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Glycemic control in the intensive care unit: A control systems perspective
Annual Reviews in Control ( IF 9.4 ) Pub Date : 2019-04-18 , DOI: 10.1016/j.arcontrol.2019.03.007
J. Geoffrey Chase , Balazs Benyo , Thomas Desaive

Computers and automation have revolutionised quality and productivity in many industries, but not in medicine. Healthcare costs are thus growing beyond the ability of society to pay for them, multiplied by the impact of increasingly aging populations, and specifically in the demand placed on intensive care unit (ICU) services. Glycemic control is a core ICU therapy with the potential to reduce both mortality and cost, which makes it an area where greater personalisation and automation could play a leading role in improving productivity and care. This review presents the background to the problem and the main issues arising in this area of care from a control systems technology perspective. It then presents a vision of a more automated future with specific goals in the areas of dynamic systems modeling, system identification and control. These areas are then given a state of the art review, mixing both medicine and control systems perspectives. It is concluded by specific recommendations for the field, where control systems expertise can be leveraged to best advantage.



中文翻译:

重症监护室的血糖控制:控制系统的角度

在许多行业中,计算机和自动化已经彻底改变了质量和生产率,但在医学领域却没有。因此,医疗保健费用已经超出了社会支付能力的范围,并乘以人口日益老龄化的影响,尤其是对重症监护病房(ICU)服务的需求。血糖控制是ICU的核心疗法,具有降低死亡率和降低成本的潜力,这使其在更大的个性化和自动化领域可以发挥主导作用,从而提高生产率和护理水平。这篇综述从控制系统技术的角度介绍了该问题的背景以及该护理领域中出现的主要问题。然后,它提出了在自动化系统建模,系统识别和控制领域具有特定目标的更加自动化的未来愿景。然后对这些领域进行最新技术审查,将医学和控制系统的观点结合在一起。它由针对该领域的具体建议总结而成,在这些领域中,可以利用控制系统的专业知识来发挥最大的优势。

更新日期:2019-04-18
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