Next-generation, personalised, model-based critical care medicine: a state-of-the art review of in silico virtual patient models, methods, and cohorts, and how to …

JG Chase, JC Preiser, JL Dickson, A Pironet… - Biomedical engineering …, 2018 - Springer
Critical care, like many healthcare areas, is under a dual assault from significantly
increasing demographic and economic pressures. Intensive care unit (ICU) patients are …

Digital twins and automation of care in the intensive care unit

J Geoffrey Chase, C Zhou, JL Knopp… - Cyber–Physical …, 2023 - Wiley Online Library
Healthcare is under increasing demand pressure as societies age and expectations rise,
multiplied by increasing incidence of chronic diseases and decreasing available funding …

Safety, efficacy and clinical generalization of the STAR protocol: a retrospective analysis

KW Stewart, CG Pretty, H Tomlinson, FL Thomas… - Annals of intensive …, 2016 - Springer
Background The changes in metabolic pathways and metabolites due to critical illness result
in a highly complex and dynamic metabolic state, making safe, effective management of …

A long-term model of the glucose–insulin dynamics of type 1 diabetes

N Magdelaine, L Chaillous, I Guilhem… - IEEE Transactions …, 2015 - ieeexplore.ieee.org
A new glucose-insulin model is introduced which fits with the clinical data from in-and
outpatients for two days. Its stability property is consistent with the glycemia behavior for type …

STAR development and protocol comparison

LM Fisk, AJ Le Compte, GM Shaw… - IEEE Transactions …, 2012 - ieeexplore.ieee.org
Accurate glycemic control (AGC) is difficult due to excessive hypoglycemia risk. Stochastic
TARgeted (STAR) glycemic control forecasts changes in insulin sensitivity to calculate a …

A simple modeling framework for prediction in the human glucose–insulin system

M Sirlanci, ME Levine, CC Low Wang… - … Journal of Nonlinear …, 2023 - pubs.aip.org
Forecasting blood glucose (BG) levels with routinely collected data is useful for glycemic
management. BG dynamics are nonlinear, complex, and nonstationary, which can be …

Generalisability of a virtual trials method for glycaemic control in intensive care

JL Dickson, KW Stewart, CG Pretty… - IEEE transactions on …, 2017 - ieeexplore.ieee.org
Background: Elevated blood glucose (BG) concentrations (Hyperglycaemia) are a common
complication in critically ill patients. Insulin therapy is commonly used to treat …

Untangling glycaemia and mortality in critical care

V Uyttendaele, JL Dickson, GM Shaw, T Desaive… - Critical Care, 2017 - Springer
Background Hyperglycaemia is associated with adverse outcomes in the intensive care unit,
and initial studies suggested outcome benefits of glycaemic control (GC). However …

Digital twins in critical care: what, when, how, where, why?

JG Chase, C Zhou, JL Knopp, GM Shaw, K Näswall… - IFAC-PapersOnLine, 2021 - Elsevier
Healthcare and intensive care unit (ICU) medicine in particular, are facing a devastating
tsunami of rising demand multiplied by increasing chronic disease and aging demographics …

Mechanistic machine learning: how data assimilation leverages physiologic knowledge using Bayesian inference to forecast the future, infer the present, and …

DJ Albers, ME Levine, A Stuart… - Journal of the …, 2018 - academic.oup.com
We introduce data assimilation as a computational method that uses machine learning to
combine data with human knowledge in the form of mechanistic models in order to forecast …