Machine learning to assist clinical decision-making during the COVID-19 pandemic

被引:47
|
作者
Debnath S. [1 ]
Barnaby D.P. [2 ,3 ]
Coppa K. [4 ]
Makhnevich A. [3 ]
Kim E.J. [2 ,3 ]
Chatterjee S. [5 ]
Tóth V. [1 ]
Levy T.J. [1 ]
Paradis M. [6 ]
Cohen S.L. [2 ,3 ]
Hirsch J.S. [3 ,4 ]
Zanos T.P. [1 ]
机构
[1] Institute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY
[2] Institute of Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY
[3] Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead, NY
[4] Department of Information Services, Northwell Health, NYC Metro Area, NY
[5] Cardiology, Long Island Jewish Medical Center and Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY
[6] Holdings and Ventures, Northwell Health, Manhasset, NY
基金
美国国家卫生研究院;
关键词
Artificial intelligence (AI); Clinical decision-making; Coronavirus disease 19 (COVID-19); Healthcare; Machine learning (ML);
D O I
10.1186/s42234-020-00050-8
中图分类号
学科分类号
摘要
Background: The number of cases from the coronavirus disease 2019 (COVID-19) global pandemic has overwhelmed existing medical facilities and forced clinicians, patients, and families to make pivotal decisions with limited time and information. Main body: While machine learning (ML) methods have been previously used to augment clinical decisions, there is now a demand for “Emergency ML.” Throughout the patient care pathway, there are opportunities for ML-supported decisions based on collected vitals, laboratory results, medication orders, and comorbidities. With rapidly growing datasets, there also remain important considerations when developing and validating ML models. Conclusion: This perspective highlights the utility of evidence-based prediction tools in a number of clinical settings, and how similar models can be deployed during the COVID-19 pandemic to guide hospital frontlines and healthcare administrators to make informed decisions about patient care and managing hospital volume. © 2020, The Author(s).
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