Artificial intelligence and computer simulation models in critical illness

• 作者: Amos Lal Brian Pickering Ognjen Gajic Vitaly Herasevich Yuliya Pinevich
• 来源期刊: 世界重症医学杂志
• 学科: 医学
• 关键词: Artificial intelligence Digital twin Critical illness Predictive enrichment CAUSATION Simulation models
• 年，卷（期）: 2020,（2）
• 页码范围: 13-19
• 页数: 7页
• 分类号: R73

摘要

Widespread implementation of electronic health records has led to the increased use of artificial intelligence(AI)and computer modeling in clinical medicine.The early recognition and treatment of critical illness are central to good outcomes but are made difficult by,among other things,the complexity of the environment and the often non-specific nature of the clinical presentation.Increasingly,AI applications are being proposed as decision supports for busy or distracted clinicians,to address this challenge.Data driven“associative”AI models are built from retrospective data registries with missing data and imprecise timing.Associative AI models lack transparency,often ignore causal mechanisms,and,while potentially useful in improved prognostication,have thus far had limited clinical applicability.To be clinically useful,AI tools need to provide bedside clinicians with actionable knowledge.Explicitly addressing causal mechanisms not only increases validity and replicability of the model,but also adds transparency and helps gain trust from the bedside clinicians for real world use of AI models in teaching and patient care.