Evidence map›Paper›PMID 35937956›Full record

ArticleComputer methods in biomechanics and biomedical engineering. Imaging & visualization2022

Using machine learning to predict perfusionists' critical decision-making during cardiac surgery.

R D Dias, M A Zenati, G Rance, Rithy Srey, D Arney, L Chen, R Paleja, L R Kennedy-Metz, M Gombolay

Open access · greenAbstract read
In one paragraph

Article in Computer methods in biomechanics and biomedical engineering. Imaging & visualization, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery.Interdisciplinary cardiovascular and thoracic surgery · 2025
    Article
  5. 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

R D DiasHuman Factors and Cognitive Engineering Lab, Stratus Center for Medical Simulation, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0003-4959-5052
M A ZenatiMedical Robotics and Computer Assisted Surgery Lab, Division of Cardiac Surgery, Va Boston Healthcare System, Boston, Ma, USA.
G RanceMedical Robotics and Computer Assisted Surgery Lab, Division of Cardiac Surgery, Va Boston Healthcare System, Boston, Ma, USA.
Rithy SreyMedical Robotics and Computer Assisted Surgery Lab, Division of Cardiac Surgery, Va Boston Healthcare System, Boston, Ma, USA.
D ArneyMedical Device Plug and Play Interoperability Program, Massachusetts General Hospital, Boston, Ma, USA.
L ChenCollege of Computing, Georgia Institute of Technology, Atlanta, GA, USA.
R PalejaCollege of Computing, Georgia Institute of Technology, Atlanta, GA, USA.
L R Kennedy-MetzMedical Robotics and Computer Assisted Surgery Lab, Division of Cardiac Surgery, Va Boston Healthcare System, Boston, Ma, USA.
M GombolayCollege of Computing, Georgia Institute of Technology, Atlanta, GA, USA.
Harvard University · USGeorgia Institute of Technology · USBrigham and Women's Hospital · US

Funding

Developing Standardized Intraoperative Process Models to Enhance Surgical SafetyR01HL126896 · NHLBI · HARVARD MEDICAL SCHOOL · PI ZENATI, MARCO A. · 2016 to 2023
$3.7M
Intelligent Perfusion Digital Twin to Improve Patient Safety and Quality in Cardiac SurgeryR01HL157457 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Roger Daglius Dias, Matthew Gombolay · 2022 to 2026
$3.0M
A ROBOT-ASSISTED PERFUSION SYSTEM TO IMPROVE PATIENT SAFETY IN THE CARDIAC OPERATING ROOMR56HL157457 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI DIAS, ROGER DAGLIUS, GOMBOLAY, MATTHEW · 2021 to 2021
$842k
NHLBI NIH HHS R01 HL126896NHLBI NIH HHS R01 HL157457NHLBI NIH HHS R56 HL157457
6 · The paper itself

Abstract

The cardiac surgery operating room is a high-risk and complex environment in which multiple experts work as a team to provide safe and excellent care to patients. During the cardiopulmonary bypass phase of cardiac surgery, critical decisions need to be made and the perfusionists play a crucial role in assessing available information and taking a certain course of action. In this paper, we report the findings of a simulation-based study using machine learning to build predictive models of perfusionists' decision-making during critical situations in the operating room (OR). Performing 30-fold cross-validation across 30 random seeds, our machine learning approach was able to achieve an accuracy of 78.2% (95% confidence interval: 77.8% to 78.6%) in predicting perfusionists' actions, having access to only 148 simulations. The findings from this study may inform future development of computerised clinical decision support tools to be embedded into the OR, improving patient safety and surgical outcomes.

Indexed as

cardiac surgeryDecision-makingdecision supportmachine learningperfusionists

Identifiers

PMID35937956
PMCPMC9355042
OpenAlexW4200025162

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.