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利用人工智能实现新生儿重症监护中无创连续血压监测:一项叙述性综述。

Towards Non-Invasive and Continuous Blood Pressure Monitoring in Neonatal Intensive Care Using Artificial Intelligence: A Narrative Review.

作者信息

Baker Stephanie, Yogavijayan Thiviya, Kandasamy Yogavijayan

机构信息

College of Science and Engineering, James Cook University, Cairns, QLD 4878, Australia.

College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia.

出版信息

Healthcare (Basel). 2023 Dec 6;11(24):3107. doi: 10.3390/healthcare11243107.

DOI:10.3390/healthcare11243107
PMID:38131997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10743031/
Abstract

Preterm birth is a live birth that occurs before 37 completed weeks of pregnancy. Approximately 11% of babies are born preterm annually worldwide. Blood pressure (BP) monitoring is essential for managing the haemodynamic stability of preterm infants and impacts outcomes. However, current methods have many limitations associated, including invasive measurement, inaccuracies, and infection risk. In this narrative review, we find that artificial intelligence (AI) is a promising tool for the continuous measurement of BP in a neonatal cohort, based on data obtained from non-invasive sensors. Our findings highlight key sensing technologies, AI techniques, and model assessment metrics for BP sensing in the neonatal cohort. Moreover, our findings show that non-invasive BP monitoring leveraging AI has shown promise in adult cohorts but has not been broadly explored for neonatal cohorts. We conclude that there is a significant research opportunity in developing an innovative approach to provide a non-invasive alternative to existing continuous BP monitoring methods, which has the potential to improve outcomes for premature babies.

摘要

早产是指在妊娠满37周之前的活产。全球每年约有11%的婴儿早产。血压(BP)监测对于维持早产儿的血流动力学稳定至关重要,并会影响预后。然而,目前的方法存在许多相关局限性,包括有创测量、不准确以及感染风险。在这篇叙述性综述中,我们发现基于从非侵入性传感器获得的数据,人工智能(AI)是在新生儿队列中持续测量血压的一种有前景的工具。我们的研究结果突出了新生儿队列中血压传感的关键传感技术、AI技术和模型评估指标。此外,我们的研究结果表明,利用AI的非侵入性血压监测在成人队列中已显示出前景,但尚未在新生儿队列中得到广泛探索。我们得出结论,在开发一种创新方法以提供现有连续血压监测方法的非侵入性替代方案方面存在重大研究机会,这有可能改善早产儿的预后。

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本文引用的文献

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Non-invasive arterial blood pressure measurement and SpO estimation using PPG signal: a deep learning framework.基于 PPG 信号的无创动脉血压测量和 SpO2 估计:深度学习框架。
BMC Med Inform Decis Mak. 2023 Jul 21;23(1):131. doi: 10.1186/s12911-023-02215-2.
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Emerging sensing and modeling technologies for wearable and cuffless blood pressure monitoring.用于可穿戴和无袖带血压监测的新兴传感与建模技术。
NPJ Digit Med. 2023 May 22;6(1):93. doi: 10.1038/s41746-023-00835-6.
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Clinical Study of Continuous Non-Invasive Blood Pressure Monitoring in Neonates.
临床研究连续无创血压监测在新生儿。
Sensors (Basel). 2023 Apr 2;23(7):3690. doi: 10.3390/s23073690.
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Continuous cuffless blood pressure monitoring with a wearable ring bioimpedance device.使用可穿戴式环形生物阻抗设备进行连续无袖带血压监测。
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Evaluation of the Hypotensive Preterm Infant: Evidence-Based Practice at the Bedside?评估低血压早产儿:床边的循证实践?
Children (Basel). 2023 Mar 6;10(3):519. doi: 10.3390/children10030519.
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Cuffless blood pressure monitoring from a wristband with calibration-free algorithms for sensing location based on bio-impedance sensor array and autoencoder.腕带无袖带血压监测,采用基于生物阻抗传感器阵列和自动编码器的位置感应免校准算法。
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Prediction of arterial blood pressure waveforms from photoplethysmogram signals via fully convolutional neural networks.基于全卷积神经网络的光电容积脉搏波信号预测动脉血压波形。
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Effects of prematurity on long-term renal health: a systematic review.早产儿对长期肾脏健康的影响:系统综述。
BMJ Open. 2021 Aug 6;11(8):e047770. doi: 10.1136/bmjopen-2020-047770.
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Sensors (Basel). 2021 Jun 22;21(13):4273. doi: 10.3390/s21134273.