分析重症患者呼吸支持中的社会偏见，揭示健康不平等根源
Unmasking Societal Biases in Respiratory Support for ICU Patients through Social Determinants of Health
- 聚焦机械通气时长与成功脱机，结合社会决定因素评估医疗差异
- 发现不同人群在呼吸支持干预中存在显著结果差异，尤以社会因素影响明显
- 适合关注医疗公平、临床决策支持的研究者和从业者
在重症监护中，及时精准的干预对患者预后至关重要。现有方法常忽视社会决定因素对呼吸支持效果的影响。本研究聚焦两个临床任务：长期机械通气和成功脱机。通过在不同人口群体和社经因素下进行公平性审计，揭示了重症呼吸干预中存在的健康不平等。此外，我们发布了一个经临床专家验证的时间序列基准数据集，用于推动呼吸干预任务的模型评估与比较。
原文摘要 · Abstract (English)
In critical care settings, where precise and timely interventions are crucial for health outcomes, evaluating disparities in patient outcomes is essential. Current approaches often fail to fully capture the impact of respiratory support interventions on individuals affected by social determinants of health. While attributes such as gender, race, and age are commonly assessed and provide valuable insights, they offer only a partial view of the complexities faced by diverse populations. In this study, we focus on two clinically motivated tasks: prolonged mechanical ventilation and successful weaning. Additionally, we conduct fairness audits on the models' predictions across demographic groups and social determinants of health to better understand health inequities in respiratory interventions within the intensive care unit. Furthermore, we release a temporal benchmark dataset, verified by clinical experts, to facilitate benchmarking of clinical respiratory intervention tasks.
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