Predicting adverse hemodynamic events in critically ill patients.

Purpose Of Review: The art of predicting future hemodynamic instability in the critically ill has rapidly become a science with the advent of advanced analytical processed based on computer-driven machine learning techniques. How these methods have progressed beyond severity scoring systems to inter...

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Detalles Bibliográficos
Publicado en:Current Opinion in Critical Care Vol. 24; no. 3; pp. 196 - 204
Autores principales: Yoon, Joo H., Pinsky, Michael R.
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins Jun2018
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Purpose Of Review: The art of predicting future hemodynamic instability in the critically ill has rapidly become a science with the advent of advanced analytical processed based on computer-driven machine learning techniques. How these methods have progressed beyond severity scoring systems to interface with decision-support is summarized.Recent Findings: Data mining of large multidimensional clinical time-series databases using a variety of machine learning tools has led to our ability to identify alert artifact and filter it from bedside alarms, display real-time risk stratification at the bedside to aid in clinical decision-making and predict the subsequent development of cardiorespiratory insufficiency hours before these events occur. This fast evolving filed is primarily limited by linkage of high-quality granular to physiologic rationale across heterogeneous clinical care domains.Summary: Using advanced analytic tools to glean knowledge from clinical data streams is rapidly becoming a reality whose clinical impact potential is great.