Abstract:
:False intensive care unit (ICU) alarms induce stress in both patients and clinical staff and decrease the quality of care, thus significantly increasing both the hospital recovery time and rehospitalization rates. In the PhysioNet/CinC Challenge 2015 for reducing false arrhythmia alarms in ICU bedside monitor data, this paper validates the application of a real-time arrhythmia detection library (ADLib, Schiller AG) for the robust detection of five types of life-threatening arrhythmia alarms. The strength of the application is to give immediate feedback on the arrhythmia event within a scan interval of 3 s-7.5 s, and to increase the noise immunity of electrocardiogram (ECG) arrhythmia analysis by fusing its decision with supplementary ECG quality interpretation and real-time pulse wave monitoring (quality and hemodynamics) using arterial blood pressure or photoplethysmographic signals. We achieved the third-ranked real-time score (79.41) in the challenge (Event 1), however, the rank was not officially recognized due to the 'closed-source' entry. This study shows the optimization of the alarm decision module, using tunable parameters such as the scan interval, lead quality threshold, and pulse wave features, with a follow-up improvement of the real-time score (80.07). The performance (true positive rate, true negative rate) is reported in the blinded challenge test set for different arrhythmias: asystole (83%, 96%), extreme bradycardia (100%, 90%), extreme tachycardia (98%, 80%), ventricular tachycardia (84%, 82%), and ventricular fibrillation (78%, 84%). Another part of this study considers the validation of ADLib with four reference ECG databases (AHA, EDB, SVDB, MIT-BIH) according to the international recommendations for performance reports in ECG monitors (ANSI/AAMI EC57). The sensitivity (Se) and positive predictivity (+P) are: QRS detector QRS (Se, +P) > 99.7%, ventricular ectopic beat (VEB) classifier VEB (Se, +P) = 95%, and ventricular fibrillation detector VFIB (P + = 94.8%) > VFIB (Se = 86.4%), adjusted to the clinical setting requirements, giving preference to low false positive alarms.
journal_name
Physiol Measjournal_title
Physiological measurementauthors
Krasteva V,Jekova I,Leber R,Schmid R,Abächerli Rdoi
10.1088/0967-3334/37/8/1273subject
Has Abstractpub_date
2016-08-01 00:00:00pages
1273-97issue
8eissn
0967-3334issn
1361-6579journal_volume
37pub_type
杂志文章abstract::ECG-gated electrical impedance tomographic spectroscopy (EITS) measurements of the lungs were taken on seven normal subjects in the frequency range 9.6 kHz to 614.4 kHz. The results show that in late systole the resistivity p' relative to the R-wave (i.e. p' = 1 at the R-wave) decreases consistently within the lung. I...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/17/4a/026
更新日期:1996-11-01 00:00:00
abstract::A magnetic pulse generator has been set up in order to study gastric activity. Two coils 1.05 m in diameter, arranged in a Helmholtz configuration, were used. The system generated magnetic field pulses higher than 15 mT, of duration 17.3+/-1.2 ms. Measurements were performed in 11 male volunteers, with average age 29....
journal_title:Physiological measurement
pub_type: 临床试验,杂志文章
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abstract::Twenty-nine patients were monitored overnight for breathing distress patterns during postoperative analgesia. Nasal flow apnoea monitoring and pulse oximetry data were recorded at 50 Hz. Respiratory inductive plethysmography (RIP) tracked tidal volume (TV) thoracoabdominal motion, and supplemented the flow monitoring ...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/20/2/307
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVE:The creation of artificial gravity on board a space station is one of the promising methods for preventing health problems during space missions; a short-radius centrifuge (SRC) is the model of such a method on Earth. Our goal was to evaluate the sensitivity of bioimpedance polysegmental measurements for moni...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/ab840b
更新日期:2020-05-07 00:00:00
abstract::Fetal heart rate monitoring is used for pregnancy surveillance in obstetric units all over the world but in spite of recent advances in analysis methods, there are still inherent technical limitations that bound its contribution to the improvement of perinatal indicators. In this work, a previously published wavelet t...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/35/8/1723
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:Atrial fibrillation (AF) causes marked risk for patients, while silent fibrillation may remain unnoticed if not suspected and screened. Development of comfortable yet accurate beat-to-beat heart rate (HR) monitoring with good AF detection sensitivity would facilitate screening and improve treatment. The purpo...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/aac9a9
更新日期:2018-06-27 00:00:00
abstract::Skinfold anthropometry is a widely practiced technique often with little appreciation of its limitations. The large residual error appearing in any regressions of body density versus sums of skinfolds is primarily due to biological causes, in particular the non-constancy of the ratio of subcutaneous to total body fat....
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/19/3/008
更新日期:1998-08-01 00:00:00
abstract::Electrical impedance tomography (EIT) image reconstruction is an ill-posed problem requiring maximum measurement precision. Recent EIT systems claim 60 to 80 dB precision. Achieving higher values is hard in practice since measurements must be performed at relatively high frequency, on a living subject, while using com...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/27/5/S05
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abstract::This study compared sitting time measured by a questionnaire (International Physical Activity Questionnaire; IPAQ) with concurrently measured objective sitting time from an accelerometer-based measure of thigh inclination (activPAL).Adults (n = 69), wore an activPAL for a week, and then completed the long-form 7 d rec...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/35/11/2319
更新日期:2014-11-01 00:00:00
abstract::The widening application of automatic external defibrillators (AEDs) presents very strong requirements for external electrocardiogram (ECG) signal analysis. Highly accurate detection of shockable rhythms is required, aimed to approach the maximum of 100% sensitivity and specificity. In a previous study the performance...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/22/2/302
更新日期:2001-05-01 00:00:00
abstract::Part I of this series showed that the five-element circuit model accurately mimics impedances measured using multi-frequency electrical impedance myography (MFEIM), focusing on changes brought on by disease. This paper addresses two requirements which must be met if the method is to qualify for clinical use. First, th...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/34/2/223
更新日期:2013-02-01 00:00:00
abstract::Acupuncture (ACU) is known to be effective in ischemia treatment, and glutamate (GLU) excitotoxicity is an important factor in neuronal cell death. We observed the effect of ACU on cerebral blood flow (%CBF) and DeltaGLU (the changes in GLU release) in the ischemic stroke rat model of diabetic mellitus (DM). A global ...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/31/5/003
更新日期:2010-05-01 00:00:00
abstract::We investigated five different methods which can be applied to quantitatively construct functional tomograms of the lungs. The focus was on the sensitivity of functional tomograms to errors in acquired data. To quantify this sensitivity, theoretical, error-free data sets of well-known properties were artificially gene...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/31/8/S06
更新日期:2010-08-01 00:00:00
abstract::This paper presents the design, construction and testing of a device to measure pressure-volume loops in the left ventricle of conscious, ambulatory rats. Pressure is measured with a standard sensor, but volume is derived from data collected from a tetrapolar electrode catheter using a novel admittance technique. Ther...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/32/6/007
更新日期:2011-06-01 00:00:00
abstract::The standard electrocardiogram (ECG) is the most common non-invasive way to study atrial fibrillation (AF). In this respect, previous works have shown that the surface lead V(1) reflects mainly the dominant atrial frequency (DAF) of the right atrium (RA), which has been widely used to study AF. In a similar way, AF or...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/32/1/007
更新日期:2011-01-01 00:00:00
abstract::A new algorithm for classifying ECG recording quality based on the detection of commonly observed ECG contaminants which often render the ECG unusable for diagnostic purposes was evaluated. Contaminants (baseline drift, flat line, QRS-artefact, spurious spikes, amplitude stepwise changes, noise) were detected on indiv...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/33/9/1435
更新日期:2012-09-01 00:00:00
abstract::Focused impedance measurements (FIM) are used in several fields, and address the problem of measuring the volume impedance of an object within a volume conductor. Several electrode configurations are possible, and these have different properties. Sensitivity fields of four configurations have been investigated. We pre...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/35/6/1067
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:The ratio of the partial pressure of arterial oxygen to fraction of inspired oxygen is a key component of the sequential organ failure assessment score that operationally defines sepsis. But, it is calculated infrequently due to the need for the acquisition of an arterial blood gas. So, we sought to find an o...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/ab5154
更新日期:2019-12-03 00:00:00
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pub_type: 杂志文章
doi:10.1088/0967-3334/37/4/544
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journal_title:Physiological measurement
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journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/ab924b
更新日期:2020-07-09 00:00:00
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更新日期:1994-05-01 00:00:00
abstract:OBJECTIVE:In this study, electroencephalography activity recorded during monotonous driving was investigated to examine the predictive capability of monopolar EEG analysis for fatigue/sleepiness in a cohort of train drivers. APPROACH:Sixty-three train drivers participated in the study, where 32- lead monopolar EEG dat...
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更新日期:2018-10-30 00:00:00
abstract:OBJECTIVE:Accurate bladder size estimation is an important clinical parameter that assists physicians, enabling them to provide better treatment for patients who are suffering from urinary incontinence. Electrical impedance tomography (EIT) is a non-invasive medical imaging method that estimates organ boundaries assumi...
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更新日期:2009-06-01 00:00:00