Reducing false intracranial pressure alarms using morphological waveform features

IEEE Transactions on Biomedical Engineering

Volumn 60, Issue 1, 2013, Pages 235-239

  Scalzo, Fabien ^a   Liebeskind, David ^b   Hu, Xiao ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Brain injuries; false alarm; intensive care unit (ICU); intracranial pressure signal (ICP); patient monitoring; smart alarm; supervised learning

Indexed keywords

ALARM DETECTION; BRAIN INJURY; COMPARATIVE ANALYSIS; DATA SETS; DISCRETIZATIONS; FALSE ALARMS; INPUT FEATURES; INTRA-CRANIAL PRESSURE; NEUROSURGICAL PATIENTS; PATIENT MONITORING SYSTEMS; PATTERN RECOGNITION METHOD; SMART ALARM; THRESHOLD-CROSSING; WAVE FORMS;

ERRORS; INTENSIVE CARE UNITS; PATIENT MONITORING; PATTERN RECOGNITION; SUPERVISED LEARNING;

ALARM SYSTEMS;

DIURETIC AGENT;

ARTICLE; BRAIN HEMORRHAGE; CEREBROSPINAL FLUID DRAINAGE; COMPARATIVE STUDY; HUMAN; HYPERVENTILATION; INTRACRANIAL PRESSURE; NEUROSURGERY; PATTERN RECOGNITION; SEDATION; SUBARACHNOID HEMORRHAGE; SUPPORT VECTOR MACHINE; TRAUMATIC BRAIN INJURY; WAVEFORM;

AREA UNDER CURVE; ARTIFICIAL INTELLIGENCE; CLINICAL ALARMS; EQUIPMENT FAILURE ANALYSIS; HUMANS; INTENSIVE CARE UNITS; INTRACRANIAL PRESSURE; MONITORING, PHYSIOLOGIC; PATTERN RECOGNITION, AUTOMATED; ROC CURVE; SIGNAL PROCESSING, COMPUTER-ASSISTED;

EID: 84871727820     PISSN: 00189294     EISSN: 15582531     Source Type: Journal    
DOI: 10.1109/TBME.2012.2210042     Document Type: Article

References (16)

1. A. Aboukhalil, L. Nielsen, M. Saeed, R. G. Mark, and G. D. Clifford, "Reducing false alarm rates for critical arrhythmias using the arterial blood pressure waveform, " J. Biomed. Inf., vol. 41, pp. 442-451, Jun. 2008.
2. D. Cai, X. He, and J. Han, "Spectral regression for efficient regularized subspace learning, " in Proc. Int. Conf. Comput. Vis., 2007, pp. 1-8.
3. M. C. Chambrin, P. Ravaux, D. Calvelo-Aros, A. Jaborska, C. Chopin, and B. Boniface, "Multicentric study of monitoring alarms in the adult intensive care unit (ICU): A descriptive analysis, " Intens. Care Med., vol. 25, pp. 1360-1366, Dec. 1999. (Pubitemid 30021161)
4. C.-C. Chang and C.-J. Lin. (2001). LIBSVM: A Library for Support Vector Machines. [Online]. Available:http://www. csie. ntu. edu. tw/∼cjlin/libsvm.
5. E. R. DeLong, D. M. DeLong, and D. L. Clarke-Pearson, "Comparing the areas under two or more correlated receiver operating characteristic curves: A nonparametric approach, " Biometrics, vol. 44, pp. 837-845, Sep. 1988.
6. X. Hu, P. Xu, F. Scalzo, P. Vespa, and M. Bergsneider, "Morphological clustering and analysis of continuous intracranial pressure, " IEEE Trans. Biomed. Eng., vol. 56, no. 3, pp. 696-705, Mar. 2009.
7. C. B. Laramee, L. Lesperance, D. Gause, and K. McLeod, "Intelligent alarm processing into clinical knowledge, " in Proc. IEEE Eng. Med. Biol. Soc., 2006, pp. 6657-6659. (Pubitemid 46521453)
8. S. T. Lawless, "Crying wolf: False alarms in a pediatric intensive care unit, " Crit. Care Med., vol. 22, pp. 981-985, Jun. 1994. (Pubitemid 24182730)
9. C. R. Leite, G. R. Sizilio, A. D. Neto, R. A. Valentim, and A. M. Guerreiro, "A fuzzy model for processing andmonitoring vital signs in ICU patients, " Biomed. Eng. Online, vol. 10, p. 68, 2011.
10. C. Meredith and J. Edworthy, "Are there too many alarms in the intensive care unit? An overview of the problems, " J. Adv. Nurs., vol. 21, pp. 15-20, Jan. 1995.
11. F. Scalzo, S. Asgari, S. Kim, M. Bergsneider, and X. Hu, "Bayesian tracking of intracranial pressure signal morphology, " Artif. Intell. Med., vol. 54, no. 2, pp. 115-123, Feb. 2012.
12. F. Scalzo, R. Hamilton, S. Asgari, S. Kim, and X. Hu, "Intracranial hypertension prediction using extremely randomized decision trees, " Med. Eng. Phys., 2012, to be published.
13. S. Siebig, S. Kuhls, M. Imhoff, U. Gather, J. Scholmerich, and C. E. Wrede, "Intensive care unit alarms-how many do we need?" Crit. Care Med., vol. 38, pp. 451-456, Feb. 2010.
14. C.-J. Tsai, C.-I. Lee, andW.-P. Yang, "A discretization algorithm based on class-attribute contingency coefficient, " Inf. Sci., vol. 178, no. 3, pp. 714-731, Feb. 2008. (Pubitemid 350050969)
15. C. L. Tsien and J. C. Fackler, "Poor prognosis for existing monitors in the intensive care unit, " Crit. Care Med., vol. 25, pp. 614-619, Apr. 1997. (Pubitemid 27193973)
16. W. Zong, G. B. Moody, and R. G. Mark, "Reduction of false arterial blood pressure alarms using signal quality assessment and relationships between the electrocardiogram and arterial blood pressure, " Med. Biol. Eng. Comput., vol. 42, pp. 698-706, Sep. 2004. (Pubitemid 39386952)