Using augmented intelligence to improve long term outcomes.

IF 3.5 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2024-10-01 DOI:10.1097/MCC.0000000000001185

Itay Zahavi, Itamar Ben Shitrit, Sharon Einav

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引用次数: 0

Abstract

Purpose of review: For augmented intelligence (AI) tools to realize their potential, critical care clinicians must ensure they are designed to improve long-term outcomes. This overview is intended to align professionals with the state-of-the art of AI.

Recent findings: Many AI tools are undergoing preliminary assessment of their ability to support the care of survivors and their caregivers at multiple time points after intensive care unit (ICU) discharge. The domains being studied include early identification of deterioration (physiological, mental), management of impaired physical functioning, pain, sleep and sexual dysfunction, improving nutrition and communication, and screening and treatment of cognitive impairment and mental health disorders.Several technologies are already being marketed and many more are in various stages of development. These technologies mostly still require clinical trials outcome testing. However, lacking a formal regulatory approval process, some are already in use.

Summary: Plans for long-term management of ICU survivors must account for the development of a holistic follow-up system that incorporates AI across multiple platforms. A tiered post-ICU screening program may be established wherein AI tools managed by ICU follow-up clinics provide appropriate assistance without human intervention in cases with less pathology and refer severe cases to expert treatment.

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利用增强智能改善长期疗效。

审查目的：为了实现增强智能（AI）工具的潜力，重症监护临床医生必须确保这些工具旨在改善长期疗效。本综述旨在让专业人员了解人工智能的最新进展：许多人工智能工具正在接受初步评估，以确定它们是否有能力在重症监护室（ICU）出院后的多个时间点为幸存者及其护理人员提供护理支持。正在研究的领域包括早期识别恶化（生理、心理），管理受损的身体功能、疼痛、睡眠和性功能障碍，改善营养和沟通，以及筛查和治疗认知障碍和心理健康疾病。这些技术大多仍需要进行临床试验结果测试。小结：ICU 幸存者的长期管理计划必须考虑到开发一个跨多个平台的人工智能整体跟踪系统。可建立分级的 ICU 后筛查计划，由 ICU 随访诊所管理的人工智能工具可在病理程度较轻的情况下提供适当的帮助，无需人工干预，并将严重病例转介给专家治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.

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