Improving Transition of Care for Pediatric Patients With Chronic Kidney Disease: A Pilot Project DOI Open Access
M. Chan,

Sarah Young,

Melisha Hanna

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: June 28, 2024

Introduction Transition is the process of preparing an adolescent or young adult for model care. Poor transitions have been linked to increased medical utilization and poorer kidney outcomes. There are limited studies evaluating predictors transition readiness interventions in pediatric patients with chronic disease (CKD). Methods We enrolled 42 non-dialysis, non-transplant CKD stage 2 higher 14 years older receiving care our nephrology clinic. Data collected included demographics, clinical information, as measured by Readiness Assessment Questionnaire (TRAQ). Patients were provided a structured, remote curriculum resources that addressed areas need. followed every three six months. Repeat TRAQ questionnaires administered months after enrollment. Results Our study found younger age male gender risk factors poor transition. Age was consistently positive predictor scores medication, appointment, total score domains (p < 0.05). Male factor lower appointment communication Additionally, effective at improving across all domains, average increase about 25% no difference who had three-month follow-up compared six-month > Conclusion finds readiness.

Language: Английский

ChatGPT and the Future of Digital Health: A Study on Healthcare Workers’ Perceptions and Expectations DOI Open Access
Mohamad‐Hani Temsah, Fadi Aljamaan, Khalid H. Malki

et al.

Healthcare, Journal Year: 2023, Volume and Issue: 11(13), P. 1812 - 1812

Published: June 21, 2023

This study aimed to assess the knowledge, attitudes, and intended practices of healthcare workers (HCWs) in Saudi Arabia towards ChatGPT, an artificial intelligence (AI) Chatbot, within first three months after its launch. We also identify potential barriers AI Chatbot adoption among professionals. A cross-sectional survey was conducted 1057 HCWs Arabia, distributed electronically via social media channels from 21 February 6 March 2023. The evaluated HCWs' familiarity with ChatGPT-3.5, their satisfaction, future use, perceived usefulness practice. Of respondents, 18.4% had used ChatGPT for purposes, while 84.1% non-users expressed interest utilizing Chatbots future. Most participants (75.1%) were comfortable incorporating into be useful various aspects healthcare, such as medical decision-making (39.5%), patient family support (44.7%), literature appraisal (48.5%), research assistance (65.9%). majority (76.7%) believed could positively impact systems. Nevertheless, concerns about credibility source information provided by (46.9%) identified main barriers. Although recognize a valuable addition digital health early stages adoption, addressing regarding accuracy, reliability, medicolegal implications is crucial. Therefore, due unreliability, current forms other should not diagnostic or treatment purposes without human expert oversight. Ensuring trustworthiness dependability essential successful implementation settings. Future focus on evaluating clinical outcomes benchmarking performance against Chatbots.

Language: Английский

Citations

112
Examining the Validity of ChatGPT in Identifying Relevant Nephrology Literature: Findings and Implications DOI Open Access
Supawadee Suppadungsuk, Charat Thongprayoon, Pajaree Krisanapan

et al.

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(17), P. 5550 - 5550

Published: Aug. 25, 2023

Literature reviews are valuable for summarizing and evaluating the available evidence in various medical fields, including nephrology. However, identifying exploring potential sources requires focus time devoted to literature searching clinicians researchers. ChatGPT is a novel artificial intelligence (AI) large language model (LLM) renowned its exceptional ability generate human-like responses across tasks. whether can effectively assist professionals relevant unclear. Therefore, this study aimed assess effectiveness of references We keyed prompt "Please provide Vancouver style their links recent on… name topic" into ChatGPT-3.5 (03/23 Version). selected all results provided by assessed them existence, relevance, author/link correctness. recorded each resource's citations, authors, title, journal name, publication year, digital object identifier (DOI), link. The relevance correctness resource were verified on Google Scholar. Of total 610 nephrology literature, only 378 (62%) existed, while 31% fabricated, 7% citations incomplete references. Notably, 122 (20%) authentic. Additionally, 256 (68%) found be incorrect, DOI was inaccurate 206 (54%) Moreover, among those with link provided, correct 20% cases, 3% irrelevant. an analysis specific topics electrolyte, hemodialysis, kidney stones that >60% or misleading, less reliable authorship ChatGPT. Based our findings, use as sole not recommended. Future studies could explore ways improve AI models' performance literature.

Language: Английский

Citations

33
Innovating Personalized Nephrology Care: Exploring the Potential Utilization of ChatGPT DOI Open Access
Jing Miao, Charat Thongprayoon, Supawadee Suppadungsuk

et al.

Journal of Personalized Medicine, Journal Year: 2023, Volume and Issue: 13(12), P. 1681 - 1681

Published: Dec. 4, 2023

The rapid advancement of artificial intelligence (AI) technologies, particularly machine learning, has brought substantial progress to the field nephrology, enabling significant improvements in management kidney diseases. ChatGPT, a revolutionary language model developed by OpenAI, is versatile AI designed engage meaningful and informative conversations. Its applications healthcare have been notable, with demonstrated proficiency various medical knowledge assessments. However, ChatGPT's performance varies across different subfields, posing challenges nephrology-related queries. At present, comprehensive reviews regarding potential nephrology remain lacking despite surge interest its role domains. This article seeks fill this gap presenting an overview integration ChatGPT nephrology. It discusses benefits encompassing dataset management, diagnostics, treatment planning, patient communication education, as well research education. also explores ethical legal concerns utilization practice. continuous development models like holds promise for realm but underscores necessity thorough evaluation validation before implementing real-world scenarios. review serves valuable resource nephrologists professionals interested fully utilizing innovating personalized care.

Language: Английский

Citations

22
ChatGPT-3.5 System Usability Scale early assessment among Healthcare Workers: Horizons of adoption in medical practice DOI Creative Commons
Fadi Aljamaan, Khalid H. Malki, Khalid Alhasan

et al.

Heliyon, Journal Year: 2024, Volume and Issue: 10(7), P. e28962 - e28962

Published: April 1, 2024

Artificial intelligence (AI) chatbots, such as ChatGPT, have widely invaded all domains of human life. They the potential to transform healthcare future. However, their effective implementation hinges on workers' (HCWs) adoption and perceptions. This study aimed evaluate HCWs usability ChatGPT three months post-launch in Saudi Arabia using System Usability Scale (SUS). A total 194 participated survey. Forty-seven percent were satisfied with usage, 57 % expressed moderate high trust its ability generate medical decisions. 58 expected would improve patients' outcomes, even though 84 optimistic future practice. possible concerns like recommending harmful decisions medicolegal implications. The overall mean SUS score was 64.52, equivalent 50 percentile rank, indicating marginal acceptability system. strongest positive predictors scores participants' belief AI chatbot's benefits research, self-rated familiarity computer skills proficiency. Participants' learnability ease use correlated positively but weakly. On other hand, students interns had significantly compared others, while very strongly perception impact Our findings highlight HCWs' perceived acceptance at current stage optimism supporting them practice, especially research domain, addition humble ambition outcomes particularly regard end, it underscores need for ongoing efforts build address ethical legal implications healthcare. contributes growing body literature chatbots healthcare, addressing improvement strategies provides insights policymakers providers about challenges implementing

Language: Английский

Citations

8
Determinants of Acute Kidney Injury in Children With Nephrotic Syndrome: A Prospective Observational Study DOI Open Access

Nimisha Mohanty,

Anil Kumar Goel, Manas Ranjan Sahoo

et al.

Cureus, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 3, 2025

Background Nephrotic syndrome (NS) is a common renal ailment among children, typically manifesting as relapsing-remitting pattern. Most of the cases are managed on an outpatient basis, but subset patients experience complications, e.g., acute kidney injury (AKI). Although historically more prevalent in secondary NS, AKI now occurring increasingly children with idiopathic NS. However, literature this population consists case reports and retrospective studies, particularly from India, so study was planned to identify various risk factors that precipitate child The objective assess hydration status having NS its association development AKI. Materials methods This longitudinal conducted Department Pediatrics at All India Institute Medical Sciences, Raipur, Chhattisgarh, October 2021 April 2023. Children both genders age groups between three months 15 years, satisfying International Society for Pediatric Neurosurgery guideline diagnosis were included study. chronic disease excluded. Using non-probability convenient sampling technique, 57 enrolled without evaluated daily using Kidney Disease Improving Global Outcomes 2012 until day 14 or discharge followed up six months. Records those who admitted reviewed possible Data analyzed Epi Info software enUS version 7.3.2 (Centers Control Prevention, Atlanta, GA, USA). Categorical data expressed percentage and/or 95% confidence interval (CI) estimate compared Chi-square Fisher's exact test. A p-value ≤0.05 considered statistically significant. odds ratio (OR) determined logistic regression. Results mean subjects onset 5.34 ± 3.66 years. presentations edema (94.74%) oliguria (80.7%). majority (89.2%) showed response steroid therapy. About 56.14% developed AKI, stages 2 3 common, 37.5% each. 53.12% 46.88% pre-renal intrinsic respectively; 45.61% had hypertension admission, stage 1 (38.46%). Only (10.5%) sickle cell trait, all during follow-up. Forty-two (73.68%) nephrotoxic drug exposure, most being enalapril, by antibiotics. Out 10 underwent biopsy, focal segmental glomerulosclerosis entity (60%). notable parameters found have statistical significance low eGFR hypertension, inadequate water intake, fractional excretion sodium (FeNa), urine potassium index markers hypoperfusion, infections, steroid-resistant nephrotic syndrome, significant glomerular lesions. Conclusion present demonstrates traditional causation high osmolality, raised K+ index, FeNa suggestive aldosterone levels

Language: Английский

Citations

0
Predictive Factors for the Discontinuation of Renal Replacement Therapy in Critically Ill Adults: A Systematic Review and Meta-Analysis DOI Open Access
Ekhlass M. Taha,

Alaa H Ewida,

Nehal N Elsheshtawi

et al.

Cureus, Journal Year: 2025, Volume and Issue: unknown

Published: April 6, 2025

Acute kidney injury (AKI) is a decline in function. frequently occurs as complication among patients who are hospitalized or critically ill. Consequently, we aimed to examine the factors that could predict cessation of renal replacement therapy (RRT) individuals with severe AKI. We conducted systematic review and meta-analysis comprehensive literature search PubMed, Excerpta Medica database (Embase), Cochrane Library identify relevant studies exploring associated successful transition from continuous (CRRT). The was each beginning until December 1, 2022. research carried out on adult ill taking RRT while being supported an intensive care unit (ICU) environment.We identified total 11 through our search. pooled analysis demonstrated several predictive for weaning CRRT, including CRRT duration, urine output course termination (with increase 100 mL/day), creatinine clearance, urinary (UCr), neutrophil gelatinase-associated lipocalin (NGAL), ICU length stay (p < 0.00001). concluded correlation between process not yet well understood. Furthermore, evidence scarce concerning optimal threshold values UO serum levels determine CRRT. These findings provide valuable guidance clinicians determining appropriate timing discontinuing settings.

Language: Английский

Citations

0
Automation and Decision Support in the Area of Nephrology Using Numerical Algorithms, Artificial Intelligence, and Expert Approach: Review of the Current State of Knowledge DOI Creative Commons
Dawid Pawuś, Tomasz Porażko, Szczepan Paszkiel

et al.

IEEE Access, Journal Year: 2024, Volume and Issue: 12, P. 86043 - 86066

Published: Jan. 1, 2024

Language: Английский

Citations

3
Sepsis-Associated Acute Kidney Injury in Critically Ill Children: Incidence and Outcomes DOI Open Access

Mohammad A. Shalaby,

Khalid Alhasan, Ibrahim Sandokji

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(22), P. 6720 - 6720

Published: Nov. 8, 2024

Acute kidney injury (AKI) is a major concern in pediatric critical care, often occurring conjunction with sepsis. This study aimed to identify the incidence, outcomes, and risk factors for AKI context of

Language: Английский

Citations

1
Insight into prevalence, etiology, and modalities of pediatric chronic dialysis: a comprehensive nationwide analysis DOI
Khalid Alhasan,

Amro Alsalmi,

Weiam Almaiman

et al.

Pediatric Nephrology, Journal Year: 2023, Volume and Issue: 39(5), P. 1559 - 1566

Published: Dec. 13, 2023

Language: Английский

Citations

1
Improving Transition of Care for Pediatric Patients With Chronic Kidney Disease: A Pilot Project DOI Open Access
M. Chan,

Sarah Young,

Melisha Hanna

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: June 28, 2024

Introduction Transition is the process of preparing an adolescent or young adult for model care. Poor transitions have been linked to increased medical utilization and poorer kidney outcomes. There are limited studies evaluating predictors transition readiness interventions in pediatric patients with chronic disease (CKD). Methods We enrolled 42 non-dialysis, non-transplant CKD stage 2 higher 14 years older receiving care our nephrology clinic. Data collected included demographics, clinical information, as measured by Readiness Assessment Questionnaire (TRAQ). Patients were provided a structured, remote curriculum resources that addressed areas need. followed every three six months. Repeat TRAQ questionnaires administered months after enrollment. Results Our study found younger age male gender risk factors poor transition. Age was consistently positive predictor scores medication, appointment, total score domains (p < 0.05). Male factor lower appointment communication Additionally, effective at improving across all domains, average increase about 25% no difference who had three-month follow-up compared six-month > Conclusion finds readiness.

Language: Английский

Citations

0