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人工智能在院外心脏骤停中的应用:一项系统综述

Applications of Artificial Intelligence in Out-of-Hospital Cardiac Arrest: A Systematic Review.

作者信息

Cheriachan Doju, Desai Heet N, Sangurima Leslie, Malik Maujid Masood, Ganatra Nency, Siby Rosemary, Kumar Sanjay, Khan Sara, Jayaprakasan Srilakshmi K, Hamid Pousette

机构信息

Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Biomedical Sciences, King Faisal University, Hafuf, SAU.

出版信息

Cureus. 2025 Apr 15;17(4):e82320. doi: 10.7759/cureus.82320. eCollection 2025 Apr.

Abstract

Artificial intelligence (AI) refers to a computer system capable of performing complex tasks that require human skills. AI is increasingly being utilized in the healthcare sector; therefore, the aim of this review was to explore the role of AI in enhancing immediate response and successful management of cardiac arrest by improving the recognition of cardiac arrest from emergency calls in an out-of-hospital setting. The preferred design for this study was a literature review. To get the relevant articles, an in-depth literature search for primary and secondary studies was carried out over various databases, namely ProQuest, CINHAL, PUBMED, and Google Scholar. The results revealed that in five out of the 12 studies, there was a total of 98,922 participants. Three were reviews of past studies, and one involved the examination of a number of emergency calls, but the number of participants was not specified, while the other examined AI and self-care. A thematic analysis of the 10 articles was performed and four dominant themes were identified, namely AI improves self-care; AI improves clinical outcomes with a positive predictive value of (33.0%, p < 0.001); improved decision making with an accuracy of 0.908, which increases the survival rate with an accuracy of 0.896; and the prediction of cardiac arrest with an accuracy of 0.8 in predicting cardiovascular risks including cardiac arrest. Hence, it is concluded that the integration of AI facilitates the early prediction of potential cases of cardiac arrest in out-of-hospital settings. Early detection is associated with improved decision-making regarding the next action steps to take. AI enhances self-care, whereby through virtual doctors and online applications, patients can take proactive measures when they are susceptible to a heart attack. As a result, the integration of AI significantly improves patient outcomes.

摘要

人工智能(AI)是指能够执行需要人类技能的复杂任务的计算机系统。人工智能在医疗保健领域的应用越来越广泛;因此,本综述的目的是探讨人工智能在提高院外环境中通过改善对紧急呼叫中心脏骤停的识别来增强心脏骤停的即时反应和成功管理方面的作用。本研究的首选设计是文献综述。为了获取相关文章,在多个数据库(即ProQuest、CINHAL、PUBMED和谷歌学术)上对初级和二级研究进行了深入的文献检索。结果显示,在12项研究中的5项研究中,共有98922名参与者。其中3项是对过去研究的综述,1项涉及对一些紧急呼叫的检查,但未指明参与者的数量,而另一项研究则考察了人工智能与自我护理。对这10篇文章进行了主题分析,确定了四个主要主题,即人工智能改善自我护理;人工智能改善临床结果,阳性预测值为33.0%,p<0.001;改善决策,准确率为0.908,这使生存率提高,准确率为0.896;以及预测心脏骤停,预测心血管风险(包括心脏骤停)的准确率为0.8。因此,得出结论,人工智能的整合有助于在院外环境中早期预测潜在的心脏骤停病例。早期检测与关于下一步行动步骤的更好决策相关。人工智能增强自我护理,通过虚拟医生和在线应用程序,患者在易患心脏病发作时可以采取积极措施。因此,人工智能的整合显著改善了患者的治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1420/12081062/b0dd8b6a053a/cureus-0017-00000082320-i01.jpg

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