Newcombe Virginia, Coats Timothy, Dark Paul, Gordon Anthony, Harris Steve, McAuley Danny F, Menon David K, Price Susanna, Puthucheary Zudin, Singer Mervyn
University of Cambridge, Cambridge UK.
University of Leicester, Leicester, UK.
Future Healthc J. 2021 Jul;8(2):e230-e236. doi: 10.7861/fhj.2021-0097.
Improved outcomes for acutely unwell patients are predicated on early identification of deterioration, accelerating the time to accurate diagnosis of the underlying condition, selection and titration of treatments that target biological phenotypes, and personalised endpoints to achieve optimal benefit yet minimise iatrogenic harm. Technological developments entering routine clinical practice over the next decade will deliver a sea change in patient management. Enhanced point of care diagnostics, more sophisticated physiological and biochemical monitoring with superior analytics and computer-aided support tools will all add considerable artificial intelligence to complement clinical skills. Experts in different fields of emergency and critical care medicine offer their perspectives as to which research developments could make a big difference within the next decade.
急性病患者病情改善的前提是早期识别病情恶化，加快对潜在疾病的准确诊断时间，选择并调整针对生物学表型的治疗方法，以及设定个性化的治疗终点以实现最佳疗效并将医源性伤害降至最低。未来十年进入常规临床实践的技术发展将给患者管理带来翻天覆地的变化。增强的床旁诊断、更复杂的生理和生化监测以及更高级的分析和计算机辅助支持工具，都将增添大量人工智能技术以补充临床技能。急诊和重症医学不同领域的专家就哪些研究进展可能在未来十年产生重大影响发表了他们的看法。
