From the Department of Anesthesiology and Critical Care Medicine, Kepler University, Hospital GmbH and Johannes Kepler University, Linz, Austria.
Anesth Analg. 2022 Sep 1;135(3):524-531. doi: 10.1213/ANE.0000000000006047. Epub 2022 Aug 17.
Machine learning (ML) and artificial intelligence (AI) are widely used in many different fields of modern medicine. This narrative review gives, in the first part, a brief overview of the methods of ML and AI used in patient blood management (PBM) and, in the second part, aims at describing which fields have been analyzed using these methods so far. A total of 442 articles were identified by a literature search, and 47 of them were judged as qualified articles that applied ML and AI techniques in PBM. We assembled the eligible articles to provide insights into the areas of application, quality measures of these studies, and treatment outcomes that can pave the way for further adoption of this promising technology and its possible use in routine clinical decision making. The topics that have been investigated most often were the prediction of transfusion (30%), bleeding (28%), and laboratory studies (15%). Although in the last 3 years a constantly increasing number of questions of ML in PBM have been investigated, there is a vast scientific potential for further application of ML and AI in other fields of PBM.
机器学习 (ML) 和人工智能 (AI) 在现代医学的许多不同领域得到了广泛应用。本综述首先简要概述了在患者血液管理 (PBM) 中使用的 ML 和 AI 方法,其次旨在描述迄今为止使用这些方法分析了哪些领域。通过文献检索共确定了 442 篇文章,其中 47 篇被判断为合格的文章,这些文章在 PBM 中应用了 ML 和 AI 技术。我们将合格的文章汇编在一起,以深入了解应用领域、这些研究的质量措施以及治疗结果,为进一步采用这项有前途的技术及其在常规临床决策中的可能应用铺平道路。调查最多的主题是输血(30%)、出血(28%)和实验室研究(15%)的预测。尽管在过去 3 年中,越来越多的人关注 PBM 中的 ML 问题,但在 PBM 的其他领域进一步应用 ML 和 AI 具有巨大的科学潜力。