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人工智能在急诊和创伤外科中的知识、态度和实践,ARIES 项目:一项国际网络调查。

Knowledge, attitude, and practice of artificial intelligence in emergency and trauma surgery, the ARIES project: an international web-based survey.

机构信息

Department of Emergency and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint Germain en Laye, 10 Rue de Champ Gaillard, Poissy Cedex, France.

Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.

出版信息

World J Emerg Surg. 2022 Feb 10;17(1):10. doi: 10.1186/s13017-022-00413-3.

DOI:10.1186/s13017-022-00413-3
PMID:35144645
原文链接:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8832812/
Abstract

AIM

We aimed to evaluate the knowledge, attitude, and practices in the application of AI in the emergency setting among international acute care and emergency surgeons.

METHODS

An online questionnaire composed of 30 multiple choice and open-ended questions was sent to the members of the World Society of Emergency Surgery between 29th May and 28th August 2021. The questionnaire was developed by a panel of 11 international experts and approved by the WSES steering committee.

RESULTS

200 participants answered the survey, 32 were females (16%). 172 (86%) surgeons thought that AI will improve acute care surgery. Fifty surgeons (25%) were trained, robotic surgeons and can perform it. Only 19 (9.5%) were currently performing it. 126 (63%) surgeons do not have a robotic system in their institution, and for those who have it, it was mainly used for elective surgery. Only 100 surgeons (50%) were able to define different AI terminology. Participants thought that AI is useful to support training and education (61.5%), perioperative decision making (59.5%), and surgical vision (53%) in emergency surgery. There was no statistically significant difference between males and females in ability, interest in training or expectations of AI (p values 0.91, 0.82, and 0.28, respectively, Mann-Whitney U test). Ability was significantly correlated with interest and expectations (p < 0.0001 Pearson rank correlation, rho 0.42 and 0.47, respectively) but not with experience (p = 0.9, rho - 0.01).

CONCLUSIONS

The implementation of artificial intelligence in the emergency and trauma setting is still in an early phase. The support of emergency and trauma surgeons is essential for the progress of AI in their setting which can be augmented by proper research and training programs in this area.

摘要

目的

评估国际急危重症外科医师在急诊环境中应用人工智能的知识、态度和实践情况。

方法

2021 年 5 月 29 日至 8 月 28 日,向世界急诊外科学会(World Society of Emergency Surgery,WSES)成员发送了一份由 30 个多项选择题和开放式问题组成的在线问卷。该问卷由 11 名国际专家组成的小组制定,并经 WSES 指导委员会批准。

结果

200 名参与者回答了调查,其中 32 名是女性(16%)。172 名(86%)外科医生认为 AI 将改善急性护理手术。50 名外科医生(25%)接受过培训,能够操作机器人,且有 19 名(9.5%)正在使用。126 名(63%)外科医生所在机构没有机器人系统,对于那些有机器人系统的机构,其主要用于择期手术。仅有 100 名外科医生(50%)能够定义不同的 AI 术语。参与者认为 AI 在急诊手术中有助于支持培训和教育(61.5%)、围手术期决策(59.5%)和手术视野(53%)。男性和女性在能力、对培训的兴趣或对 AI 的期望方面没有统计学差异(p 值分别为 0.91、0.82 和 0.28,Mann-Whitney U 检验)。能力与兴趣和期望显著相关(p<0.0001,Pearson 秩相关系数分别为 0.42 和 0.47),但与经验无关(p=0.9,rho=-0.01)。

结论

人工智能在急救和创伤环境中的实施仍处于早期阶段。急诊和创伤外科医生的支持对于人工智能在其领域的发展至关重要,这可以通过在该领域适当的研究和培训计划来实现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/8832812/1316d0cf3b2e/13017_2022_413_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/8832812/7bbee7f06777/13017_2022_413_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/8832812/1316d0cf3b2e/13017_2022_413_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/8832812/7bbee7f06777/13017_2022_413_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/8832812/1316d0cf3b2e/13017_2022_413_Fig2_HTML.jpg

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