Zhang Weijun, Chen Jianxiao, Gao Yuan
Department of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China. Corresponding author: Gao Yuan, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2023 Jun;35(6):662-664. doi: 10.3760/cma.j.cn121430-20221027-00944.
Acute respiratory distress syndrome (ARDS) is a clinical syndrome defined by acute onset of hypoxemia and bilateral pulmonary opacities not fully explained by cardiac failure or volume overload. At present, there is no specific drug treatment for ARDS, and the mortality rate is high. The reason may be that ARDS has rapid onset, rapid progression, complex etiology, and great heterogeneity of clinical manifestations and treatment. Compared with traditional data analysis, machine learning algorithms can automatically analyze and obtain rules from complex data and interpret them to assist clinical decision making. This review aims to provide a brief overview of the machine learning progression in ARDS clinical phenotype, onset prediction, prognosis stratification, and interpretable machine learning in recent years, in order to provide reference for clinical.
急性呼吸窘迫综合征(ARDS)是一种临床综合征,其定义为急性低氧血症和双侧肺部混浊,且不能完全用心力衰竭或容量超负荷来解释。目前,ARDS尚无特异性药物治疗,死亡率较高。原因可能是ARDS起病迅速、进展快、病因复杂,临床表现和治疗具有很大的异质性。与传统数据分析相比,机器学习算法可以自动从复杂数据中分析并获取规则,并对其进行解释以辅助临床决策。本综述旨在简要概述近年来机器学习在ARDS临床表型、发病预测、预后分层及可解释机器学习方面的进展,以便为临床提供参考。