Abstract:
BACKGROUND:Decision support systems based on reinforcement learning (RL) have been implemented to facilitate the delivery of personalized care. This paper aimed to provide a comprehensive review of RL applications in the critical care setting. OBJECTIVE:This review aimed to survey the literature on RL applications for clinical decision support in critical care and to provide insight into the challenges of applying various RL models. METHODS:We performed an extensive search of the following databases: PubMed, Google Scholar, Institute of Electrical and Electronics Engineers (IEEE), ScienceDirect, Web of Science, Medical Literature Analysis and Retrieval System Online (MEDLINE), and Excerpta Medica Database (EMBASE). Studies published over the past 10 years (2010-2019) that have applied RL for critical care were included. RESULTS:We included 21 papers and found that RL has been used to optimize the choice of medications, drug dosing, and timing of interventions and to target personalized laboratory values. We further compared and contrasted the design of the RL models and the evaluation metrics for each application. CONCLUSIONS:RL has great potential for enhancing decision making in critical care. Challenges regarding RL system design, evaluation metrics, and model choice exist. More importantly, further work is required to validate RL in authentic clinical environments.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Liu S,See KC,Ngiam KY,Celi LA,Sun X,Feng Mdoi
10.2196/18477subject
Has Abstractpub_date
2020-07-20 00:00:00pages
e18477issue
7eissn
1439-4456issn
1438-8871pii
v22i7e18477journal_volume
22pub_type
杂志文章,评审abstract:BACKGROUND:Quality of life (QoL) questionnaires are desirable for clinical practice but can be time-consuming to administer and interpret, making their widespread adoption difficult. OBJECTIVE:Our aim was to assess the performance of the World Health Organization Quality of Life (WHOQOL)-100 questionnaire as four item...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2016-09-30 00:00:00
abstract:BACKGROUND:Use of online clinical health care information has become part of the skill set required by medical teams. Nurses believe that information quality and availability affect nursing care and methods. However, nurses tend not to exploit professional medical databases for evidence-based medical information for th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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abstract:BACKGROUND:Stress-related disorders are associated with significant suffering, functional impairment, and high societal costs. Internet-based cognitive behavioral therapy (ICBT) is a promising treatment for stress-related disorders but has so far not been subjected to health economic evaluation. OBJECTIVE:The objectiv...
journal_title:Journal of medical Internet research
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abstract:BACKGROUND:Syringe service programs (SSPs) are safe, highly effective programs for promoting health among people who inject drugs. However, resource limitations prevent the delivery of a full package of prevention services to many clients in need. Computer-tailored interventions may represent a promising approach for p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2020-09-29 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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abstract:BACKGROUND:Only a few telemedicine applications have made their way into regular care. One reason is the lack of acceptance of telemedicine by potential end users. OBJECTIVE:The aim of this systematic review was to identify theoretical predictors that influence the acceptance of telemedicine. METHODS:An electronic se...
journal_title:Journal of medical Internet research
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abstract:BACKGROUND:The prospect of assessing cognition longitudinally and remotely is attractive to researchers, health practitioners, and pharmaceutical companies alike. However, such repeated testing regimes place a considerable burden on participants, and with cognitive tasks typically being regarded as effortful and unenga...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2017-11-22 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2016-01-20 00:00:00
abstract:BACKGROUND:Worldwide nearly 3 million people die from chronic obstructive pulmonary disease (COPD) every year. Integrated disease management (IDM) improves quality of life for COPD patients and can reduce hospitalization. Self-management of COPD through eHealth is an effective method to improve IDM and clinical outcome...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2017-08-16 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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更新日期:2016-01-05 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2020-06-09 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2019-05-10 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2414
更新日期:2013-05-06 00:00:00
abstract::[This corrects the article DOI: 10.2196/17595.]. ...
journal_title:Journal of medical Internet research
pub_type: 已发布勘误
doi:10.2196/25511
更新日期:2020-11-09 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2017-01-09 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2911
更新日期:2014-01-17 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2015-06-25 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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更新日期:2016-04-11 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-03-07 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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pub_type: 历史文章,杂志文章
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更新日期:2019-05-14 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
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