Perioperative medicine & outcomes

Machine learning-augmented interventions in perioperative care: a systematic review and meta-analysis

Br J AnaesthPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

HPI decreased the duration of intraoperative hypotension, and NoL decreased postoperative pain scores, but no significant impact on other clinical outcomes was found.

Study context

Population
Surgical inpatients13 randomised controlled trials (RCTs)
Comparison
Machine learning (ML)-driven interventions vs standard care
Outcome
Perioperative outcomes
Methodological detailsrandom-effects model, vote counting, PRISMA
  • Random-effects model
  • Vote counting
  • PRISMA

Pooled result

As reported in the abstract

  • Hypotension Prediction Index (HPI) vs Standard care: P = 0.003
  • HPI vs Standard care: P < 0.0001
  • NoL vs Standard care: P = 0.004

Further pooled results

OutcomeP value
Opioid consumption (NoL)NoL vs Standard care · no significant impact; n=339, I2=92%P = 0.31
Opioid consumption (NoL)NoL vs Standard care · no significant impact; n=339, I2=0%P = 0.11
Hospital LOS and PACU stay (HPI and NoL)HPI and NoL vs Standard care · no significant difference; n=361, I2=0%P = 0.81
Hospital LOS and PACU stay (HPI and NoL)HPI and NoL vs Standard care · no significant difference; n=267, I2=0P = 0.44

Original publication

Machine learning-augmented interventions in perioperative care: a systematic review and meta-analysis. Br J Anaesth. Published 24 September 2024. doi:10.1016/j.bja.2024.08.007

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

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