ICU sedation, delirium & recovery

Application of Machine Learning Models to Biomedical and Information System Signals From Critically Ill Adults

ChestPublished Diagnostic accuracy study

Authors' conclusion

ML-derived notifications for clinically actioned hemodynamic instability and respiratory failure events represent an advance because the magnitude of the differences of accuracy, precision, misclassification rate, and pre-event lead time is large enough to allow more proactive care and has markedly lower frequency and interruption of bedside physician work flows.

Study context

Population
Critically ill adults
Comparison
Machine learning (ML) notifications vs telemedicine system (TS) alerts vs BM alarms
Outcome
Prediction of intubation or vasopressor initiation events
Methodological detailsinternal and external validation, COVID-19 cohort
  • Internal and external validation
  • COVID-19 cohort

Performance

As reported in the abstract

Accuracy for predicting intubation and vasopressor initiation
Test or modelAccuracy
ML0.87-0.94
TS0.28-0.53
BM0.019-0.028

Accuracy

ML0.87-0.94
TS0.28-0.53
BM0.019-0.028

Further findings

External validation and COVID-19 cohorts

ML performance similar to internal validation cohorts

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Application of Machine Learning Models to Biomedical and Information System Signals From Critically Ill Adults. Chest. Published 1 November 2023. doi:10.1016/j.chest.2023.10.036

Composed by AI from the published abstract and checked against it. How Briefs are made →

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