Probabilistic Patient Monitoring using Extreme Value Theory - A Multivariate, Multimodal Methodology for Detecting Patient Deterioration

نویسندگان

  • Samuel Hugueny
  • David A. Clifton
  • Lionel Tarassenko
چکیده

Conventional patient monitoring is performed by generating alarms when vital signs exceed pre-determined thresholds, but the false-alarm rate of such monitors in hospitals is so high that alarms are typically ignored. We propose a principled, probabilistic method for combining vital signs into a multivariate model of patient state, using extreme value theory (EVT) to generate robust alarms if a patient’s vital signs are deemed to have become sufficiently “extreme”. Our proposed formulation operates many orders of magnitude faster than existing methods, allowing on-line learning of models, leading ultimately to patient-specific monitoring.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Probabilistic Patient Monitoring with Multivariate, Multimodal Extreme Value Theory

Conventional patient monitoring is performed by generating alarms when vital signs exceed pre-determined thresholds, but the false-alarm rate of such monitors in hospitals is so high that alarms are typically ignored. We propose a principled, probabilistic method for combining vital signs into a multivariate model of patient state, using extreme value theory (EVT) to generate robust alarms if a...

متن کامل

Extreme Value Theory for Novelty Detection in Vital Sign Monitoring

Studies indicate that a large number of in-hospital cardiac events could be prevented, provided that the preceding physiological abnormalities are identified and acted upon. Continuous patient monitoring is not a task that can reasonably be assigned to the nursing staff, but one that could benefit from the use of an automated system. With this in mind, an early warning system based on a data-dr...

متن کامل

Patient-Specific Biomedical Condition Monitoring in Post-operative Cancer Patients

Large numbers of preventable deaths occur in hospitals each year, due to adverse events such as cardiac arrest and unplanned admission into Intensive Care Units (ICUs) from other hospital wards. The majority of these patients exhibit physiological deterioration in their vital signs prior to onset of the adverse event, which can be detected by condition monitoring. This paper describes a multiva...

متن کامل

Simultaneous Monitoring of Multivariate-Attribute Process Mean and Variability Using Artificial Neural Networks

In some statistical process control applications, the quality of the product is characterized by thecombination of both correlated variable and attributes quality characteristics. In this paper, we propose anovel control scheme based on the combination of two multi-layer perceptron neural networks forsimultaneous monitoring of mean vector as well as the covariance matrix in multivariate-attribu...

متن کامل

Online Monitoring and Fault Diagnosis of Multivariate-attribute Process Mean Using Neural Networks and Discriminant Analysis Technique

In some statistical process control applications, the process data are not Normally distributed and characterized by the combination of both variable and attributes quality characteristics. Despite different methods which are proposed separately for monitoring multivariate and multi-attribute processes, only few methods are available in the literature for monitoring multivariate-attribute proce...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2010