Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis?
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Enfermagem (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000600157 |
Resumo: | ABSTRACT Objective: To analyze the critical alarms predictors of clinical deterioration/sepsis for clinical decision making in patients admitted to a reference hospital complex. Methods: An observational retrospective cohort study. The Machine Learning (ML) tool, Robot Laura®, scores changes in vital parameters and lab tests, classifying them by severity. Inpatients and patients over 18 years of age were included. Results: A total of 122,703 alarms were extracted from the platform, classified as 2 to 9. The pre-selection of critical alarms (6 to 9) indicated 263 urgent alerts (0.2%), from which, after filtering exclusion criteria, 254 alerts were delimited for 61 inpatients. Patient mortality from sepsis was 75%, of which 52% was due to sepsis related to the new coronavirus. After the alarms were answered, 82% of the patients remained in the sectors. Conclusions: Far beyond technology, ML models can speed up assertive clinical decisions by nurses, optimizing time and specialized human resources. |
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Revista Brasileira de Enfermagem (Online) |
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Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis?Artificial IntelligenceMachine LearningSepsisClinical Decision SupportInnovationABSTRACT Objective: To analyze the critical alarms predictors of clinical deterioration/sepsis for clinical decision making in patients admitted to a reference hospital complex. Methods: An observational retrospective cohort study. The Machine Learning (ML) tool, Robot Laura®, scores changes in vital parameters and lab tests, classifying them by severity. Inpatients and patients over 18 years of age were included. Results: A total of 122,703 alarms were extracted from the platform, classified as 2 to 9. The pre-selection of critical alarms (6 to 9) indicated 263 urgent alerts (0.2%), from which, after filtering exclusion criteria, 254 alerts were delimited for 61 inpatients. Patient mortality from sepsis was 75%, of which 52% was due to sepsis related to the new coronavirus. After the alarms were answered, 82% of the patients remained in the sectors. Conclusions: Far beyond technology, ML models can speed up assertive clinical decisions by nurses, optimizing time and specialized human resources.Associação Brasileira de Enfermagem2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000600157Revista Brasileira de Enfermagem v.75 n.5 2022reponame:Revista Brasileira de Enfermagem (Online)instname:Associação Brasileira de Enfermagem (ABEN)instacron:ABEN10.1590/0034-7167-2021-0586info:eu-repo/semantics/openAccessScherer,Juliane de SouzaPereira,Jéssica SilveiraDebastiani,Mariana SeveroBica,Claudia Giulianoeng2022-05-06T00:00:00Zoai:scielo:S0034-71672022000600157Revistahttp://www.scielo.br/rebenhttps://old.scielo.br/oai/scielo-oai.phpreben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br1984-04460034-7167opendoar:2022-05-06T00:00Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)false |
dc.title.none.fl_str_mv |
Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis? |
title |
Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis? |
spellingShingle |
Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis? Scherer,Juliane de Souza Artificial Intelligence Machine Learning Sepsis Clinical Decision Support Innovation |
title_short |
Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis? |
title_full |
Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis? |
title_fullStr |
Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis? |
title_full_unstemmed |
Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis? |
title_sort |
Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis? |
author |
Scherer,Juliane de Souza |
author_facet |
Scherer,Juliane de Souza Pereira,Jéssica Silveira Debastiani,Mariana Severo Bica,Claudia Giuliano |
author_role |
author |
author2 |
Pereira,Jéssica Silveira Debastiani,Mariana Severo Bica,Claudia Giuliano |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Scherer,Juliane de Souza Pereira,Jéssica Silveira Debastiani,Mariana Severo Bica,Claudia Giuliano |
dc.subject.por.fl_str_mv |
Artificial Intelligence Machine Learning Sepsis Clinical Decision Support Innovation |
topic |
Artificial Intelligence Machine Learning Sepsis Clinical Decision Support Innovation |
description |
ABSTRACT Objective: To analyze the critical alarms predictors of clinical deterioration/sepsis for clinical decision making in patients admitted to a reference hospital complex. Methods: An observational retrospective cohort study. The Machine Learning (ML) tool, Robot Laura®, scores changes in vital parameters and lab tests, classifying them by severity. Inpatients and patients over 18 years of age were included. Results: A total of 122,703 alarms were extracted from the platform, classified as 2 to 9. The pre-selection of critical alarms (6 to 9) indicated 263 urgent alerts (0.2%), from which, after filtering exclusion criteria, 254 alerts were delimited for 61 inpatients. Patient mortality from sepsis was 75%, of which 52% was due to sepsis related to the new coronavirus. After the alarms were answered, 82% of the patients remained in the sectors. Conclusions: Far beyond technology, ML models can speed up assertive clinical decisions by nurses, optimizing time and specialized human resources. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000600157 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000600157 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0034-7167-2021-0586 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
dc.source.none.fl_str_mv |
Revista Brasileira de Enfermagem v.75 n.5 2022 reponame:Revista Brasileira de Enfermagem (Online) instname:Associação Brasileira de Enfermagem (ABEN) instacron:ABEN |
instname_str |
Associação Brasileira de Enfermagem (ABEN) |
instacron_str |
ABEN |
institution |
ABEN |
reponame_str |
Revista Brasileira de Enfermagem (Online) |
collection |
Revista Brasileira de Enfermagem (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN) |
repository.mail.fl_str_mv |
reben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br |
_version_ |
1754303041631158272 |