Knowledge, attitude, and practice of artificial intelligence in emergency and trauma surgery, the ARIES project: an international web-based survey

World Journal of Emergency Surgery

Andrej Litvin¹  Andrew A. Gumbs²  Belinda De Simone²  Elie Chouillard²  Fausto Catena³  Yoram Kluger⁴  Massimo Sartelli⁵  Salomone Di Saverio⁶  Luca Ansaloni⁷  Luca Milone⁸  Fikri M. Abu-Zidan⁹  Michael Sugrue^1,10  Federico Coccolini^1,11  Ernest E. Moore^1,12  Ari Leppaniemi^1,13  Walter L. Biffl^1,14  Micaela Piccoli^1,15  Pietro Mascagni^1,16  Mohamed Abu-Hilal^1,17  Toby Collins^1,18 

[1] Abdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland;Department of Emergency and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint Germain en Laye, 10 Rue de Champ Gaillard, Poissy Cedex, France;Department of Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy;Department of Emergency and Trauma Surgery, Rambam Health Campus, Haifa, Israel;Department of General Surgery, Macerata Hospital, Macerata, Italy;Department of General Surgery, Ospedale Civile “Madonna del Soccorso”, San Benedetto del Tronto, AP, Italy;Department of General Surgery, University Hospital of Pavia, Pavia, Italy;Department of General and Robotic Surgery, The Brooklyn Hospital Center, New York, USA;Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates;Department of Surgery, Letterkenny University Hospital Ireland, Letterkenny, Ireland;Department of Surgery, Pisa University Hospital, Pisa, Italy;Department of Surgery, School of Medicine and the Ernest E. Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA;Department of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital, Kaliningrad, Russia;Department of Trauma and Acute Care Surgery, Scripps Memorial Hospital, La Jolla, CA, USA;Division of General, Emergency Surgery and New Technologies, Ospedale Civile Di Baggiovara, Azienda Ospedaliero - Universitaria Di Modena, Modena, Italy;Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy;Hepato-Bilio-Pancreatic Minimally Invasive Surgery, Poliambulanza Foundation Hospital, Brescia, Italy;IRCAD, Strasbourg, France;

关键词: Artificial intelligence;    Emergency surgery;    Trauma surgery;    Research;    Survey;    Decision making;    Robotic surgery;    Laparoscopy;   

DOI  :  10.1186/s13017-022-00413-3

来源: Springer

【 摘 要 】

AimWe aimed to evaluate the knowledge, attitude, and practices in the application of AI in the emergency setting among international acute care and emergency surgeons.MethodsAn online questionnaire composed of 30 multiple choice and open-ended questions was sent to the members of the World Society of Emergency Surgery between 29th May and 28th August 2021. The questionnaire was developed by a panel of 11 international experts and approved by the WSES steering committee.Results200 participants answered the survey, 32 were females (16%). 172 (86%) surgeons thought that AI will improve acute care surgery. Fifty surgeons (25%) were trained, robotic surgeons and can perform it. Only 19 (9.5%) were currently performing it. 126 (63%) surgeons do not have a robotic system in their institution, and for those who have it, it was mainly used for elective surgery. Only 100 surgeons (50%) were able to define different AI terminology. Participants thought that AI is useful to support training and education (61.5%), perioperative decision making (59.5%), and surgical vision (53%) in emergency surgery. There was no statistically significant difference between males and females in ability, interest in training or expectations of AI (p values 0.91, 0.82, and 0.28, respectively, Mann–Whitney U test). Ability was significantly correlated with interest and expectations (p < 0.0001 Pearson rank correlation, rho 0.42 and 0.47, respectively) but not with experience (p = 0.9, rho − 0.01).ConclusionsThe implementation of artificial intelligence in the emergency and trauma setting is still in an early phase. The support of emergency and trauma surgeons is essential for the progress of AI in their setting which can be augmented by proper research and training programs in this area.

【 授权许可】

CC BY