Evidence map›Paper›PMID 39264415›Full record

SynthesisIntensive care medicine2024

From bytes to bedside: a systematic review on the use and readiness of artificial intelligence in the neonatal and pediatric intensive care unit.

Janno S Schouten, Melissa A C M Kalden, Eris van Twist, Irwin K M Reiss, Diederik A M P J Gommers, Michel E van Genderen, H Rob Taal

Abstract readSystematic Review
In one paragraph

Synthesis in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Explainable AI: Ethical Frameworks, Bias, and the Necessity for Benchmarks.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Artificial intelligence in pediatric medicine: a call for rigorous reporting standards.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Janno S SchoutenDepartment of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus MC, University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0009-0002-2565-007X
Melissa A C M KaldenDepartment of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus MC, University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0009-0009-8706-9732
Eris van TwistDepartment of Neonatal and Pediatric Intensive Care, Division of Pediatrics, Erasmus MC, University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0002-0968-5400
Irwin K M ReissDepartment of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus MC, University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0002-9474-6895
Diederik A M P J GommersDatahub, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-6808-7702
Michel E van GenderenDatahub, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-5668-3435
H Rob TaalDepartment of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus MC, University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands. H.Taal@erasmusmc.nl.ORCID 0000-0002-7300-4577

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite its promise to enhance patient outcomes and support clinical decision making, clinical use of artificial intelligence (AI) models at the bedside remains limited. Translation of advancements in AI research into tangible clinical benefits is necessary to improve neonatal and pediatric care for critically ill patients. This systematic review seeks to assess the maturity of AI models in neonatal and pediatric intensive care unit (NICU and PICU) treatment, and their risk of bias and objectives.

methodsWe conducted a systematic search in Medline ALL, Embase, Web of Science Core Collection, Cochrane Central Register of Controlled Trials, and Google Scholar. Studies using AI models during NICU or PICU stay were eligible for inclusion. Study design, objective, dataset size, level of validation, risk of bias, and technological readiness of the models were extracted.

resultsOut of the 1257 identified studies 262 were included. The majority of studies was conducted in the NICU (66%) and most had a high risk of bias (77%). An insufficient sample size was the main cause for this high risk of bias. No studies were identified that integrated an AI model in routine clinical practice and the majority of the studies remained in the prototyping and model development phase.

conclusionThe majority of AI models remain within the testing and prototyping phase and have a high risk of bias. Bridging the gap between designing and clinical implementation of AI models is needed to warrant safe and trustworthy AI models. Specific guidelines and approaches can help improve clinical outcome with usage of AI.

Indexed as

Artificial IntelligenceIntensive Care Units, NeonatalIntensive Care Units, PediatricChildCritical IllnessHumansInfant, NewbornArtificial intelligenceMachine learningNeonatal intensive care unitPediatric intensive care unitTechnology readiness level

Identifiers

PMID39264415
PMCPMC11541391

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.