Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies

Machine learning; Mechanical ventilation; Prognostic model

Detalles Bibliográficos
Autores: Atkova, Irina, Rello Condomines, Jordi, Miettunen, Jouko, Jansson, Miia, Frondelius, Tuomas
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:scientiasalut.gencat.cat:11351/7913
Acceso en línea:https://hdl.handle.net/11351/7913
Access Level:acceso abierto
Palabra clave:Pneumònia - Prognosi
Respiració artificial
DISEASES::Bacterial Infections and Mycoses::Infection::Cross Infection::Pneumonia, Ventilator-Associated
Other subheadings::Other subheadings::/diagnosis
ENFERMEDADES::infecciones bacterianas y micosis::infección::infección hospitalaria::neumonía asociada al ventilador
Otros calificadores::Otros calificadores::/diagnóstico
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spelling Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studiesAtkova, IrinaRello Condomines, JordiMiettunen, JoukoJansson, MiiaFrondelius, TuomasPneumònia - PrognosiRespiració artificialDISEASES::Bacterial Infections and Mycoses::Infection::Cross Infection::Pneumonia, Ventilator-AssociatedOther subheadings::Other subheadings::/diagnosisENFERMEDADES::infecciones bacterianas y micosis::infección::infección hospitalaria::neumonía asociada al ventiladorOtros calificadores::Otros calificadores::/diagnósticoMachine learning; Mechanical ventilation; Prognostic modelAprenentatge automàtic; Ventilació mecànica; Model pronòsticAprendizaje automático; Ventilacion mecanica; Modelo pronósticoPurpose Existing expert systems have not improved the diagnostic accuracy of ventilator-associated pneumonia (VAP). The aim of this systematic literature review was to review and summarize state-of-the-art prediction models detecting or predicting VAP from exhaled breath, patient reports and demographic and clinical characteristics. Methods Both diagnostic and prognostic prediction models were searched from a representative list of multidisciplinary databases. An extensive list of validated search terms was added to the search to cover papers failing to mention predictive research in their title or abstract. Two authors independently selected studies, while three authors extracted data using predefined criteria and data extraction forms. The Prediction Model Risk of Bias Assessment Tool was used to assess both the risk of bias and the applicability of the prediction modelling studies. Technology readiness was also assessed. Results Out of 2052 identified studies, 20 were included. Fourteen (70%) studies reported the predictive performance of diagnostic models to detect VAP from exhaled human breath with a high degree of sensitivity and a moderate specificity. In addition, the majority of them were validated on a realistic dataset. The rest of the studies reported the predictive performance of diagnostic and prognostic prediction models to detect VAP from unstructured narratives [2 (10%)] as well as baseline demographics and clinical characteristics [4 (20%)]. All studies, however, had either a high or unclear risk of bias without significant improvements in applicability. Conclusions The development and deployment of prediction modelling studies are limited in VAP and related outcomes. More computational, translational, and clinical research is needed to bring these tools from the bench to the bedside.The project is supported by the Academy of Finland (project number 326291) and the University of Oulu.ElsevierInstitut Català de la Salut[Frondelius T, Jansson MM] Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland. [Atkova I] University of Oulu, Oulu, Finland. [Miettunen J] Center for Life Course Health Research, University of Oulu, Oulu, Finland. Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland. [Rello J] CIBER de Enfermedades Respiratorias, CIBERES, Instituto de Salud Carlos III, Barcelona, Spain. Grup de Recerca Clínica / Innovació en la Pneumònia i la Sèpsia (CRIPS), Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Clinical Research, CHU Caremeau, Nimes, FranceVall d'Hebron Barcelona Hospital Campus2022202220212022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/7913Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésJournal of Critical Care;67https://doi.org/10.1016/j.jcrc.2021.10.001Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/79132026-06-12T09:38:37Z
dc.title.none.fl_str_mv Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies
title Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies
spellingShingle Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies
Atkova, Irina
Pneumònia - Prognosi
Respiració artificial
DISEASES::Bacterial Infections and Mycoses::Infection::Cross Infection::Pneumonia, Ventilator-Associated
Other subheadings::Other subheadings::/diagnosis
ENFERMEDADES::infecciones bacterianas y micosis::infección::infección hospitalaria::neumonía asociada al ventilador
Otros calificadores::Otros calificadores::/diagnóstico
title_short Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies
title_full Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies
title_fullStr Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies
title_full_unstemmed Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies
title_sort Diagnostic and prognostic prediction models in ventilator-associated pneumonia: Systematic review and meta-analysis of prediction modelling studies
dc.creator.none.fl_str_mv Atkova, Irina
Rello Condomines, Jordi
Miettunen, Jouko
Jansson, Miia
Frondelius, Tuomas
author Atkova, Irina
author_facet Atkova, Irina
Rello Condomines, Jordi
Miettunen, Jouko
Jansson, Miia
Frondelius, Tuomas
author_role author
author2 Rello Condomines, Jordi
Miettunen, Jouko
Jansson, Miia
Frondelius, Tuomas
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Frondelius T, Jansson MM] Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland. [Atkova I] University of Oulu, Oulu, Finland. [Miettunen J] Center for Life Course Health Research, University of Oulu, Oulu, Finland. Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland. [Rello J] CIBER de Enfermedades Respiratorias, CIBERES, Instituto de Salud Carlos III, Barcelona, Spain. Grup de Recerca Clínica / Innovació en la Pneumònia i la Sèpsia (CRIPS), Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Clinical Research, CHU Caremeau, Nimes, France
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Pneumònia - Prognosi
Respiració artificial
DISEASES::Bacterial Infections and Mycoses::Infection::Cross Infection::Pneumonia, Ventilator-Associated
Other subheadings::Other subheadings::/diagnosis
ENFERMEDADES::infecciones bacterianas y micosis::infección::infección hospitalaria::neumonía asociada al ventilador
Otros calificadores::Otros calificadores::/diagnóstico
topic Pneumònia - Prognosi
Respiració artificial
DISEASES::Bacterial Infections and Mycoses::Infection::Cross Infection::Pneumonia, Ventilator-Associated
Other subheadings::Other subheadings::/diagnosis
ENFERMEDADES::infecciones bacterianas y micosis::infección::infección hospitalaria::neumonía asociada al ventilador
Otros calificadores::Otros calificadores::/diagnóstico
description Machine learning; Mechanical ventilation; Prognostic model
publishDate 2021
dc.date.none.fl_str_mv 2021
2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/7913
url https://hdl.handle.net/11351/7913
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Critical Care;67
https://doi.org/10.1016/j.jcrc.2021.10.001
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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