Implementación de herramientas de inteligencia artificial en unidades de cuidados intensivos para el cuidado enfermero: revisión sistemática
DOI:
https://doi.org/10.62305/biosana.v6i4.1251Palabras clave:
cuidados intensivos; enfermería; inteligencia artificial; paciente críticoResumen
La incorporación de inteligencia artificial (IA) en Unidades de Cuidados Intensivos (UCI) es relevante para la atención de pacientes críticos, donde la rapidez de respuesta es determinante para su supervivencia. Este estudio analizó la implementación de herramientas de IA en UCI para el cuidado enfermero, identificando aplicaciones, ventajas, limitaciones e impacto asistencial. Se realizó una revisión sistemática siguiendo PRISMA 2020, consultando Scopus, PubMed, SciELO, LILACS, BVS, CINAHL y ScienceDirect mediante descriptores DeCS/MeSH y operadores booleanos AND/OR. Se incluyeron estudios originales publicados entre 2021 y 2026 en español, inglés y portugués, evaluados metodológicamente con Johns Hopkins EBP y MMAT. 20 estudios cumplieron los criterios de inclusión, predominando algoritmos de aprendizaje automático orientados a predecir mortalidad, sepsis, lesión renal aguda, riesgo nutricional y otras complicaciones. Los resultados mostraron mejoras en la precisión diagnóstica, la detección temprana del deterioro clínico y el apoyo a la toma de decisiones. Se identificaron barreras vinculadas a infraestructura, capacitación, sesgo algorítmico, transparencia, ética y confianza profesional. Concluyendo que la IA es una herramienta complementaria que fortalece el juicio clínico enfermero, favoreciendo un cuidado más seguro, oportuno y personalizado, siempre que su implementación incorpore formación adecuada y validación ética.
Descargas
Citas
Abuzaid, M. M., Elshami, Wiam, & Fadden, Sonyia. (2022). Integration of artificial intelligence into nursing practice. Health and Technology. https://doi.org/10.1007/s12553-022-00697-0
Adams, R., Henry, K. E., Sridharan, A., Soleimani, H., Zhan, A., Rawat, N., Johnson, L., Hager, D. N., Cosgrove, S. E., Markowski, A., Klein, E. Y., Chen, E. S., Saheed, M. O., Henley, M., Miranda, S., Houston, K., Linton, R. C., Ahluwalia, A. R., Wu, A. W., & Saria, S. (2022). Prospective, multi-site study of patient outcomes after implementation of the TREWS machine learning-based early warning system for sepsis. Nature Medicine, 28(7), 1455-1460. https://doi.org/10.1038/s41591-022-01894-0
Alanazi, A., Aldakhil, L., Aldhoayan, M., & Aldosari, B. (2023). Machine Learning for Early Prediction of Sepsis in Intensive Care Unit (ICU) Patients. Medicina, 59(7), 1276. https://doi.org/10.3390/medicina59071276
Aldhoayan, M. D., & Aljubran, Y. (2023). Prediction of ICU Patients’ Deterioration Using Machine Learning Techniques. Cureus, 15(5), e38659. https://doi.org/10.7759/cureus.38659
Alrashedi, H., Alderaan, S. M., Alnomasy, N., Lamine, H., Saleh, K. A., & Alkubati, S. A. (2026). Insights Into Factors Affecting Nurses’ Knowledge of and Attitudes Toward AI and Implications for Successful AI Integration in Critical Care: Cross-Sectional Study. JMIR Nursing, 9, e85649. https://doi.org/10.2196/85649
Alruwaili, A. N., Alshammari, A. M., Alhaiti, A., Elsharkawy, N. B., Ali, S. I, & Ramadan, O. M. E. (2025). Neonatal nurses’ experiences with generative AI in clinical decision-making: A qualitative exploration in high-risk NICUs. BMC Nursing. https://doi.org/10.1186/s12912-025-03044-6
Ayed, A., Batran, A., Aqtam, I., & Malak, M. (2025). Perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units. BMC Nursing. https://doi.org/10.1186/s12912-025-03318-z
Batran, A., Ayed, A., Aqtam, I., AL-AMER, R., Othman, E. H., Abu Ejheisheh, M., Al daamsa, H. N., Alkhatib, S., & Farajallah, M. (2025). Insights Into Perceived Worries Regarding the Adoption of Artificial Intelligence Among Intensive Care Unit Nurses in the West Bank. SAGE Open Nursing, 11, 1-10. https://doi.org/10.1177/23779608251376177
Benfatah, M., Elazizi, I., Belhaj, H., & Lamiri, A. (2025). Enhancing nursing practice through simulation: Addressing barriers and advancing the integration of artificial intelligence in healthcare. Journal of Nursing Regulation. https://doi.org/10.1016/j.jnr.2025.08.004
Bian, X., Luan, S., Wu, H., Zhang, D., Gao, P., & Chen, X. (2026). Development of ICU nurses’ compassion fatigue classification model: An explainable machine learning algorithm. BMC Nursing, 25, 448. https://doi.org/10.1186/s12912-026-04611-1
Bissett, K., Ascenzi, J., & Whalen, M. (2025). Práctica basada en la evidencia | Instituto de Enfermería Johns Hopkins. https://www.hopkinsmedicine.org/evidence-based-practice/model-tools
Bodur, G., Cakir, H., Turan, S., Seren, A. K. H., & Goktas, P. (2025). Artificial intelligence in nursing practice: A qualitative study of nurses’ perspectives on opportunities, challenges, and ethical implications. BMC Nursing, 24, 1263. https://doi.org/10.1186/s12912-025-03775-6
Buonsenso, D., Mastrantoni, L., Ulloa-Gutierrez, R., García-Silva, J., Ivankovich-Escoto, G., Yamazaki-Nakashimada, M. A., Faugier-Fuentes, E., del Águila, O., Camacho-Moreno, G., Estripeaut, D., Gutiérrez-Tobar, I. F., & Tremoulet, A. H. (2026). Development and Validation of Multivariable Machine-Learning Models for the Prediction of Multisystemic Inflammatory Syndrome Outcomes in Latin American Children. Acta Paediatrica, 115, 133-145. https://doi.org/10.1111/apa.70290
Chen, C.-H., Pai, K.-C., Hsieh, H.-M., Chan, Y.-J., Hsu, H.-L., & Wang, C.-Y. (2025). Artificial intelligence assisted nutritional risk evaluation model for critically ill patients: Integration of explainable machine learning in intensive care nutrition. Asia Pacific Journal of Clinical Nutrition, 34(3), 343-352. https://doi.org/10.6133/apjcn.202506_34(3).0009
Chen, C.-Y., Chang, T.-I., Chen, C.-H., Hsu, S.-C., Chu, Y.-L., Huang, N.-J., Sue, Y.-M., Chen, T.-H., Lin, F.-Y., Shih, C.-M., Huang, P.-H., Hsieh, H.-L., & Liu, C.-T. (2025). Machine Learning Models for Point-of-Care Diagnostics of Acute Kidney Injury. Diagnostics, 15, 2801. https://doi.org/10.3390/diagnostics15212801
Cheungpasitporn, W., Thongprayoon, C., & Kashani, K. B. (2024). Artificial intelligence and machine learning’s role in sepsis-associated acute kidney injury. Kidney Research and Clinical Practice, 43(4), 417-432. https://doi.org/10.23876/j.krcp.23.298
D’Hondt, E., Asbhy, T., Chakroun, I., Koninckx, T., & Wuyts, R. (2022). Identifying and evaluating barriers for the implementation of machine learning in the intensive care unit. Communications Medicine. https://doi.org/10.1038/s43856-022-00225-1
Fan, Z., Jiang, J., Xiao, C., Chen, Y., Xia, Q., Wang, J., Fang, M., Wu, Z., & Chen, F. (2023). Construction and validation of prognostic models in critically Ill patients with sepsis-associated acute kidney injury: Interpretable machine learning approach. Journal of Translational Medicine, 21, 406. https://doi.org/10.1186/s12967-023-04205-4
González-Nóvoa, J. A., Busto, L., Rodríguez-Andina, J. J., Fariña, J., Segura, M., & Gómez, V. (2021). Using Explainable Machine Learning to Improve Intensive Care Unit Alarm Systems. Sensors. https://doi.org/10.3390/s21217125
Guven, Aslan, F., & Canayaz, M. (2026). Assessment of Pain Intensity Using Deep Learning Models in Non-Communicative Intensive Care Patients. Nursing in Critical Care. https://doi.org/10.1111/nicc.70478
Hassan, E. A., & El-Ashry, A. (2024). Leading with AI in critical care nursing: Challenges, opportunities, and the human factor. BMC Nursing. https://doi.org/10.1186/s12912-024-02363-4
Hong, N., Liu, C., Gao, J., Han, L., Chang, F., Gong, M., & Su, L. (2022). State of the Art of Machine Learning–Enabled Clinical Decision Support in Intensive Care Units: Literature Review. JMIR Medical Informatics, 10(3), e28781. https://doi.org/10.2196/28781
Hong, Q., Fábregues, S., & Pluye, P. (2018). La herramienta de evaluación de métodos mixtos (MMAT) versión 2018 para investigadores y profesionales de la información: Quan Nha Hong, Sergi Fàbregues, Gillian Bartlett, Felicity Boardman, Margaret Cargo, Pierre Dagenais, Marie-Pierre Gagnon, Frances Griffiths, Belinda Nicolau, Alicia O’Cathain, Marie-Claude Rousseau, Isabelle Vedel, Pierre Pluye, 2018. https://journals.sagepub.com/doi/abs/10.3233/EFI-180221
Issa, W., Shorbagi, A., Al-Sharman, A., Rababa, M., Al-Majeed, K., Radwan, H., Ahmed, F. R., Al-Yateem, N., Mottershead, R., Abdelrahim, D. N., Hijazi, H., Khasawneh, W., Ali, I., Abbas, N., & Fakhry, R. (2024). Shaping the future: Perspectives on the Integration of Artificial Intelligence in health profession education: A multi-country survey. BMC Medical Education, 24, 1166. https://doi.org/10.1186/s12909-024-06076-9
Jarina, P., & Sithira, V. (2025). Un nuevo enfoque de revisión sistemática de la literatura utilizando Rayyan y Copilot sobre aplicaciones utilizadas por personas con necesidades especiales | Publicación de la conferencia IEEE | IEEE Xplorar. https://ieeexplore.ieee.org/abstract/document/11315370
Jung, I.-C., Zerlik, M., Schuler, K., Sedlmayr, M., & Sedlmayr, B. (2026). An Explanation User Interface for Artificial Intelligence–Supported Mechanical Ventilation Optimization for Clinicians: User-Centered Design and Formative Usability Study. JMIR Formative Research, 10, e77481. https://doi.org/10.2196/77481
Koozi, H., Engström, J., Friberg, H., & Frigyesi, A. (2025). Explainable AI identifies key biomarkers for acute kidney injury prediction in the ICU. Intensive Care Medicine Experimental, 13, 106. https://doi.org/10.1186/s40635-025-00816-x
Lee, H., Yang, H.-L., Ryu, H. G., Jung, C.-W., Cho, Y. J., Yoon, S. B., Yoon, H.-K., & Lee, H.-C. (2023). Real-time machine learning model to predict in-hospital cardiac arrest using heart rate variability in ICU. Npj Digital Medicine, 6(1), 215. https://doi.org/10.1038/s41746-023-00960-2
Li, H., Ashrafi, N., Kang, C., Zhao, G., Chen, Y., & Pishgar, M. (2024). A machine learning-based prediction of hospital mortality in mechanically ventilated ICU patients. PLOS ONE. https://doi.org/10.1371/journal.pone.0309383
Luo, X.-Q., Yan, P., Duan, S.-B., Kang, Y.-X., Deng, Y.-H., Liu, Q., Wu, T., & Wu, X. (2022). Development and Validation of Machine Learning Models for Real-Time Mortality Prediction in Critically Ill Patients With Sepsis-Associated Acute Kidney Injury. Frontiers in Medicine, 9, 853102. https://doi.org/10.3389/fmed.2022.853102
Maeng, J.-Y., Sung, J., Kim, G.-H., Kim, J.-W., Yum, K. S., & Park, S. (2024). Machine learning-based diagnostic model for stroke in non-neurological intensive care unit patients with acute neurological manifestations. Scientific Reports, 14(1), 29610. https://doi.org/10.1038/s41598-024-80792-6
Organización Panamericana de la Salud. (2020). DeCS. Unidad de cuidados intensivos. https://decs.bvsalud.org/es/ths/resource/?id=7530&filter=ths_termall&q=unidad%20de%20cuidados%20intensivos
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Medicine, 18(3), e1003583. https://doi.org/10.1371/journal.pmed.1003583
Pan, G., Wan, W., Yang, G., & Liu, H. (2026). Desarrollo y validación de un modelo de aprendizaje automático interpretable para predecir el riesgo de sepsis en pacientes con derrame pleural—Pan- Journal of Thoracic Disease. https://jtd.amegroups.org/article/view/118202/pdf
Racine, N., Chow, C., Hamwi, L., Bucsea, O., Cheng, C., Du, H., Fabrizi, L., Jasim, S., Johannsson, L., Jones, L., Laudiano-Dray, M. P., Meek, J., Mistry, N., Shah, V., Stedman, I., Wang, X., & Pillai Riddell, R. (2024). Health Care Professionals’ and Parents’ Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study. JMIR AI, 3, e51535. https://doi.org/10.2196/51535
Rony, M. K. K., Kayesh, I., Bala, S. D., Akter, F., & Parvin, Mst. R. (2024). Artificial intelligence in future nursing care: Exploring perspectives of nursing professionals - A descriptive qualitative study. Heliyon, 10(4), e25718. https://doi.org/10.1016/j.heliyon.2024.e25718
Salameh, B., Abdallah, J., Alkubati, S. A., & ALBashtawy, M. (2024). Alarm fatigue and perceived stress among critical care nurses in the intensive care units: Palestinian perspectives. BMC Nursing, 23, 261. https://doi.org/10.1186/s12912-024-01897-x
Saqib, M., Iftikhar, M., Neha, F., Karishma, F., & Mumtaz, H. (2023). Artificial intelligence in critical illness and its impact on patient care: A comprehensive review. Frontiers in Medicine, 10, 1176192. https://doi.org/10.3389/fmed.2023.1176192
Shate, M. E., Mesfin, R., Genaneh, W., & Lencha, B. (2026). Clinical outcomes and factors associated with mortality among adults admitted to the intensive care unit at Hawassa University Comprehensive Specialized Hospital, Ethiopia: Retrospective chart review. BMC Anesthesiology, 26, 109. https://doi.org/10.1186/s12871-025-03603-z
Sommer, D., Schmidbauer, L., & Wahl, F. (2024). Nurses’ perceptions, experience and knowledge regarding artificial intelligence: Results from a cross-sectional online survey in Germany. BMC Nursing, 23, 205. https://doi.org/10.1186/s12912-024-01884-2
Suresh, V., Singh, K. K., Vaish, E., Gurjar, M., Ambuli Nambi, A., Khulbe, Y., & Muzaffar, S. (2024). Artificial Intelligence in the Intensive Care Unit: Current Evidence on an Inevitable Future Tool. Cureus, 16(5), e59797. https://doi.org/10.7759/cureus.59797
Taparugssanagorn, A., Särestöniemi, M., Hämäläinen, M., & Iinatti, J. (2026). Early Sepsis Detection Using Heterogeneous Structured ICU Data with Explainable Deep Learning. Sensors (Basel, Switzerland), 26(12), 3648. https://doi.org/10.3390/s26123648
The National Library of Medicine. (1986). Inteligencia Artificial—MeSH - NCBI. Inteligencia artificial. https://www.ncbi.nlm.nih.gov/mesh
Thiele, D., Rodseth, R., Friedland, R., Berger, F., Mathew, C., Maslo, C., Moll, V., Leithner, C., Storm, C., Krannich, A., & Nee, J. (2025). Machine Learning Models for the Early Real-Time Prediction of Deterioration in Intensive Care Units—A Novel Approach to the Early Identification of High-Risk Patients. Journal of Clinical Medicine, 14(2), 350. https://doi.org/10.3390/jcm14020350
van de Sande, D., van Genderen, M. E., Huiskens, J., Gommers, D., & van Bommel, J. (2021). Moving from bytes to bedside: A systematic review on the use of artificial intelligence in the intensive care unit. Intensive Care Medicine, 47(7), 750-760. https://doi.org/10.1007/s00134-021-06446-7
Yang, J., Lim, H, Park, W., & Kim, D. (2022). Development of a machine learning model for the prediction of the short-term mortality in patients in the intensive care unit. Journal of Critical Care. https://doi.org/10.1016/j.jcrc.2022.154106
Yang, J., Peng, H., Luo, Y., Zhu, T., & Xie, L. (2023). Explainable ensemble machine learning model for prediction of 28-day mortality risk in patients with sepsis-associated acute kidney injury. Frontiers in Medicine, 10, 1165129. https://doi.org/10.3389/fmed.2023.1165129
Yildirim, D., Yildiz, C. Ç., & Ergin, E. (2026). Perceptions of Intensive Care Nurses Toward Artificial Intelligence Technologies: A Qualitative Study. Nursing & Health Sciences. https://doi.org/10.1111/nhs.70332
Zhang, Y., Wang, Y., Yang, J., Li, Q., Zhou, M., Lu, J., Hu, Q., & Ma, F. (2025). Development and validation of machine learning-based risk prediction models for ICU-acquired weakness: A prospective cohort study. European Journal of Medical Research, 30, 666. https://doi.org/10.1186/s40001-025-02930-8
Zheng, Y., Gao, J., Hua, T., Dong, W., & Yang, M. (2026). Risk stratification for in-hospital mortality in sepsis-associated acute kidney injury patients receiving continuous renal replacement therapy: An interpretable, externally validated machine learning study. Renal Failure, 48(1), 2677246. https://doi.org/10.1080/0886022X.2026.2677246
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2026 Revista Científica de Salud BIOSANA

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.




