Artificial intelligence in the care of children and adolescents with chronic diseases: a systematic review.

IF 3 3区医学 Q1 PEDIATRICS

European Journal of Pediatrics Pub Date : 2024-12-14 DOI:10.1007/s00431-024-05846-3

Janna-Lina Kerth, Maurus Hagemeister, Anne C Bischops, Lisa Reinhart, Juergen Dukart, Bert Heinrichs, Simon B Eickhoff, Thomas Meissner

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引用次数: 0

Abstract

The integration of artificial intelligence (AI) and machine learning (ML) has shown potential for various applications in the medical field, particularly for diagnosing and managing chronic diseases among children and adolescents. This systematic review aims to comprehensively analyze and synthesize research on the use of AI for monitoring, guiding, and assisting pediatric patients with chronic diseases. Five major electronic databases were searched (Medline, Scopus, PsycINFO, ACM, Web of Science), along with manual searches of gray literature, personal archives, and reference lists of relevant papers. All original studies as well as conference abstracts and proceedings, focusing on AI applications for pediatric chronic disease care were included. Thirty-one studies met the inclusion criteria. We extracted AI method used, study design, population, intervention, and main results. Two researchers independently extracted data and resolved discrepancies through discussion. AI applications are diverse, encompassing, e.g., disease classification, outcome prediction, or decision support. AI generally performed well, though most models were tested on retrospective data. AI-based tools have shown promise in mental health analysis, e.g., by using speech sampling or social media data to predict therapy outcomes for various chronic conditions.

Conclusions: While AI holds potential in pediatric chronic disease care, most reviewed studies are small-scale research projects. Prospective clinical implementations are needed to validate its effectiveness in real-world scenarios. Ethical considerations, cultural influences, and stakeholder attitudes should be integrated into future research.

What is known: • Artificial Intelligence (AI) will play a more dominant role in medicine and healthcare in the future and many applications are already being developed.

What is new: • Our review provides an overview on how AI-driven systems might be able to support children and adolescents with chronic illnesses. • While many applications are being researched, few have been tested on real-world, prospective, clinical data.

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人工智能在儿童和青少年慢性病护理中的应用：系统综述。

人工智能（AI）与机器学习（ML）的结合已显示出在医疗领域的各种应用潜力，尤其是在儿童和青少年慢性疾病的诊断和管理方面。本系统综述旨在全面分析和综合有关使用人工智能监测、指导和辅助儿科慢性病患者的研究。研究人员检索了五大电子数据库（Medline、Scopus、PsycINFO、ACM、Web of Science），并人工检索了灰色文献、个人档案和相关论文的参考文献列表。所有以人工智能在儿科慢性病护理中的应用为主题的原创研究、会议摘要和论文集均被纳入其中。有 31 项研究符合纳入标准。我们提取了所使用的人工智能方法、研究设计、人群、干预措施和主要结果。两名研究人员独立提取数据，并通过讨论解决差异。人工智能的应用多种多样，包括疾病分类、结果预测或决策支持等。虽然大多数模型都是在回顾性数据上进行测试，但人工智能的表现普遍良好。基于人工智能的工具在心理健康分析方面大有可为，例如利用语音采样或社交媒体数据预测各种慢性疾病的治疗结果：结论：虽然人工智能在儿科慢性病护理方面具有潜力，但大多数综述研究都是小规模的研究项目。结论：虽然人工智能在儿科慢性病护理中具有潜力，但大多数综述研究都是小规模的研究项目，需要进行前瞻性的临床实施，以验证其在现实世界中的有效性。在未来的研究中应考虑伦理因素、文化影响和利益相关者的态度：- 人工智能（AI）未来将在医学和医疗保健领域发挥更重要的作用，许多应用已在开发之中：- 我们的综述概述了人工智能驱动的系统如何为患有慢性疾病的儿童和青少年提供支持。- 虽然许多应用正在研究中，但很少有应用在真实世界、前瞻性临床数据上进行过测试。

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

European Journal of Pediatrics 医学-小儿科

CiteScore

5.90

自引率

2.80%

发文量

367

审稿时长

3-6 weeks

期刊介绍： The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics. The editors encourage authors to submit original articles, reviews, short communications, and correspondence on all relevant themes and topics. EJPE is particularly committed to the publication of articles on important new clinical research that will have an immediate impact on clinical pediatric practice. The editorial office very much welcomes ideas for publications, whether individual articles or article series, that fit this goal and is always willing to address inquiries from authors regarding potential submissions. Invited review articles on clinical pediatrics that provide comprehensive coverage of a subject of importance are also regularly commissioned. The short publication time reflects both the commitment of the editors and publishers and their passion for new developments in the field of pediatrics. EJPE is active on social media (@EurJPediatrics) and we invite you to participate. EJPE is the official journal of the European Academy of Paediatrics (EAP) and publishes guidelines and statements in cooperation with the EAP.