Early Detection of Sepsis With Machine Learning Techniques: A Brief Clinical Perspective

被引:30
|
作者
Giacobbe, Daniele Roberto [1 ,2 ]
Signori, Alessio [2 ]
Del Puente, Filippo [2 ]
Mora, Sara [3 ]
Carmisciano, Luca [2 ]
Briano, Federica [1 ,2 ]
Vena, Antonio [1 ]
Ball, Lorenzo [4 ,5 ]
Robba, Chiara [4 ,5 ]
Pelosi, Paolo [4 ,5 ]
Giacomini, Mauro [3 ]
Bassetti, Matteo [1 ,2 ]
机构
[1] San Martino Policlin Hosp IRCCS Oncol & Neurosci, Infect Dis Unit, Genoa, Italy
[2] Univ Genoa, Dept Hlth Sci DISSAL, Genoa, Italy
[3] Univ Genoa, Dept Informat Bioengn Robot & Syst Engn DIBRIS, Genoa, Italy
[4] San Martino Policlin Hosp IRCCS Oncol & Neurosci, Anaesthesia & Intens Care, Genoa, Italy
[5] Univ Genoa, Dept Surg Sci & Integrated Diagnost DISC, Genoa, Italy
关键词
sepsis; machine learning; artificial intelligence; early diagnosis; supervised learning; unsupervised learning; ELECTRONIC HEALTH RECORD; INTENSIVE-CARE-UNIT; SEPTIC SHOCK; IDENTIFY PATIENTS; VITAL SIGNS; PREDICTION; VALIDATION; ALGORITHM; MODEL; DIAGNOSIS;
D O I
10.3389/fmed.2021.617486
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sepsis is a major cause of death worldwide. Over the past years, prediction of clinically relevant events through machine learning models has gained particular attention. In the present perspective, we provide a brief, clinician-oriented vision on the following relevant aspects concerning the use of machine learning predictive models for the early detection of sepsis in the daily practice: (i) the controversy of sepsis definition and its influence on the development of prediction models; (ii) the choice and availability of input features; (iii) the measure of the model performance, the output, and their usefulness in the clinical practice. The increasing involvement of artificial intelligence and machine learning in health care cannot be disregarded, despite important pitfalls that should be always carefully taken into consideration. In the long run, a rigorous multidisciplinary approach to enrich our understanding in the application of machine learning techniques for the early recognition of sepsis may show potential to augment medical decision-making when facing this heterogeneous and complex syndrome.
引用
收藏
页数:11
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