Prediction of Post Stroke recovery: Artificial intelligence could be a key of success
Madam, Stroke is a leading cause of death and disability around the globe and particularly in low- and middle-income countries, and this burden is increasing. (1) Its incidence in Pakistan, is also increasing daily and shares a significant burden by contributing to an exponential expenditure of res...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2022-04-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5058 |
| _version_ | 1797820841937862656 |
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| author | Sana Bashir Hina Shafi Furqan Ahmed Siddiqi |
| author_facet | Sana Bashir Hina Shafi Furqan Ahmed Siddiqi |
| author_sort | Sana Bashir |
| collection | DOAJ |
| description |
Madam, Stroke is a leading cause of death and disability around the globe and particularly in low- and middle-income countries, and this burden is increasing. (1) Its incidence in Pakistan, is also increasing daily and shares a significant burden by contributing to an exponential expenditure of resources, finances, community manpower, health services and overall economy. (2) Overall disability burden can be reduced remarkably, if early recovery prediction can be formulated for stroke parameters such as upper limb impairment, swallowing, Shoulder Abduction and Finger Extension (SAFE) score, Motor Evoked Potential (MEP) status, National Institute of Health Stroke Scale (NIHSS) scoring. Existing relevant evidences for the early prediction of stroke recovery, reported the use of blood biomarker as an objective indicator. And among them, some serve as a guide in decision-making for clinical practice, such as: Brain natriuretic peptide (BNP), D-Dimer, and have potential in improving the diagnosis and the management of patients with stroke. MRI findings have also made an accurate prognosis about behavioral outcomes after stroke based on the severity of cognitive impairments. (3) For predicting recovery after stroke, various algorithms approaches have also been done since last 10 years and among Predict Recovery Potential (PREP2), (GRAVo) and (PRESS) models of prediction, studies have supported that the PREP2 algorithm was regarded as potentially valid. To date, only one approach has combined biomarkers within the first few days after stroke to make predictions for individual patients. The Predict Recovery Potential (PREP) algorithm predicts upper-limb functional outcomes by combining biomarkers, neurophysiological and neuroimaging measures to make a prognosis. PREP2 algorithm is probably the easiest approach to operationalize among predictive models and serves as a benchmark for predicting motor recovery after stroke. (4)
So, till now, there is no consensus among both clinicians and scientists on how to apply a specific predictive model in clinical routine or research protocols, in which biological and psycho-social factors can be collectively incorporated with Artificial intelligence. Hence these steps are mandatory to be implemented in predictive models considering all the factors mentioned above- and including other factors like cost, knowledge, interface development, resources, time and expertise of both scientists and clinicians.
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| first_indexed | 2024-03-13T09:44:17Z |
| format | Article |
| id | doaj.art-2d256b47b19247349a2e57bb1d544002 |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:44:17Z |
| publishDate | 2022-04-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-2d256b47b19247349a2e57bb1d5440022023-05-25T04:22:14ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822022-04-0110.47391/JPMA.5058Prediction of Post Stroke recovery: Artificial intelligence could be a key of successSana Bashir0Hina Shafi1Furqan Ahmed Siddiqi2Department of Physical Therapy, Foundation University Institute of Rehabilitation Sciences, Islamabad, PakistanDepartment of Physical Therapy, Foundation University Institute of Rehabilitation Sciences, Islamabad, PakistanDepartment of Physical Therapy, Foundation University Institute of Rehabilitation Sciences, Islamabad, Pakistan Madam, Stroke is a leading cause of death and disability around the globe and particularly in low- and middle-income countries, and this burden is increasing. (1) Its incidence in Pakistan, is also increasing daily and shares a significant burden by contributing to an exponential expenditure of resources, finances, community manpower, health services and overall economy. (2) Overall disability burden can be reduced remarkably, if early recovery prediction can be formulated for stroke parameters such as upper limb impairment, swallowing, Shoulder Abduction and Finger Extension (SAFE) score, Motor Evoked Potential (MEP) status, National Institute of Health Stroke Scale (NIHSS) scoring. Existing relevant evidences for the early prediction of stroke recovery, reported the use of blood biomarker as an objective indicator. And among them, some serve as a guide in decision-making for clinical practice, such as: Brain natriuretic peptide (BNP), D-Dimer, and have potential in improving the diagnosis and the management of patients with stroke. MRI findings have also made an accurate prognosis about behavioral outcomes after stroke based on the severity of cognitive impairments. (3) For predicting recovery after stroke, various algorithms approaches have also been done since last 10 years and among Predict Recovery Potential (PREP2), (GRAVo) and (PRESS) models of prediction, studies have supported that the PREP2 algorithm was regarded as potentially valid. To date, only one approach has combined biomarkers within the first few days after stroke to make predictions for individual patients. The Predict Recovery Potential (PREP) algorithm predicts upper-limb functional outcomes by combining biomarkers, neurophysiological and neuroimaging measures to make a prognosis. PREP2 algorithm is probably the easiest approach to operationalize among predictive models and serves as a benchmark for predicting motor recovery after stroke. (4) So, till now, there is no consensus among both clinicians and scientists on how to apply a specific predictive model in clinical routine or research protocols, in which biological and psycho-social factors can be collectively incorporated with Artificial intelligence. Hence these steps are mandatory to be implemented in predictive models considering all the factors mentioned above- and including other factors like cost, knowledge, interface development, resources, time and expertise of both scientists and clinicians. ---Continue https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5058 |
| spellingShingle | Sana Bashir Hina Shafi Furqan Ahmed Siddiqi Prediction of Post Stroke recovery: Artificial intelligence could be a key of success Journal of the Pakistan Medical Association |
| title | Prediction of Post Stroke recovery: Artificial intelligence could be a key of success |
| title_full | Prediction of Post Stroke recovery: Artificial intelligence could be a key of success |
| title_fullStr | Prediction of Post Stroke recovery: Artificial intelligence could be a key of success |
| title_full_unstemmed | Prediction of Post Stroke recovery: Artificial intelligence could be a key of success |
| title_short | Prediction of Post Stroke recovery: Artificial intelligence could be a key of success |
| title_sort | prediction of post stroke recovery artificial intelligence could be a key of success |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5058 |
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