Suppression of false arrhythmia alarms in the ICU: a machine learning approach

被引:13
作者
Ansari, Sardar [1 ,2 ]
Belle, Ashwin [1 ,2 ]
Ghanbari, Hamid [2 ,3 ]
Salamango, Mark [2 ]
Najarian, Kayvan [1 ,2 ,4 ,5 ]
机构
[1] Univ Michigan, Dept Emergency Med, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Michigan Ctr Integrat Res Clin Care, Ann Arbor, MI USA
[3] Univ Michigan, Dept Internal Med, Ann Arbor, MI USA
[4] Univ Michigan, Dept Computat Med & Bioinformat, Ann Arbor, MI USA
[5] Univ Michigan, Dept Comp Sci, Ann Arbor, MI USA
关键词
false alarm; arrhythmia detection; Physionet; 2015; beat detection; PATIENT; FATIGUE;
D O I
10.1088/0967-3334/37/8/1186
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
This paper presents a novel approach for false alarm suppression using machine learning tools. It proposes a multi-modal detection algorithm to find the true beats using the information from all the available waveforms. This method uses a variety of beat detection algorithms, some of which are developed by the authors. The outputs of the beat detection algorithms are combined using a machine learning approach. For the ventricular tachycardia and ventricular fibrillation alarms, separate classification models are trained to distinguish between the normal and abnormal beats. This information, along with alarm-specific criteria, is used to decide if the alarm is false. The results indicate that the presented method was effective in suppressing false alarms when it was tested on a hidden validation dataset.
引用
收藏
页码:1186 / 1203
页数:18
相关论文
共 38 条
  • [11] Cvach Maria, 2012, Biomed Instrum Technol, V46, P268, DOI 10.2345/0899-8205-46.4.268
  • [12] Alarms and human behaviour: implications for medical alarms
    Edworthy, J.
    Hellier, E.
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2006, 97 (01) : 12 - 17
  • [13] Eerikäinen LM, 2015, COMPUT CARDIOL CONF, V42, P293, DOI 10.1109/CIC.2015.7408644
  • [14] Engelse W. A. H., 1979, Computers in Cardiology, P37
  • [15] ATTITUDES AND PRACTICES RELATED TO CLINICAL ALARMS
    Funk, Marjorie
    Clark, J. Tobey
    Bauld, Thomas J.
    Ott, Jennifer C.
    Coss, Paul
    [J]. AMERICAN JOURNAL OF CRITICAL CARE, 2014, 23 (03) : E9 - E18
  • [16] MONITOR ALARM FATIGUE: STANDARDIZING USE OF PHYSIOLOGICAL MONITORS AND DECREASING NUISANCE ALARMS
    Graham, Kelly Creighton
    Cvach, Maria
    [J]. AMERICAN JOURNAL OF CRITICAL CARE, 2010, 19 (01) : 28 - 34
  • [17] Open source ECG analysis
    Hamilton, P
    [J]. COMPUTERS IN CARDIOLOGY 2002, VOL 29, 2002, 29 : 101 - 104
  • [18] Alarm algorithms in critical care monitoring
    Imhoff, M
    Kuhls, S
    [J]. ANESTHESIA AND ANALGESIA, 2006, 102 (05) : 1525 - 1537
  • [19] Joint Commission, 2013, Sentinel Event Alert, P1
  • [20] Kalidas V, 2015, COMPUT CARDIOL CONF, V42, P733, DOI 10.1109/CIC.2015.7411015