Monday, August 12, 2024

Help for rural OB-GYNs, thanks to AI

The ideas and innovators shaping health care
Aug 12, 2024 View in browser
 
Future Pulse

By Toni Odejimi, Daniel Payne, Erin Schumaker and Ruth Reader

PROBLEM SOLVERS

Women getting an ultrasound by health professional

The ultrasounds of the future could be AI-powered. | Shutterstock

Artificial intelligence could help clinicians in rural areas get cheaper, more reliable ultrasound machines.

According to a new study published in the journal JAMA Network Open, handheld, AI-programmed ultrasound devices helped clinicians correctly identify gestational age, or length of pregnancy, as well as traditional ultrasound devices did.

Researchers looked at 400 people in North Carolina and Zambia who were in different stages of pregnancy, between July 2022 and April 2023. The AI algorithm was trained on data from patients with diverse socioeconomic, racial and health backgrounds, but the study didn’t include some more likey to have complications, such as those with obesity or whose fetuses had abnormalities.

Clinicians were able to view the results in real time, using a tablet.

By the numbers: Traditional ultrasound machines are expensive, with some high-end models costing more than $91,000.

At $2,000, handheld devices are a fraction of the price, and because they're battery powered, they're a good option for areas with unreliable power, Dr. Jeffrey Stringer, study co-author and an obstetrician-gynecologist at the University of North Carolina Chapel Hill’s School of Medicine, told Toni.

Stringer's study builds on a larger effort to figure out how to bring AI to rural health practices. The researchers are also working on four other programs to diagnose high-risk medical situations, such as breech babies, which would help doctors know when to transfer patients to higher-level care facilities, Stringer said.

In the future: AI could lighten clinicians’ workloads, though Stringer said health care workers would have to confirm the algorithm’s determinations.

The researchers are working with the World Health Organization and the Zambian Ministry of Health on crafting policies to implement the technology, Stringer said.

"It's a real step-by-step kind of process to build the confidence among the decision-makers and also among the patients and the clinicians that the technology might work."

 

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This is where we explore the ideas and innovators shaping health care.

Mental health clinics are working harder to reach Latinos, whom surveys show are less likely to seek care, by hiring Latino providers and Spanish-speaking staff, according to NBC.

Share any thoughts, news, tips and feedback with Carmen Paun at cpaun@politico.com, Daniel Payne at dpayne@politico.com, Ruth Reader at rreader@politico.com, Erin Schumaker at eschumaker@politico.com, or Toni Odejimi at aodejimi@politico.com.

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SAFETY CHECK

SAN FRANCISCO, CA - JUNE 01:  A person practices CPR compressions on a mannequin at San Francisco City Hall on June 1, 2011 in San Francisco, California.  The San Francisco Paramedic Association and the American Heart Association kicked off National CPR Week by offering free CPR training to the public.  (Photo by Justin Sullivan/Getty Images)

CPR training dummies usually look like white men. | Getty Images

Getting CPR from a bystander to restart a stopped heart — before emergency personnel arrive — increases chances of survival by 28 percent, on average, according to a new NIH-backed study in the journal Circulation.

But the researchers found disparate results, suggesting a need for better training in cardiopulmonary resuscitation.

How so? Men who got CPR from a bystander were twice as likely to survive as women. White people were three times more likely to survive than Black people. Black women had the worst survival chances of any group.

Researchers looked at more than 600,000 cardiac arrest cases from 2013 to 2022.

What's going on? Time and training fees may limit access to CPR training in marginalized communities, Dr. Paul Chan, co-author of the study and a cardiologist at St. Luke’s Hospital of Kansas City, told Toni. (He doesn't think racism is a factor, since more than 80 percent of bystander CPR cases happen in the home, with a friend or family member present.)

Bystanders do worry about sexual harassment or hurting women, causing them to use incorrect CPR techniques. Training dummies tend to be male.

“We can also normalize mannequins to represent all shades of colors and breast representations, so that when people are trained in CPR, they don't hesitate touching a body that has breasts. They don't hesitate touching a body or a mannequin that's not white,” Chan said.

 

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CONNECTING THE DOTS

NEW YORK, NEW YORK - MAY 11: An ambulance leaves the entrance to Elmhurst Hospital Center, which witnessed some of the highest number of Covid-19 cases and deaths on May 11, 2023 in the Queens borough of New York City. The Biden administration officially ended the nation’s Covid-19 public health emergency on Thursday. The U.S. saw over 1 million Covid deaths during the pandemic.   (Photo by Spencer Platt/Getty Images)

COVID deaths, mercifully, have declined. | Getty Images

The death rate in the U.S. dropped across age groups in 2023, according to provisional CDC data.

The age-adjusted rate for the country in 2023, 750 deaths per 100,000, dropped more than 6 percent compared to the rate in 2022, 799 deaths per 100,000.

The highest overall death rate coincided with the highest rate of Covid deaths, in early January and late December.

But Covid’s direct impact on the number of deaths seems to be waning, at least by one metric: it fell to the 10th leading cause of death, well below its place, fourth, in 2022.

Deaths were not evenly distributed throughout the population. Besides differences among age groups, men and Black people saw higher death rates than their peers.

Even so: Mortality rates remain elevated compared to pre-pandemic figures. The 2018 and 2019 mortality rates were 724 and 715 per 100,000, respectively.

Why it matters: Policymakers and public health officials have been watching the mortality rates closely since the pandemic began to understand the impact of Covid and its knock-on effects. The data has, for years, pointed to the biggest threats to the health of the U.S. population.

 

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