Clinical Performance of Decision Support Systems in Anesthesia, Intensive Care, and Emergency Medicine: A Systematic Review and Meta-Analysis
Authors' conclusion
DSSs were associated with a beneficial impact in critical care medicine on a continuous and binary scale; however, the ED subgroup was found to be inconclusive.
Study context
- Population
- Critical care medicine: anesthesia, emergency department (ED) and intensive care unit (ICU)34 randomized controlled trials (RCTs)
- Participants
- 68,102 vs 111,515
- Comparison
- Decision support systems vs standard of care
- DSSn = 68,102
- Standard of care (SOC)n = 111,515reference
- Outcome
- Whether DSS is more effective than SOC in critical care medicine (continuous and binary outcomes)
Methodological detailsrandom-effects model, subgroup analyses
- Random-effects model
- Subgroup analyses
Pooled result
As reported in the abstract
DSS vs SOCSMD (95% CI)P value
Continuous outcomes
−0.66(−1.01 to −0.30)
P < 0.01DSS vs SOCOdds ratio (95% CI)P value
Binary outcomes
0.64(0.44–0.91)
P < 0.01Further pooled results
| Outcome | SMD (95% CI) | P value | |
|---|---|---|---|
| Anesthesia (subgroup) | −0.89 (−1.71 to −0.07) | P < 0.01 | |
| ICU (subgroup) | −0.63 (−1.14 to −0.12) | P < 0.01 | |
| Emergency medicine (subgroup)Evidence indeterminate | −0.24 (−0.71 to 0.23) | P < 0.01 | |
| −2−101Difference (linear scale) |
Original publication
Clinical Performance of Decision Support Systems in Anesthesia, Intensive Care, and Emergency Medicine: A Systematic Review and Meta-Analysis. Anesth Analg. Published 19 May 2023. doi:10.
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