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Applications of artificial intelligence to prognostic stratification of COVID-19: a narrative review 人工智能在COVID-19预后分层中的应用:述评
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-21-17
E. Prisciandaro, L. Bertolaccini, L. Spaggiari
Objective: New approaches incorporating artificial intelligence solutions have proven successful and valuable support for decision-making. The purpose of this review is to describe the emerging artificial intelligence applications to the prognostic stratification and profiling of patients suffering from COVID-19. Background: COVID-19 has become a public health emergency, alarming social and economic impact on healthcare systems worldwide. It is paramount to identify patients at the highest risk of developing severe COVID-19, thus improving resource allocation. Methods: A systematic literature search for articles published in English between the date of database inception and January 31, 2021, was performed in EMBASE (via Ovid), MEDLINE (via PubMed) and Cochrane CENTRAL. Conclusions: Several artificial intelligence-based approaches have been conceived to ease the pressure on the overloaded health system and assist clinicians in the prognostic profiling of COVID-19 patients. Risk assessment and categorisation are essential: By identifying the more likely subjects to suffer from an acute disease, it might be possible to plan a closer monitoring and/or earlier therapeutic intervention. Hence, artificial intelligence (AI) may support physicians in adjusting their management strategy according to the prognostic estimation, resulting in improved quality of care. This would also facilitate resource allocation in a time when careless supply distribution is not allowed. Artificial intelligence may support physicians in adjusting their management strategy according to the prognostic estimation, resulting in improved quality of care. © 2022 Quantum. All rights reserved.
目的:结合人工智能解决方案的新方法已被证明是成功的和有价值的决策支持。本综述的目的是描述新兴的人工智能在COVID-19患者预后分层和分析中的应用。背景:COVID-19已成为突发公共卫生事件，对全球卫生系统产生了惊人的社会和经济影响。至关重要的是要确定罹患严重COVID-19风险最高的患者，从而改善资源分配。方法:在EMBASE(通过Ovid)、MEDLINE(通过PubMed)和Cochrane CENTRAL中对数据库建立日期至2021年1月31日之间发表的英文文章进行系统文献检索。结论:已经设想了几种基于人工智能的方法，以缓解超负荷的卫生系统的压力，并协助临床医生对COVID-19患者进行预后分析。风险评估和分类是必要的:通过确定更可能患有急性疾病的受试者，可能有可能计划更密切的监测和/或更早的治疗干预。因此，人工智能(AI)可以帮助医生根据预后评估调整他们的管理策略，从而提高护理质量。这也将有助于在不允许粗心的供应分配的情况下进行资源分配。人工智能可以帮助医生根据预后评估调整他们的管理策略，从而提高护理质量。©2022 Quantum。版权所有。
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引用次数: 0
Minimally-invasive surgery for concurrent intralobar pulmonary sequestration and bronchogenic cyst in an adult: a case report 微创手术治疗成人肺叶内隔离合并支气管源性囊肿1例报告
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-21-27
P. Muriana, G. Negri, M. Giuliani, F. Filipello, G. Arrigoni, A. Carretta
{"title":"Minimally-invasive surgery for concurrent intralobar pulmonary sequestration and bronchogenic cyst in an adult: a case report","authors":"P. Muriana, G. Negri, M. Giuliani, F. Filipello, G. Arrigoni, A. Carretta","doi":"10.21037/shc-21-27","DOIUrl":"https://doi.org/10.21037/shc-21-27","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":"13 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41285906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical management of pulmonary aspergilloma 肺曲霉菌病的外科治疗
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-22-5
Megan Garner, Annemarie Brunswicker
{"title":"Surgical management of pulmonary aspergilloma","authors":"Megan Garner, Annemarie Brunswicker","doi":"10.21037/shc-22-5","DOIUrl":"https://doi.org/10.21037/shc-22-5","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43037484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Additional pleural painting with iodopovidone during video- assisted thoracoscopic bullectomy for primary spontaneous pneumothorax: an observational, single-center retrospective analysis 原发性自发性气胸的视频辅助胸腔镜大疱切除术期间用碘聚维酮附加胸膜涂漆:一项观察性单中心回顾性分析
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-22-14
P. Ferrari, M. Santoru, Matteo Pinna-Susnik, G. Grimaldi, A. Murenu, L. Riva, Sabrina Sarais, G. Sotgiu, A. Tamburrini, R. Cherchi
{"title":"Additional pleural painting with iodopovidone during video- assisted thoracoscopic bullectomy for primary spontaneous pneumothorax: an observational, single-center retrospective analysis","authors":"P. Ferrari, M. Santoru, Matteo Pinna-Susnik, G. Grimaldi, A. Murenu, L. Riva, Sabrina Sarais, G. Sotgiu, A. Tamburrini, R. Cherchi","doi":"10.21037/shc-22-14","DOIUrl":"https://doi.org/10.21037/shc-22-14","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47041996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Complications of tracheostomy 气管切开术的并发症
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-21-21
Michelle Lee, H. Wilson
Tracheostomy is a common procedure performed in critically ill patients requiring extended mechanical ventilation for acute respiratory failure and to manage upper airway disorders and obstruction. The recent Coronavirus disease 2019 (COVID-19) pandemic has led to an unprecedented surge in the number of patients who are critically ill and require mechanical ventilation. Tracheostomy is a high-risk procedure in this patient cohort for both the patient and operator due to the need for apnoea at a time of critical illness and the aerosol generating nature of the procedure. Careful consideration of timing, environment, equipment, personnel, and technique are required. In this chapter we will outline the common problems that can occur with tracheostomy during the procedure, in the early stages and late complications. We will highlight both management options for these complications and preventative strategies. The different techniques that can be used including a hybrid surgical and percutaneous approach are described. In addition, the experience of a single surgeon operator during the COVID-19 pandemic, between March and June 2020, who performed a total of 22 tracheostomies on 21 COVID positive patients at St. Bartholomew’s hospital: 8 percutaneous dilatational tracheostomies and 14 surgical tracheostomies is presented. We will discuss the outcomes, the specific challenges of performing tracheostomy during a pandemic and how these were overcome. © Shanghai Chest. All rights reserved.
气管造口术是一种常见的手术，适用于因急性呼吸衰竭需要延长机械通气的危重患者，并用于治疗上呼吸道疾病和阻塞。最近的2019冠状病毒病（新冠肺炎）大流行导致重症患者和需要机械通气的患者人数空前激增。气管造口术在这一患者群体中对患者和操作者来说都是一种高风险的手术，因为在危重症时需要呼吸暂停，而且该手术具有产生气溶胶的性质。需要仔细考虑时间、环境、设备、人员和技术。在本章中，我们将概述气管造口术过程中、早期和晚期并发症可能出现的常见问题。我们将强调这些并发症的管理选择和预防策略。描述了可使用的不同技术，包括混合手术和经皮入路。此外，还介绍了在新冠肺炎大流行期间，一名外科医生在2020年3月至6月期间在圣巴塞洛缪医院为21名新冠肺炎阳性患者共进行了22次气管切开术的经验：8次经皮扩张气管切开术和14次手术气管切开术。我们将讨论在大流行期间进行气管造口术的结果、具体挑战以及如何克服这些挑战。©上海胸科。保留所有权利。
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引用次数: 2
Robot-assisted lung-reserved bronchial glomus tumor resection: a case report 机器人辅助肺保留支气管球囊瘤切除术1例
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-21-16
Zhipeng Hao, Ni Zhang
{"title":"Robot-assisted lung-reserved bronchial glomus tumor resection: a case report","authors":"Zhipeng Hao, Ni Zhang","doi":"10.21037/shc-21-16","DOIUrl":"https://doi.org/10.21037/shc-21-16","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46184217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transpulmonary gradient as a predictor for outcomes after lung transplantation 经肺梯度作为肺移植术后预后的预测指标
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-21-22
E. Chan, A. Madde, M. Furukawa, J. Coster, J. Ryan, J. Luketich, P. Sanchez
{"title":"Transpulmonary gradient as a predictor for outcomes after lung transplantation","authors":"E. Chan, A. Madde, M. Furukawa, J. Coster, J. Ryan, J. Luketich, P. Sanchez","doi":"10.21037/shc-21-22","DOIUrl":"https://doi.org/10.21037/shc-21-22","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48184282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reverse-direction video-assisted thoracoscopic surgery left upper lobectomy via interlobar fissure: a case report 电视胸腔镜经叶间裂左上叶切除术1例
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-21-15
Shixin Zhang, Xi Liu, Jie Liu, Shuai-ye Liu, Wei Wu, Haidong Wang
{"title":"Reverse-direction video-assisted thoracoscopic surgery left upper lobectomy via interlobar fissure: a case report","authors":"Shixin Zhang, Xi Liu, Jie Liu, Shuai-ye Liu, Wei Wu, Haidong Wang","doi":"10.21037/shc-21-15","DOIUrl":"https://doi.org/10.21037/shc-21-15","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48850477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Second surgery for complications of major pulmonary resection—the technique of thoracoplasty with muscle flap 肺大切除术并发症的二次手术-肌瓣胸廓成形术
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-22-40
Y. Azuma
{"title":"Second surgery for complications of major pulmonary resection—the technique of thoracoplasty with muscle flap","authors":"Y. Azuma","doi":"10.21037/shc-22-40","DOIUrl":"https://doi.org/10.21037/shc-22-40","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43558036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk stratification in high-risk patients undergoing lung resection 肺切除高危患者的风险分层
Shanghai chest
Pub Date : 2021-01-01 DOI: 10.21037/shc-22-27
M. Taylor, S. Grant, G. Martin
{"title":"Risk stratification in high-risk patients undergoing lung resection","authors":"M. Taylor, S. Grant, G. Martin","doi":"10.21037/shc-22-27","DOIUrl":"https://doi.org/10.21037/shc-22-27","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43640803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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