Machine Learning to Support Hemodynamic Intervention in the Neonatal Intensive Care Unit

Clin Perinatol. 2020 Sep;47(3):435-448. doi: 10.1016/j.clp.2020.05.002. Epub 2020 May 20.

Abstract

Hemodynamic support in neonatal intensive care is directed at maintaining cardiovascular wellbeing. At present, monitoring of vital signs plays an essential role in augmenting care in a reactive manner. By applying machine learning techniques, a model can be trained to learn patterns in time series data, allowing the detection of adverse outcomes before they become clinically apparent. In this review we provide an overview of the different machine learning techniques that have been used to develop models in hemodynamic care for newborn infants. We focus on their potential benefits, research pitfalls, and challenges related to their implementation in clinical care.

Keywords: Hemodynamic support; Machine learning; Monitoring data; Predictive analytics; Preterm infants; Time series data.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / physiopathology
  • Cardiovascular Diseases / therapy
  • Cardiovascular Physiological Phenomena
  • Cerebrovascular Circulation
  • Diagnostic Techniques, Cardiovascular
  • Hemodynamic Monitoring*
  • Homeostasis
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal
  • Machine Learning*
  • Neonatal Sepsis / diagnosis*
  • Neonatal Sepsis / physiopathology
  • Neonatal Sepsis / therapy
  • Shock, Septic / diagnosis*
  • Shock, Septic / physiopathology
  • Shock, Septic / therapy