:
- 手术前的认知状态,特别是通过尺寸等时钟绘图特征进行评估,是手术结果的有价值的预测指标.
- 将认知评估整合到外科手术期间的建模中,可以提高风险预测和医疗保健策略.
- 术内变量,如手术持续时间和血压管理,对于患者安全至关重要.
相关概念视频
01:22Stages of General Anesthesia
1.4K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
1.4K
01:24General Anesthesia: Overview
552
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
552