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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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
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      dt: Jun2018
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      pub: Lippincott Williams & Wilkins
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        atl: Predicting adverse hemodynamic events in critically ill patients.
      aug:
        au:
          Yoon, Joo H.
          Pinsky, Michael R.
        affil: Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
      sug:
        subj:
          Cardiovascular Diseases Diagnosis
          Critical Illness
          Respiration Disorders Diagnosis
          Hemodynamics Physiology
          Aged
          Middle Age
          Adult
          Respiration Disorders Physiopathology
          Cardiovascular Diseases Physiopathology
          Male
          Human
          Aged, 80 and Over
          Predictive Value of Tests
          Female
          Scales
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Aged, 80 & over
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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