Life-threatening false alarm rejection in ICU: using the rule-based and multi-channel information fusion method.

Abstract:

:False alarm (FA) rates as high as 86% have been reported in intensive care unit monitors. High FA rates decrease quality of care by slowing staff response times while increasing patient burdens and stresses. In this study, we proposed a rule-based and multi-channel information fusion method for accurately classifying the true or false alarms for five life-threatening arrhythmias: asystole (ASY), extreme bradycardia (EBR), extreme tachycardia (ETC), ventricular tachycardia (VTA) and ventricular flutter/fibrillation (VFB). The proposed method consisted of five steps: (1) signal pre-processing, (2) feature detection and validation, (3) true/false alarm determination for each channel, (4) 'real-time' true/false alarm determination and (5) 'retrospective' true/false alarm determination (if needed). Up to four signal channels, that is, two electrocardiogram signals, one arterial blood pressure and/or one photoplethysmogram signal were included in the analysis. Two events were set for the method validation: event 1 for 'real-time' and event 2 for 'retrospective' alarm classification. The results showed that 100% true positive ratio (i.e. sensitivity) on the training set were obtained for ASY, EBR, ETC and VFB types, and 94% for VTA type, accompanied by the corresponding true negative ratio (i.e. specificity) results of 93%, 81%, 78%, 85% and 50% respectively, resulting in the score values of 96.50, 90.70, 88.89, 92.31 and 64.90, as well as with a final score of 80.57 for event 1 and 79.12 for event 2. For the test set, the proposed method obtained the score of 88.73 for ASY, 77.78 for EBR, 89.92 for ETC, 67.74 for VFB and 61.04 for VTA types, with the final score of 71.68 for event 1 and 75.91 for event 2.

journal_name

Physiol Meas

authors

Liu C,Zhao L,Tang H,Li Q,Wei S,Li J

doi

10.1088/0967-3334/37/8/1298

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

1298-312

issue

8

eissn

0967-3334

issn

1361-6579

journal_volume

37

pub_type

杂志文章
  • Within-breath measurement of respiratory impedance.

    abstract::The measurement of the complex respiratory impedance at a high temporal resolution is described. The measurement of impedance is correlated with the breathing cycle using electrical transthoracic impedance. This allows the determination of the complex impedance at any fixed point in the respiratory cycle, which result...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/14/3/019

    authors: van der Putten WJ,MacLeod D,Prichard JS

    更新日期:1993-08-01 00:00:00

  • Cardiac eigen imaging: a novel method to isolate cardiac activity in thoracic electrical impedance tomography.

    abstract:OBJECTIVE:As the global burden of cardiovascular disease increases, proactive cardiovascular healthcare by means of accurate, precise, continuous, and non-invasive monitoring is becoming crucial. However, no current device is able to provide cardiac hemodynamic monitoring with the aforementioned criterion. Electrical i...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/abb141

    authors: Arshad SH,Murphy EK,Callahan JM,DeVries JT,Odame KM,Halter RJ

    更新日期:2020-10-06 00:00:00

  • The effect of fracture and fracture fixation on ultrasonic velocity and attenuation.

    abstract::Measurement of the velocity of propagation and attenuation of ultrasound (200 kHz) is believed to be a useful non-invasive technique for assessing the mechanical properties of bone. A new method for the determination of ultrasound velocity and attenuation of longitudinal waves in cortical bone was used in vivo and in ...

    journal_title:Physiological measurement

    pub_type: 临床试验,杂志文章

    doi:10.1088/0967-3334/17/3/006

    authors: Saulgozis J,Pontaga I,Lowet G,Van der Perre G

    更新日期:1996-08-01 00:00:00

  • A comparison of methods for measurement of spatial resolution in two-dimensional circular EIT images.

    abstract::The literature concerning measurement of spatial resolution in electrical impedance tomography (EIT) is vague. Different groups often use their own method or a modified version of a better known method, thus hindering a generalized resolution measurement which could be useful for gauging the performance of one system ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/23/1/316

    authors: Wheeler JL,Wang W,Tang M

    更新日期:2002-02-01 00:00:00

  • Real time impedance plots with arbitrary frequency components.

    abstract::Temporal changes in the impedance spectra of bioelectrodes in contact with skin provide useful data for comparisons between differing electrode materials and skin preparation methods. Traditional impedance measuring systems employ swept frequency methods which will distort results in the impedance spectra of a sample ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/20/1/008

    authors: Searle A,Kirkup L

    更新日期:1999-02-01 00:00:00

  • Preliminary static EIT images of the thorax in health and disease.

    abstract::The results of a preliminary clinical evaluation of a one-frequency electrical impedance tomography (EIT) system enabling static in vivo imaging are presented. The design of the measuring system and image reconstruction software are described. Thirty-one subjects were examined and divided into four clinical groups. Th...

    journal_title:Physiological measurement

    pub_type: 临床试验,杂志文章

    doi:10.1088/0967-3334/23/1/304

    authors: Cherepenin V,Karpov A,Korjenevsky A,Kornienko V,Kultiasov Y,Mazaletskaya A,Mazourov D

    更新日期:2002-02-01 00:00:00

  • Dynamic data monitoring improves predictive analytics for failed extubation in the ICU.

    abstract:OBJECTIVE:Predictive analytics monitoring that informs clinicians of the risk for failed extubation would help minimize both the duration of mechanical ventilation and the risk of emergency re-intubation in ICU patients. We hypothesized that dynamic monitoring of cardiorespiratory data, vital signs, and lab test result...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aace95

    authors: Keim-Malpass J,Enfield KB,Calland JF,Lake DE,Clark MT

    更新日期:2018-07-16 00:00:00

  • Lab-based validation of different data processing methods for wrist-worn ActiGraph accelerometers in young adults.

    abstract::The wrist is increasingly being used as the preferred site for objectively assessing physical activity but the relative accuracy of processing methods for wrist data has not been determined. OBJECTIVE:This study evaluates the validity of four processing methods for wrist-worn ActiGraph (AG) data against energy expend...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aa6d00

    authors: Ellingson LD,Hibbing PR,Kim Y,Frey-Law LA,Saint-Maurice PF,Welk GJ

    更新日期:2017-06-01 00:00:00

  • Estimating carotid pulse and breathing rate from near-infrared video of the neck.

    abstract:OBJECTIVE:Non-contact physiological measurement is a growing research area that allows capturing vital signs such as heart rate (HR) and breathing rate (BR) comfortably and unobtrusively with remote devices. However, most of the approaches work only in bright environments in which subtle photoplethysmographic and balli...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aae625

    authors: Chen W,Hernandez J,Picard RW

    更新日期:2018-10-30 00:00:00

  • Assessing the validity and reliability and determining cut-points of the Actiwatch 2 in measuring physical activity.

    abstract:OBJECTIVE:The Actiwatch 2 (AW2) is a wrist-worn accelerometer typically used to measure sleep. Although it can measure physical activity, there is limited evidence supporting its validity. We assessed the validity and reliability of the AW2 to measure sedentary behavior and physical activity (light, moderate, vigorous ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aba80f

    authors: Kemp C,Pienaar PR,Henst RHP,Roden LC,Kolbe-Alexander TL,Rae DE

    更新日期:2020-09-04 00:00:00

  • A method for modelling and optimizing an electrical impedance tomography system.

    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

    authors: Hartinger AE,Gagnon H,Guardo R

    更新日期:2006-05-01 00:00:00

  • Effects of CO2 on dynamic cerebral autoregulation measurement.

    abstract::Arterial pCO2 is known to influence cerebral autoregulation but its effect on the dynamic relationship between mean arterial blood pressure (ABP) and mean cerebral blood flow velocity (CBFV), obtained from spontaneous fluctuations in ABP, has not been established. In 16 normal subjects, ABP was measured non-invasively...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/20/3/304

    authors: Panerai RB,Deverson ST,Mahony P,Hayes P,Evans DH

    更新日期:1999-08-01 00:00:00

  • New electrohysterogram-based estimators of intrauterine pressure signal, tonus and contraction peak for non-invasive labor monitoring.

    abstract:BACKGROUND:Uterine activity monitoring is an essential part of managing the progress of pregnancy and labor. Although intrauterine pressure (IUP) is the only reliable method of estimating uterine mechanical activity, it is highly invasive. Since there is a direct relationship between the electrical and mechanical activ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/ab37db

    authors: Benalcazar-Parra C,Garcia-Casado J,Ye-Lin Y,Alberola-Rubio J,Lopez Á,Perales-Marin A,Prats-Boluda G

    更新日期:2019-09-03 00:00:00

  • Permutation Lempel-Ziv complexity measure of electroencephalogram in GABAergic anaesthetics.

    abstract::Monitoring the brain state in anaesthesia is crucial for clinical doctors. In this study, we propose a novel nonlinear method, the permutation Lempel-Ziv complexity (PLZC) index, which describes the complexity in the electroencephalographic (EEG) signal to quantify the effect of GABAergic anaesthetics on brain activit...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/36/12/2483

    authors: Bai Y,Liang Z,Li X,Voss LJ,Sleigh JW

    更新日期:2015-12-01 00:00:00

  • Pilot acute study of feedback-controlled retrograde peristalsis invoked by neural gastric electrical stimulation.

    abstract::Neural gastric electrical stimulation (NGES) is a new method for invoking gastric contractions under microprocessor control. However, optimization of this technique using feedback mechanisms to minimize power consumption and maximize effectiveness has been lacking. The present pilot study proposes a prototype feedback...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/30/3/006

    authors: Aelen P,Jurkov A,Aulanier A,Mintchev MP

    更新日期:2009-03-01 00:00:00

  • Modelling the cerebral haemodynamic response in the physiological range of PaCO2.

    abstract:OBJECTIVE:Arterial CO2 (PaCO2) has a strong effect on cerebral blood flow (CBF), but its influence on CBF regulatory mechanisms and circulatory systemic variables has not been fully described over the entire physiological range of PaCO2. APPROACH:CBF velocity (CBFV, transcranial Doppler), blood pressure (BP, Finometer...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aac76b

    authors: Minhas JS,Panerai RB,Robinson TG

    更新日期:2018-06-19 00:00:00

  • Cardiac-related changes in lung resistivity as a function of frequency and location obtained from EITS images.

    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

    authors: Nopp P,Zhao TX,Brown BH,Wang W

    更新日期:1996-11-01 00:00:00

  • Noise sensitivity of three surface ECG fibrillation detection algorithms.

    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

    authors: Jekova I,Cansell A,Dotsinsky I

    更新日期:2001-05-01 00:00:00

  • Automatic detection of detached and erroneous electrodes in electrical impedance tomography.

    abstract::One unfortunate occurrence in experimental measurements with electrical impedance tomography is electrodes which become detached or poorly connected, such that the measured data cannot be used. This paper presents an automatic approach to detect such erroneous electrodes. It is based on the assumption that all valid m...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/26/2/017

    authors: Asfaw Y,Adler A

    更新日期:2005-04-01 00:00:00

  • Measurements of fluorine in contemporary urban Canadians: a comparison of the levels found in human bone using in vivo and ex vivo neutron activation analysis.

    abstract::Non-invasive in vivo neutron activation analysis (NAA) was used to measure the fluorine concentration in 35 people in Hamilton, Ontario, Canada. Measurement and precision data of this second generation NAA system were determined in 2013, and the results were compared with the performance of a first generation system u...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/36/3/465

    authors: Mostafaei F,McNeill FE,Chettle DR,Wainman BC,Pidruczny AE,Prestwich WV

    更新日期:2015-03-01 00:00:00

  • Multi-frequency imaging and modelling of respiratory related electrical impedance changes.

    abstract::Two studies concerning multi-frequency impedance measurements are presented. The first uses tetrapolar measurements made on the thorax and the second electrical impedance tomography images, also made from the thorax. The way in which the impedance and the changes in impedance with ventilation depend upon frequency are...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/15/2a/001

    authors: Brown BH,Barber DC,Wang W,Lu L,Leathard AD,Smallwood RH,Hampshire AR,Mackay R,Hatzigalanis K

    更新日期:1994-05-01 00:00:00

  • Patient examinations using electrical impedance tomography--sources of interference in the intensive care unit.

    abstract::Electrical impedance tomography (EIT) is expected to become a valuable tool for monitoring mechanically ventilated patients due to its ability to continuously assess regional lung ventilation and aeration. Several sources of interference with EIT examinations exist in intensive care units (ICU). Our objectives are to ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/32/12/F01

    authors: Frerichs I,Pulletz S,Elke G,Gawelczyk B,Frerichs A,Weiler N

    更新日期:2011-12-01 00:00:00

  • Validity and reliability of a timed 5 km cycle ergometer ride to predict maximum oxygen uptake.

    abstract::The purpose of this study was to determine the validity and reliability of a timed 5 km cycle ergometer ride to predict maximum oxygen uptake (VO2max). Fifty-two healthy volunteers had their VO2max determined during a maximal treadmill run. They also performed a timed 5 km cycle ergometer ride. The resistance setting ...

    journal_title:Physiological measurement

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1088/0967-3334/17/4/009

    authors: Buono MJ,Borin TL,Sjoholm NT,Hodgdon JA

    更新日期:1996-11-01 00:00:00

  • Combined electrocardiogram and photoplethysmogram measurements as an indicator of objective sleepiness.

    abstract::There is considerable interest in unobtrusive and portable methods of monitoring sleepiness outside the laboratory setting. This study evaluates the usefulness of combined electrocardiogram (ECG) and photoplethysmogram (PPG) measurements for estimating psychomotor vigilance. The psychomotor vigilance test (PVT) was pe...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/29/8/001

    authors: Chua CP,McDarby G,Heneghan C

    更新日期:2008-08-01 00:00:00

  • Measuring the rate of change of haemodynamic response at the onset of exercise in normal limbs and those with intermittent claudication.

    abstract::Patients with claudication have an inadequate haemodynamic response to exercise. Blood flow response will not only have a magnitude, but also a rate of change. There is scope for investigating these parameters, as manipulation of the factors which control them may benefit work to improve the treatment for claudication...

    journal_title:Physiological measurement

    pub_type: 临床试验,杂志文章

    doi:10.1088/0967-3334/26/6/002

    authors: Meeson S,Srodon PD

    更新日期:2005-12-01 00:00:00

  • Neuromagnetic field strength outside the human head due to impedance changes from neuronal depolarization.

    abstract::The holy grail of neuroimaging would be to have an imaging system, which could image neuronal electrical activity over milliseconds. One way to do this would be by imaging the impedance changes associated with ion channels opening in neuronal membranes in the brain during activity. In principle, we could measure this ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/25/1/040

    authors: Ahadzi GM,Liston AD,Bayford RH,Holder DS

    更新日期:2004-02-01 00:00:00

  • Measurement of ventricular volume from blood conductance using two-dimensional finite element analysis.

    abstract::We used finite element analysis to study the relationship between the intraventricular blood conductance and the right ventricular volume. Previous studies reported a quasi-linear dependence between these two quantities. We quantified the effects of the resistivities of the surrounding tissues (e.g. heart wall, lungs)...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/15/1/004

    authors: Panescu D,Webster JG,Stratbucker RA

    更新日期:1994-02-01 00:00:00

  • The assessment of acute load and contractility changes by left ventricular pressure measurements.

    abstract::The aim of this study was to establish whether analysis of the left ventricular pressure waveform provides indicative information about cardiac load and contractility and to develop an algorithm for computer-based assessment of changes in these variables. In eight healthy standard breed anaesthetized open-chest pigs, ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/27/12/003

    authors: Söderqvist E,Hultman J,Källner G,Nowak J,Brodin LA

    更新日期:2006-12-01 00:00:00

  • PaCO2 measurement in cerebral haemodynamics: face mask or nasal cannulae?

    abstract:OBJECTIVE:PaCO2 affects cerebral blood flow (CBF) and its regulatory mechanisms, but the effects of CO2 measurement technique on cerebrovascular parameters are unknown. In order to determine if the two most commonly used approaches, face mask (FM) or nasal cannulae (NC), are interchangeable or not, we tested the hypoth...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aa6f9f

    authors: Minhas JS,Robinson T,Panerai R

    更新日期:2017-06-22 00:00:00

  • A planar elliptical model of cardio-vagal hysteresis.

    abstract::The state-dependent portion of cardio-vagal baroreflex control is called baroreflex hyteresis: we observe hysteresis when RR interval and carotid diameter depend on both the direction and value of arterial pressure. The elasticity of arterial walls, as well as the responsiveness of central command reset controls the r...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/31/6/009

    authors: Ler AS,Cohen MA,Taylor JA

    更新日期:2010-06-01 00:00:00