Global research trends in artificial intelligence for critical care with a focus on chord network charts: Bibliometric analysis

Abstract

Background: The field of critical care-related artificial intelligence (AI) research is rapidly gaining interest. However, there is still a lack of comprehensive bibliometric studies that measure and analyze scientific publications on a global scale. Network charts have traditionally been used to highlight author collaborations and coword phenomena (ACCP). It is necessary to determine whether chord network charts (CNCs) can provide a better understanding of ACCP, thus requiring clarification. This study aimed to achieve 2 objectives: evaluate global research trends in AI in intensive care medicine on publication outputs, coauthorships between nations, citations, and co-occurrences of keywords; and demonstrate the use of CNCs for ACCP in bibliometric analysis. Methods: The web of science database was searched for a total of 1992 documents published between 2013 and 2022. The document type was limited to articles and article reviews, and titles and abstracts were screened for eligibility. The characteristics of the publications, including preferred journals, leading research countries, international collaborations, top institutions, and major keywords, were analyzed using the category-journal rank-authorship-L-index score and trend analysis. The 100 most highly cited articles are also listed in detail. Results: Between 2018 and 2022, there was a sharp increase in publications, which accounted for 92.8% (1849/1992) of all papers included in the study. The United States and China were responsible for nearly 50% (936/1992) of the total publications. The leading countries, institutes, departments, authors, and journals in terms of publications were the US, Massachusetts Gen Hosp (US), Medical School, Zhongheng Zhang (China), and Science Reports. The top 3 primary keywords denoting research hotspots for AI in critically ill patients were mortality, model, and intensive care unit, with mortality having the highest burst strength (4.49). The keywords risk and system showed the highest growth trend (0.98) in counts over the past 4 years. Conclusions: This study provides valuable insights into the potential for ACCP and future research opportunities. For AI-based clinical research to become widely accepted in critical care practice, collaborative research efforts are necessary to strengthen the maturity and robustness of AI-driven models using CNCs for display.