Using the Field Artificial Intelligence Triage (FAIT) tool to predict hospital critical care resource utilization in patients with truncal gunshot wounds - 29/08/23
, Ander Dorken-Gallastegi a , Jefferson A. Proaño-Zamudio a , Charlie Nederpelt a, Ava K. Mokhtari a , Hassan Mashbari a, c , Theodoros Tsiligkaridis b , Noelle N. Saillant a, 1, ⁎ Abstract |
Background |
Tiered trauma triage systems have resulted in a significant mortality reduction, but models have remained unchanged. The aim of this study was to develop and test an artificial intelligence algorithm to predict critical care resource utilization.
Methods |
We queried the ACS-TQIP 2017-18 database for truncal gunshot wounds(GSW). An information-aware deep neural network (DNN-IAD) model was trained to predict ICU admission and need for mechanical ventilation (MV). Input variables included demographics, comorbidities, vital signs, and external injuries. The model's performance was assessed using the area under receiver operating characteristic curve (AUROC) and the area under the precision-recall curve (AUPRC).
Results |
For the ICU admission analysis, we included 39,916 patients. For the MV need analysis, 39,591 patients were included. Median (IQR) age was 27 (22,36). AUROC and AUPRC for predicting ICU need were 84.8 ± 0.5 and 75.4 ± 0.5, and the AUROC and AUPRC for MV need were 86.8 ± 0.5 and 72.5 ± 0.6.
Conclusions |
Our model predicts hospital utilization outcomes in patients with truncal GSW with high accuracy, allowing early resource mobilization and rapid triage decisions in hospitals with capacity issues and austere environments.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | Artificial intelligence (AI) has been used to predict mortality and complications, but not resource use. |
• | This AI tool was designed to predict need for mechanical ventilation and intensive care in patients with gunshot injuries. |
• | This new tool predicted the need for these resource-intensive health services with high accuracy. |
Keywords : AI, Gunshot, Triage, Machine learning, Resource utilization
Plan
Vol 226 - N° 2
P. 245-250 - août 2023 Retour au numéro
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