Evidence map›Paper›PMID 39322472›Full record

SynthesisBritish journal of anaesthesia2024

Machine learning-augmented interventions in perioperative care: a systematic review and meta-analysis.

Divya Mehta, Xiomara T Gonzalez, Grace Huang, Joanna Abraham

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

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

21 citing papers in PubMed.

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  19. What is new in cardiac anesthesia in 2024?Journal of anesthesia and translational medicine · 2025
    Review
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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

4 authors.

Divya MehtaDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.
Xiomara T GonzalezDepartment of Electrical and Computer Engineering, The University of Texas at Austin, Austin, TX, USA.
Grace HuangMedical Education, Washington University School of Medicine, St. Louis, MO, USA.
Joanna AbrahamDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA; Institute for Informatics, Data Science and Biostatistics (I2DB), Washington University School of Medicine, St. Louis, MO, USA. Electronic address: joannaa@wustl.edu.

Funding

Comprehensive Training Program in Imaging Science and InformaticsT32EB007507 · NIBIB · UNIVERSITY OF TEXAS AT AUSTIN · PI MARKEY, MIA K, RYLANDER, HENRY GRADY · 2009 to 2024
$2.7M
EnhanCed HandOffs (ECHO)R01HS029324 · AHRQ · WASHINGTON UNIVERSITY · PI Joanna Abraham · 2023 to 2026
$1.6M
AHRQ HHS R01 HS029324NIBIB NIH HHS T32 EB007507
6 · The paper itself

Abstract

backgroundWe lack evidence on the cumulative effectiveness of machine learning (ML)-driven interventions in perioperative settings. Therefore, we conducted a systematic review to appraise the evidence on the impact of ML-driven interventions on perioperative outcomes.

methodsOvid MEDLINE, CINAHL, Embase, Scopus, PubMed, and ClinicalTrials.gov were searched to identify randomised controlled trials (RCTs) evaluating the effectiveness of ML-driven interventions in surgical inpatient populations. The review was registered with PROSPERO (CRD42023433163) and conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Meta-analysis was conducted for outcomes with two or more studies using a random-effects model, and vote counting was conducted for other outcomes.

resultsAmong 13 included RCTs, three types of ML-driven interventions were evaluated: Hypotension Prediction Index (HPI) (n=5), Nociception Level Index (NoL) (n=7), and a scheduling system (n=1). Compared with the standard care, HPI led to a significant decrease in absolute hypotension (n=421, P=0.003, I

conclusionsHPI decreased the duration of intraoperative hypotension, and NoL decreased postoperative pain scores, but no significant impact on other clinical outcomes was found. We highlight the need to address both methodological and clinical practice gaps to ensure the successful future implementation of ML-driven interventions. SYSTEMATIC REVIEW PROTOCOL: CRD42023433163 (PROSPERO).

Indexed as

Machine LearningPerioperative CareHumansHypotensionLength of StayPostoperative PainRandomized Controlled Trials as Topicartificial intelligenceevidence synthesisperioperative outcomespredictive modellingsurgery

Identifiers

PMID39322472
PMCPMC11589382

What OpenQuestion holds

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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.