Key result
Machine learning interventions reduce intraoperative hypotension and postoperative pain but show no other clinical benefit.
Why the study?
Evidence on the cumulative effectiveness of machine learning-driven interventions in perioperative settings was lacking.
Do machine learning (ML)-driven interventions improve perioperative outcomes in surgical inpatient populations?
Systematic Review
Do machine learning (ML)-driven interventions improve perioperative outcomes in surgical inpatient populations?
Machine learning-driven interventions such as HPI and NoL may improve specific perioperative parameters like intraoperative hypotension and postoperative pain, but broader clinical impacts remain unproven.
BACKGROUND: We 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. METHODS: Ovid 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. RESULTS: =0) was found between HPI and NoL. CONCLUSIONS: HPI 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).
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Mehta et al. (2024) conducted a systematic review in surgical inpatient populations. Machine learning (ML)-driven interventions was evaluated on perioperative outcomes. Machine learning-driven interventions like HPI decreased intraoperative hypotension duration, and NoL decreased postoperative pain scores, but had no significant impact on other clinical outcomes.
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