Taming of the monitors: reducing false alarms in intensive care units

被引:25
作者
Plesinger, F. [1 ]
Klimes, P. [1 ]
Halamek, J. [1 ]
Jurak, P. [1 ]
机构
[1] Czech Acad Sci, Inst Sci Instruments, Brno, Czech Republic
关键词
ECG; critical care; arrhythmia; intensive care unit; ICU monitor; false alarm; beat detection;
D O I
10.1088/0967-3334/37/8/1313
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
False alarms in intensive care units represent a serious threat to patients. We propose a method for detection of five live-threatening arrhythmias. It is designed to work with multimodal data containing electrocardiograph and arterial blood pressure or photoplethysmograph signals. The presented method is based on descriptive statistics and Fourier and Hilbert transforms. It was trained using 750 records. The method was validated during the follow-up phase of the CinC/Physionet Challenge 2015 on a hidden dataset with 500 records, achieving a sensitivity of 93% (95%) and a specificity of 87% (88%) for real-time (retrospective) files. The given sensitivity and specificity resulted in score of 81.62 (84.96) for real-time (retrospective) records. The presented method is an improved version of the original algorithm awarded the first and the second prize in CinC/Physionet Challenge 2015.
引用
收藏
页码:1313 / 1325
页数:13
相关论文
共 21 条
[1]   A NEW DATA-REDUCTION ALGORITHM FOR REAL-TIME ECG ANALYSIS [J].
ABENSTEIN, JP ;
TOMPKINS, WJ .
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 1982, 29 (01) :43-48
[2]  
[Anonymous], 2002, Cardiac monitors, heart rate meters, and alarms, P1
[3]  
Ansari S, 2015, COMPUT CARDIOL CONF, V42, P1181, DOI 10.1109/CIC.2015.7411127
[4]   Alarms in the intensive care unit: how can the number of false alarms be reduced? [J].
Chambrin, MC .
CRITICAL CARE, 2001, 5 (04) :184-188
[5]  
Clifford GD, 2015, COMPUT CARDIOL CONF, V42, P273, DOI 10.1109/CIC.2015.7408639
[6]  
Couto P, 2015, COMPUT CARDIOL CONF, V42, P749, DOI 10.1109/CIC.2015.7411019
[7]  
Eerikäinen LM, 2015, COMPUT CARDIOL CONF, V42, P293, DOI 10.1109/CIC.2015.7408644
[8]  
Fallet S, 2015, COMPUT CARDIOL CONF, V42, P277, DOI 10.1109/CIC.2015.7408640
[9]  
Gacek A, 2012, ECG SIGNAL PROCESSING, CLASSIFICATION AND INTERPRETATION: A COMPREHENSIVE FRAMEWORK OF COMPUTATIONAL INTELLIGENCE, P1, DOI 10.1007/978-0-85729-868-3
[10]  
Gieraltowski JJ, 2015, COMPUT CARDIOL CONF, V42, P1201, DOI 10.1109/CIC.2015.7411132