Perioperative medicine & outcomes

Deep-learning-based postoperative desaturation prediction using spirometry image data

J Clin Monit ComputPublished Retrospective prediction model development and external validation study

Authors' conclusion

These findings support the efficacy of both the deep learning model and the predictive index in forecasting postoperative desaturation

Study context

Population
Patients undergoing laparoscopic or robot-assisted abdominal surgery207 training, 45 external validation
Participants
252 patients
Comparison
Deep learning model vs Desaturation predictive index
Outcome
Model's ability to predict postoperative desaturation (AUROC)
Methodological detailsmulticentre, convolutional neural network, Two tertiary hospitals for training; independent hospital for external validation
  • Multicentre
  • Convolutional neural network
  • Two tertiary hospitals for training; independent hospital for external validation

Performance

As reported in the abstract

Prediction of postoperative desaturation
Test or modelAUROC, internal validation (95% CI)AUROC, external validation (95% CI)AUROC, internalAUROC, external
Deep learning model0.825 [0.744-0.905]0.688 [0.656-0.720]— not stated in the abstract— not stated in the abstract
Desaturation predictive index— not stated in the abstract— not stated in the abstract0.7740.722

AUROC, internal validation (95% CI)

Deep learning model0.825 [0.744-0.905]
Desaturation predictive index— not stated in the abstract

AUROC, external validation (95% CI)

Deep learning model0.688 [0.656-0.720]
Desaturation predictive index— not stated in the abstract

AUROC, internal

Deep learning model— not stated in the abstract
Desaturation predictive index0.774

AUROC, external

Deep learning model— not stated in the abstract
Desaturation predictive index0.722

— not stated in the abstract

Original publication

Deep-learning-based postoperative desaturation prediction using spirometry image data. J Clin Monit Comput. Published 27 September 2026. doi:10.1007/s10877-026-01483-3

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