Wong An-Kwok Ian, Cheung Patricia C, Kamaleswaran Rishikesan, Martin Greg S, Holder Andre L
Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Emory University, Atlanta, GA, United States.
Emory University Department of Medicine, Atlanta, GA, United States.
Front Big Data. 2020 Nov 23;3:579774. doi: 10.3389/fdata.2020.579774. eCollection 2020.
Acute respiratory failure (ARF) is a common problem in medicine that utilizes significant healthcare resources and is associated with high morbidity and mortality. Classification of acute respiratory failure is complicated, and it is often determined by the level of mechanical support that is required, or the discrepancy between oxygen supply and uptake. These phenotypes make acute respiratory failure a continuum of syndromes, rather than one homogenous disease process. Early recognition of the risk factors for new or worsening acute respiratory failure may prevent that process from occurring. Predictive analytical methods using machine learning leverage clinical data to provide an early warning for impending acute respiratory failure or its sequelae. The aims of this review are to summarize the current literature on ARF prediction, to describe accepted procedures and common machine learning tools for predictive tasks through the lens of ARF prediction, and to demonstrate the challenges and potential solutions for ARF prediction that can improve patient outcomes.
急性呼吸衰竭(ARF)是医学中的常见问题,它消耗大量医疗资源,且与高发病率和高死亡率相关。急性呼吸衰竭的分类很复杂,通常由所需的机械支持水平或氧气供应与摄取之间的差异来确定。这些表型使急性呼吸衰竭成为一系列综合征,而非单一的同质疾病过程。早期识别新发或恶化的急性呼吸衰竭的危险因素可能会阻止该过程的发生。使用机器学习的预测分析方法利用临床数据为即将发生的急性呼吸衰竭或其后遗症提供早期预警。本综述的目的是总结当前关于急性呼吸衰竭预测的文献,从急性呼吸衰竭预测的角度描述用于预测任务的公认程序和常见机器学习工具,并阐述可改善患者预后的急性呼吸衰竭预测面临的挑战及潜在解决方案。