Ni Peifeng, Zhang Sheng, Hu Wei, Diao Mengyuan
Department of Critical Care Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310000, China.
Department of Critical Care Medicine, Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, Zhejiang 310000, China.
Resusc Plus. 2024 Nov 21;20:100829. doi: 10.1016/j.resplu.2024.100829. eCollection 2024 Dec.
Cardiac arrest (CA) is a major disease burden worldwide and has a poor prognosis. Early prediction of CA outcomes helps optimize the therapeutic regimen and improve patients' neurological function. As the current guidelines recommend, many factors can be used to evaluate the neurological outcomes of CA patients. Machine learning (ML) has strong analytical abilities and fast computing speed; thus, it plays an irreplaceable role in prediction model development. An increasing number of researchers are using ML algorithms to incorporate demographics, arrest characteristics, clinical variables, biomarkers, physical examination findings, electroencephalograms, imaging, and other factors with predictive value to construct multi-feature prediction models for neurological outcomes of CA survivors. In this review, we explore the current application of ML models using multiple features to predict the neurological outcomes of CA patients. Although the outcome prediction model is still in development, it has strong potential to become a powerful tool in clinical practice.
心脏骤停(CA)是全球主要的疾病负担,预后较差。早期预测CA的结果有助于优化治疗方案并改善患者的神经功能。正如当前指南所推荐的,许多因素可用于评估CA患者的神经学结果。机器学习(ML)具有强大的分析能力和快速的计算速度;因此,它在预测模型开发中发挥着不可替代的作用。越来越多的研究人员正在使用ML算法,将人口统计学、骤停特征、临床变量、生物标志物、体格检查结果、脑电图、影像学及其他具有预测价值的因素纳入其中,以构建CA幸存者神经学结果的多特征预测模型。在本综述中,我们探讨了使用多种特征的ML模型在预测CA患者神经学结果方面的当前应用。尽管结果预测模型仍在开发中,但它有很大潜力成为临床实践中的有力工具。