Projected impact of an AI-guided defibrillation and cardioversion decision support system: A fully synthetic, simulation-based randomized trial for a tertiary care hospital in India.
Background: Survival from in-hospital cardiac arrest caused by ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT) decreases with every minute of delay before defibrillation. Conventional shock decisions depend on clinician recognition, guideline recall, team coordination, and s...
| Publicado en: | Critical Care & Shock Vol. 29; no. 4; pp. 151 - 163 |
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| Autores principales: | , , , , , , , |
| Formato: | equations & formulas research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Critical Care & Shock Journal
2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195908997&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195908997 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14107767 6CKO jtl: Critical Care & Shock issn: 14107767 maglogo: N pubinfo: dt: 2026 vid: 29 iid: 4 pid: 45459 pub: Critical Care & Shock Journal place: Houston, Texas artinfo: ui: 195908997 195908997 195908997 195908997 ppf: 151 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Projected impact of an AI-guided defibrillation and cardioversion decision support system: A fully synthetic, simulation-based randomized trial for a tertiary care hospital in India. aug: au: Jamadar, Khurshid Shikalgar, Shahin Faruk Suryavanshi, Surekha Kisan Tapare, Shrikant Pore, Yashashri Pimpalekar, Shital Nadaf, Husain Jabade, Mangesh affil: Dr. D. Y. Patil Vidyapeeth, Pune, Dr. D. Y. Patil College of Nursing, Pimpri, Pune, India sug: subj: Artificial Intelligence Defibrillation Cardioversion Decision Support Systems, Clinical Computer Simulation Tertiary Health Care India Academic Medical Centers India Resuscitation, Cardiopulmonary Treatment Outcomes Heart Arrest Therapy Time Ventricular Fibrillation Therapy Tachycardia, Ventricular Therapy Human Randomized Controlled Trials Random Assignment Comparative Studies Male Female Middle Age Aged India Cardiac Patients Hospitals, Special Arrhythmia Classification Hand Off (Patient Safety) Return of Spontaneous Circulation Heart Arrest Prognosis Survival Analysis Patient Discharge Descriptive Statistics Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Survival from in-hospital cardiac arrest caused by ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT) decreases with every minute of delay before defibrillation. Conventional shock decisions depend on clinician recognition, guideline recall, team coordination, and standard shock-advisory algorithms that may require interruptions in chest compressions. Recent advances in artificial intelligence (AI) have demonstrated high accuracy in rhythm recognition and shock advisory during cardiopulmonary resuscitation (CPR), but their potential impact in Indian tertiary-care settings remains uncertain. Objective: To estimate the potential effect of an AI-guided defibrillation and cardioversion decision-support system on time-to-first shock and resuscitation outcomes using a fully synthetic simulation model based on a tertiarycare hospital setting. Methods: A virtual randomized trial comprising 2,000 synthetic adult episodes (1,000 per arm) was constructed. Cases included shockable cardiac arrest (VF/pVT) and unstable tachyarrhythmias requiring synchronized cardioversion. Standard care was compared with an AI-assisted model providing real-time rhythm classification, shock/no-shock recommendations, energy suggestions, and prompts to minimize CPR interruptions while preserving clinician authority. The primary outcome was time-to-first shock. Secondary outcomes included firstshock success, CPR hands-off time, return of spontaneous circulation (ROSC), survival to discharge, neurological outcome proxy, and number of shocks. Results: Mean time-to-first shock decreased from 5.5±2.3 minutes to 3.7±1.6 minutes with AI assistance (mean reduction 1.8 minutes, p<0.001). First-shock success increased from 62.0% to 78.2%, CPR hands-off time decreased substantially, ROSC improved from 50.3% to 60.3%, and survival to discharge increased from 24.6% to 29.3%. Conclusion: This simulation suggests that AI-assisted defibrillation and cardioversion may reduce treatment delays, improve CPR quality, and enhance resuscitation outcomes. Prospective clinical studies are required to validate these findings before implementation in practice. pubtype: Academic Journal doctype: equations & formulas research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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