Literature Review of Machine-Learning Algorithms for Pressure Ulcer Prevention: Challenges and Opportunities

Author:

Ribeiro FernandoORCID,Fidalgo Filipe,Silva ArlindoORCID,Metrôlho JoséORCID,Santos Osvaldo,Dionisio RogérioORCID

Abstract

Pressure ulcers are associated with significant morbidity, resulting in a decreased quality of life for the patient, and contributing to healthcare professional burnout, as well as an increase of health service costs. Their prompt diagnosis and treatment are important, and several studies have proposed solutions to help healthcare professionals in this process. This work analyzes studies that use machine-learning algorithms for risk assessment and management of preventive treatments for pressure ulcers. More specifically, it focuses on the use of machine-learning algorithms that combine information from intrinsic and extrinsic pressure-ulcer predisposing factors to produce recommendations/alerts to healthcare professionals. The review includes articles published from January 2010 to June 2021. From 60 records screened, seven articles were analyzed in full-text form. The results show that most of the proposed algorithms do not use information related to both intrinsic and extrinsic predisposing factors and that many of the approaches separately address one of the following three components: data acquisition; data analysis, and production of complementary support to well-informed clinical decision-making. Additionally, only a few studies describe in detail the outputs of the algorithm, such as alerts and recommendations, without assessing their impacts on healthcare professionals’ activities.

Funder

FEDER

Publisher

MDPI AG

Subject

Computer Networks and Communications,Human-Computer Interaction,Communication

Reference30 articles.

1. Pressure ulcers: Prevention, evaluation, and management;Bluestein;Am. Fam. Physician,2008

2. Assessment and Management of Chronic Pressure Ulcers in the Elderly

3. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance,2014

4. Quality Standard [QS89]https://www.nice.org.uk/guidance/qs89

5. Assessment and Management of Pressure Ulcers in the Elderly

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