PTOTSLPSystematic ReviewFrontiers in rehabilitation sciences2025

Artificial intelligence applications in intracerebral hemorrhage care: implications for clinical and nursing practice - a narrative literature review.

Seoyoung Kim, Jungmin Lee, Soo-Hyun Nam

PMID 40692586

WHAT IT FOUND

AI tools showed high accuracy predicting outcomes and filling missing data in intracerebral hemorrhage studies, but none tested whether these tools actually improve patient care or change clinical decisions.

The evidence remains theoretical and lacks validation in real-world clinical workflows.

Key findings

01Machine learning models demonstrated high statistical accuracy in predicting mortality and functional outcomes compared to standard scoring systems, but these were retrospective analyses of existing data.

02AI-based imputation tools showed high reliability in reconstructing missing discharge assessment data in simulated scenarios, though real-world effectiveness was not tested.

03No included study directly evaluated AI applications in nursing practice, and the only interventional study included was an ongoing trial protocol with no results yet.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The review includes only seven studies, and six were retrospective, meaning they analyzed past data rather than testing current interventions. The only prospective study included was a protocol with no results, so it contributes no evidence of effectiveness. All studies were conducted in China or Japan, which may limit how well the findings apply to other healthcare systems. Most studies reported only statistical accuracy (area under the curve) without explaining how these tools perform in real clinical decisions or whether they are interpretable to clinicians. The search strategy yielded only two studies from databases, suggesting the literature is sparse or poorly indexed, and many relevant stroke studies may have been excluded for not being specific to intracerebral hemorrhage.

Declared interests

The paper does not report any funding sources or conflicts of interest for the authors of the review.

The easy way to misread this

Do not interpret high statistical accuracy scores as evidence that AI tools are ready for clinical use. These models were tested on retrospective or simulated data, and the review found no studies proving that using them improves patient care or outcomes.

Read it on PubMed →

Artificial intelligence applications in intracerebral hemorrhage care: implications for clinical and nursing practice - a narrative literature review. — Applied Evidence