Data-driven ICU management: Using Big Data and algorithms to improve outcomes.

Journal: Journal of critical care
Published Date:

Abstract

The digitalization of the Intensive Care Unit (ICU) led to an increasing amount of clinical data being collected at the bedside. The term "Big Data" can be used to refer to the analysis of these datasets that collect enormous amount of data of different origin and format. Complexity and variety define the value of Big Data. In fact, the retrospective analysis of these datasets allows to generate new knowledge, with consequent potential improvements in the clinical practice. Despite the promising start of Big Data analysis in medical research, which has seen a rising number of peer-reviewed articles, very limited applications have been used in ICU clinical practice. A close future effort should be done to validate the knowledge extracted from clinical Big Data and implement it in the clinic. In this article, we provide an introduction to Big Data in the ICU, from data collection and data analysis, to the main successful examples of prognostic, predictive and classification models based on ICU data. In addition, we focus on the main challenges that these models face to reach the bedside and effectively improve ICU care.

Authors

  • Giorgia Carra
    Department of Intensive Care Medicine, University Hospitals Leuven, Leuven, Belgium, UZ Herestraat 49, box 7003, 3000 Leuven, Belgium. Electronic address: giorgia.carra@kuleuven.be.
  • Jorge I F Salluh
    Graduate Program in Translational Medicine, Department of Critical Care, D'Or Institute for Research and Education, Rua Diniz Cordeiro, 30. Botafogo, Rio De Janeiro, 22281-100, Brazil.
  • Fernando José da Silva Ramos
    Critical Care Dept, Hospital BP Mirante, São Paulo, Brazil, Martiniano de Carvalho, 965. Bela Vista, São Paulo Zipcode: 01323-001, Brazil.
  • Geert Meyfroidt
    Department of Intensive Care Medicine, University Hospitals Leuven, Herestraat 49, 3000, Louvain, Belgium.