Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 May 13:8:665464.
doi: 10.3389/fmed.2021.665464. eCollection 2021.

Artificial Intelligence for Clinical Decision Support in Sepsis

Affiliations
Review

Artificial Intelligence for Clinical Decision Support in Sepsis

Miao Wu et al. Front Med (Lausanne). .

Abstract

Sepsis is one of the main causes of death in critically ill patients. Despite the continuous development of medical technology in recent years, its morbidity and mortality are still high. This is mainly related to the delay in starting treatment and non-adherence of clinical guidelines. Artificial intelligence (AI) is an evolving field in medicine, which has been used to develop a variety of innovative Clinical Decision Support Systems. It has shown great potential in predicting the clinical condition of patients and assisting in clinical decision-making. AI-derived algorithms can be applied to multiple stages of sepsis, such as early prediction, prognosis assessment, mortality prediction, and optimal management. This review describes the latest literature on AI for clinical decision support in sepsis, and outlines the application of AI in the prediction, diagnosis, subphenotyping, prognosis assessment, and clinical management of sepsis. In addition, we discussed the challenges of implementing and accepting this non-traditional methodology for clinical purposes.

Keywords: artificial intelligence; deep learning; early prediction; machine learning; sepsis.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Roadmap for machine learning systems.
Figure 2
Figure 2
Two methods of machine learning. (A) Supervised learning. (B) Unsupervised learning.

References

    1. Ocampo-Quintero N, Vidal-Cortés P, Del RCL, Fdez-Riverola F, Reboiro-Jato M, Glez-Peña D. Enhancing sepsis management through machine learning techniques: a review. Med Intensiva. (2020). 10.1016/j.medin.2020.04.003. [Epub ahead of print]. - DOI - PubMed
    1. Heming N, Azabou E, Cazaumayou X, Moine P, Annane D. Sepsis in the critically ill patient: current and emerging management strategies. Expert Rev Anti-Infe. (2020). 10.1080/14787210.2021.1846522. [Epub ahead of print]. - DOI - PubMed
    1. Komorowski M. Clinical management of sepsis can be improved by artificial intelligence: yes. Intensive Care Med. (2020) 46:375–7. 10.1007/s00134-019-05898-2 - DOI - PubMed
    1. Peiffer-Smadja N, Rawson TM, Ahmad R, Buchard A, Georgiou P, Lescure FX, et al. . Machine learning for clinical decision support in infectious diseases: a narrative review of current applications. Clin Microbiol Infect. (2020) 26:584–95. 10.1016/j.cmi.2019.09.009 - DOI - PubMed
    1. Greco M, Caruso PF, Cecconi M. Artificial intelligence in the intensive care unit. Semin Resp Crit Care. (2021) 42:2–9. 10.1055/s-0040-1719037 - DOI - PubMed

LinkOut - more resources