Evidence map›Paper›PMID 38875535›Full record

ArticleJMIR AI2023

Determinants of Intravenous Infusion Longevity and Infusion Failure via a Nonlinear Model Analysis of Smart Pump Event Logs: Retrospective Study.

Arash Kia, James Waterson, Norma Bargary, Stuart Rolt, Kevin Burke, Jeremy Robertson, Samuel Garcia, Alessio Benavoli, David Bergström

Registry-linked trialAbstract read
In one paragraph

Article in JMIR AI, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07061236 (The Effect of Education on Comfort and Anxiety Levels in Patients Receiving 5-FU Treatment Administered With an Elastomeric Pump), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT07061236 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effect of Education on Comfort and Anxiety Levels in Patients Receiving 5-FU Treatment Administered With an Elastomeric Pump: A Randomized Controlled Trial

TypeinterventionalSponsorBiruni UniversityRan2025 to 2025Enrolled70ConditionsAnxiety, Cancer, Chemotherapy, NursesArmsElastomeric Pump Education
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Arash Kia *Department of Mathematics & Statistics, University of Limerick, Limerick, Ireland.ORCID https://orcid.org/0000-0002-3675-0239
James Waterson *Medical Affairs, Medication Management Solutions, Becton Dickinson, Dubai, United Arab Emirates.ORCID https://orcid.org/0000-0002-4100-5970
Norma Bargary *Department of Mathematics & Statistics, University of Limerick, Limerick, Ireland.ORCID https://orcid.org/0000-0003-4372-0019
Stuart Rolt *Medical Affairs, International Infusion Solutions, Becton Dickinson, Winnersh, United Kingdom.ORCID https://orcid.org/0009-0006-7974-1179
Kevin Burke *Department of Mathematics & Statistics, University of Limerick, Limerick, Ireland.ORCID https://orcid.org/0000-0001-8724-809X
Jeremy Robertson *Systems Engineering, International Infusion Solutions, Becton Dickinson, Limerick, Ireland.ORCID https://orcid.org/0009-0004-7591-1391
Samuel Garcia *Medical Affairs, Medication Management Solutions, Becton Dickinson, Seville, Spain.ORCID https://orcid.org/0000-0002-5812-1388
Alessio Benavoli *School of Computer Science and Statistics, Trinity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0002-2522-7178
David BergströmResearch and Development, Infusion Acute Care, Becton Dickinson, Limerick, Ireland.ORCID https://orcid.org/0009-0007-3693-4189

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfusion failure may have severe consequences for patients receiving critical, short-half-life infusions. Continued interruptions to infusions can lead to subtherapeutic therapy.

objectiveThis study aims to identify and rank determinants of the longevity of continuous infusions administered through syringe drivers, using nonlinear predictive models. Additionally, this study aims to evaluate key factors influencing infusion longevity and develop and test a model for predicting the likelihood of achieving successful infusion longevity.

methodsData were extracted from the event logs of smart pumps containing information on care profiles, medication types and concentrations, occlusion alarm settings, and the final infusion cessation cause. These data were then used to fit 5 nonlinear models and evaluate the best explanatory model.

resultsRandom forest was the best-fit predictor, with an F

conclusionsThis study provides clinicians with insights into the specific types of infusion that warrant more intense observation or proactive management of intravenous access; additionally, it can offer valuable information regarding the average duration of uninterrupted infusions that can be expected in these care areas. Optimizing rate settings to improve infusion longevity for continuous infusions, achieved through compounding to create customized concentrations for individual patients, may be possible in light of the study's outcomes. The study also highlights the potential of machine learning nonlinear models in predicting outcomes and life spans of specific therapies delivered via medical devices.

Indexed as

AIalarm fatigueartificial intelligenceevent loghealth deviceinfusionintensive careintensive care unitsintravenousintravenous infusionlog datamachine learningmedical deviceneonatalnonlinear modelpredictpredictionprediction modelpredictivepredictive modelsmart devicesmart pumptherapyvascular access device

Identifiers

PMID38875535
PMCPMC11041480

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.