Abstract
In this work, a novel method has been proposed for false alarm detection in Intensive Care Unit (ICU) during arrhythmia. To detect false alarm, various inputs are used such as electrocardiogram (ECG) signals, atrial blood pressure (ABP), photoplethysmogram signals (PLETH) and respiration (RESP). The inputs are given to decision tree predictive learner (DTPL) based classifier for thedetection of false alarm. The proposed method has an accuracy of 97% for prediction of false alarm in ICU. Theresult of the proposed method is promising which suggest that it can be used effectively for false alarm detection in ICUs. To the best of our knowledge, there is no such assumption based classification approach.
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Amadu, A. M., Baritussio, A., Dastidar, A. G., Garate, E. D., Rodrigues, J. C. L., Biglino, G., Lyen, S., Diab, I., Duncan, E., Nisbet, A., Thomas, G., Angelini, G. D., and Bucciarelli-Ducci, C., Arrhythmogenic right ventricular cardiomyopathy (ARVC) mimics: The knot unravelled by cardiovascular MRI. Clin. Radiol. 74:228–234, 2019. https://doi.org/10.1016/j.crad.2018.12.002.
Desai, R., Patel, U. K., Singh, S., Bhuva, R. K., Fong, H. K., Nunna, P., Zalavadia, D., Dave, H., Savani, S., and Doshi, R. K., The burdenand impact of arrhythmia in chronic obstructive pulmonary disease: Insights from the National Inpatient Sample. Int. J. Cardiol. 281:49–55, 2019. https://doi.org/10.1016/j.ijcard.2019.01.074.
Zaghla, H., Atroush, H. A., Samir, A., and Kamal, M., Arrhythmias in patients with chronic obstructive pulmonary disease. Egypt J. Chest. Dis. Tubercul. 62:377–385, 2013. https://doi.org/10.1016/j.ejcdt.2013.05.005.
Chugh, S. S., Rothy, G. A., Gillumx, R. F., and Mensah, G. A., Global burden of atrial fibrillation in developed and developing nations. Global Heart 9:113–119, 2014. https://doi.org/10.1016/j.gheart.2014.01.004.
Rosa, S. A., Cunha, P. S., Lousinha, A., Valente, B., Delgado, A. S., Pimenta, R., Bras, M., Cruz, M. C., Portugal, G., Monteiro, A. V., Oliveira, M., and Ferreira, R. C., Importance of monitoring zones in the detection ofarrhythmias in patients with implantablecardioverter-defibrillators under remote monitoring. Revista Portuguesa de Cardiologia. 38:11–16, 2019. https://doi.org/10.1016/j.repc.2018.05.015.
Daluwatte, C., Vicente, J., Galeotti, L., Johannesen, L., Strauss, D. D. G., and Scully, D. C. G., A novel ECG detector performance metric and its relationship with missing and false heart rate limit alarms. J. Electrocardiol. 5:68–73, 2018. https://doi.org/10.1016/j.jelectrocard.2017.08.030.
Siebig, S., Kuhls, S., Imhoff, M., Langgartner, J., Reng, M., Scholmerich, J., Gather, U., and Wrede, C. E., Collection of annotated data in a clinical validation study for alarm algorithms in intensive care—A methodologic framework. J. Critic. Care 25:128–135, 2010. https://doi.org/10.1016/j.jcrc.2008.09.001.
Solet, J. M., and Barach, P. R., Managing alarm fatigue in cardiac care. Progress Pediatr. Cardiol. 33:85–90, 2012. https://doi.org/10.1016/j.ppedcard.2011.12.014.
Hu, X., Sapo, M., Nenov, V., Barry, T., Kim, S., Do, D. H., Boyle, N., and Martin, N., Predictive combinations of monitor alarms preceding in-hospital code blue events. J. Biomed. Inform. 45:913–921, 2012. https://doi.org/10.1016/j.jbi.2012.03.001.
Li, Q., and Clifford, G. D., Signal quality and data fusion for false alarm reduction in the intensive care unit. J. Electrocardiol. 45:596–603, 2012. https://doi.org/10.1016/j.jelectrocard.2012.07.015.
Clifford, G. D., Silva, I., Moody, B., Li, Q., Kella, D., Shahin, A., Kooistra, T., and Perry, D., Mark RG (2015) the PhysioNet/computing in cardiology challenge 2015: Reducing false arrhythmia alarms in the ICU. Comput. Cardiol. 42:273–276, 2015.
Fallet, S., and Yazdani, S., Vesin JM (2015) a multimodal approach to reduce false arrhythmia alarms in the intensive care unit. Comput. Cardiol. 42:277–280, 2015.
Plesinger, F., Klimes, P., and Halamek, J., Jurak P (2015) false alarms in intensive care unit monitors: Detection of life-threatening arrhythmias using elementary algebra, descriptive statistics and fuzzy logic. Comput. Cardiol. 42:281–284, 2015.
Zong, W., Reduction of false critical ECG alarms using waveform features of arterial blood pressure and/or Photoplethysmogram signals. Comput. Cardiol. 42:289–292, 2015.
Eerikainen, L. M., Vanschoren, J., Rooijakkers, M. J., Vullings, R., and Aarts, R. M., Decreasing the false alarm rate of arrhythmias in intensive care using a machine learning approach. Comput. Cardiol. 42:293–296, 2015.
Roonizi, E. K., and Sassi, R., A signal decomposition model-based Bayesian framework for ECG components separation. IEEE Trans. Signal Process. 64:665–674, 2016. https://doi.org/10.1109/TSP.2015.2489598.
Jain, S. K., and Bhaumik, B., An energy efficient ECG signal processor detecting cardiovascular diseases on smartphone. IEEE Trans. Biomed. Circ. Syst. 11:314–323, 2017. https://doi.org/10.1109/TBCAS.2016.2592382.
Satija, U., and Manikandan, S. M., Automated ECG noise detection and classification system for unsupervised healthcare monitoring. IEEE J. Biomed. Health Inform. 22:722–732, 2018. https://doi.org/10.1109/JBHI.2017.2686436.
Quiroz-Juárez, M. A., Jiménez-Ramírez, O., Vázquez-Medina, R., Ryzhii, E., and Ryzhii, M., Cardiac conduction model for generating 12 Lead ECG signals with realistic heart rate dynamics. IEEE Trans. Nanobiosci. 17:525–532, 2018. https://doi.org/10.1109/TNB.2018.2870331.
Liu, F., Liu, C., Zhao, L., Jiang, X., Zhang, Z., Li, J., Wei, S., and Zhang, Y., Dynamic ECG signal quality evaluation based on the generalized bSQI index. IEEE Access 6:41892–41902, 2018. https://doi.org/10.1109/ACCESS.2018.2860056.
Qu, Y. R., and Prasanna, V. K., Compact hash tables for decision-trees. Parallel Comput. 54:121–127, 2016. https://doi.org/10.1016/j.parco.2015.12.003.
Saettler, A., Laber, E., and Pereira, F. A. M., Decision tree classification with bounded number of errors. Inform. Process. Lett. 127:27–31, 2017. https://doi.org/10.1016/j.ipl.2017.06.011.
Liua, X., Lia, Q., Lib, T., and Chen, D., Differentially private classification with decision tree ensemble. Appl Soft Comput. 62:807–816, 2018. https://doi.org/10.1016/j.asoc.2017.09.010.
Wang, X., Liu, X., Pedrycz, W., and Zhang, L., Fuzzy rule based decision trees. Pattern Recogn. 48:50–59, 2015. https://doi.org/10.1016/j.patcog.2014.08.001.
Chen, Y. L., Wu, C. C., and Tang, K., Time-constrained cost-sensitive decision tree induction. Inform. Sci. 354:140–152, 2016. https://doi.org/10.1016/j.ins.2016.03.022.
Serackis, A., and Abromavicius, V., Gudiskis a (2015) identification of ECG signal pattern changes to reduce the incidence of ventricular tachycardia false alarms. Comput. Cardiol. 42:1193–1196, 2015.
Caballero, M., and Mirsky, G. M., Reduction of false cardiac arrhythmia alarms through the use of machine learning techniques. Comput. Cardiol. 42:1169–1172, 2015.
Lee, K., Choi, H. O., Min, S. D., Lee, J., and Gupta, B. B., A comparative evaluation of atrial fibrillation detection methods in Koreans based on optical recordings using a smartphone. IEEE Access 5:11437–11434, 2017. https://doi.org/10.1109/ACCESS.2017.2700488.
Acharya, U. R., Fujita, H., Lih, O. S., Hagiwara, Y., Tan, J. H., and Adam, M., Automated detection of arrhythmias using different intervals of tachycardia ECG segments with convolutional neural network. Inform. Sci. 405:81–90, 2017. https://doi.org/10.1016/j.ins.2017.04.012.
Daluwatte, C., Johannesen, L., Vicente, J., Scully, C. G., and Galeotti, L., Strauss DG (2015) heartbeat fusion algorithm to reduce false alarms for arrhythmias. Comput. Cardiol. 42:745–748, 2015.
Baloglu, U. B., Talo, M., Yildirim, O., San Tan, R., and Acharya, U. R., Classification of myocardial infarction with multi-lead ECG signals and deep CNN. Pattern Recogn. Lett. 122:23–30, 2019. https://doi.org/10.1016/j.patrec.2019.02.016.
Yıldırım, O., Pławiak, P., Tan, R. S., and Acharya, U. R., Arrhythmia detection using deep convolutional neural network with long duration ECG signals. Comput. Biol. Med. 102:411–420, 2018. https://doi.org/10.1016/j.compbiomed.2018.09.009.
Yildirim, O., A novel wavelet sequence based on deep bidirectional LSTM network model for ECG signal classification. Comput. Biol. Med. 96:189–202, 2018. https://doi.org/10.1016/j.compbiomed.2018.03.016.
Pławiak, P., and Acharya, U.R., Novel Deep Genetic Ensemble of Classifiers for Arrhythmia Detection Using ECG Signals. 2019. doi: https://doi.org/10.1007/s00521-018-03980-2.
Pławiak, P., Novel genetic ensembles of classifiers applied to myocardium dysfunction recognition based on ECG signals. Swarm Evol. Comput. 39:192–208, 2018. https://doi.org/10.1016/j.swevo.2017.10.002.
Han, J., Kamber, M., and Pei, J., (Third edition) data mining concepts and techniques. Morgan Kaufmann.
Salvetti, A., Personal view: A centenary of clinical blood pressure measurement: A tribute to Scipione Riva-Rocci. Blood Press. 5:325–326, 1996.
Mukkamala, R., Hahn, J. O., Inan, O. T., Mestha, L. K., Kim, C. S., Toreyin, H., and Kyal, S., Toward ubiquitous blood pressure monitoring via pulse transit time: Theory and practice. IEEE Trans. Bio-Med. Eng. 62:1879–1901, 2015.
Messas, E., Pernot, M., and Couade, M., Arterial wall elasticity: State of the art and future prospects. Diagn. Interv. Imaging 94:561–569, 2013.
Ding, X. R., Zhang, Y. T., Liu, J., Dai, W. X., and Tsang, H. K., Continuous Cuffless blood pressure estimation using pulse transit time and Photoplethysmogram intensity ratio. IEEE Trans. Bio-Med. Eng. 63:964–972, 2016.
Poleszczuk, J., Debowska, M., Dabrowski, W., Wojcik-Zaluska, A., Zaluska, W., and Waniewski, J., Subject-specific pulse wave propagation modeling: Towards enhancement of cardiovascular assessment methods. PLoS ONE 13, 2018. doi: https://doi.org/10.1371/journal.pone.0190972.
Yoon, Y. Z., Kang, J. M., Kwon, Y., Park, S., Noh, S., Kim, Y., Park, J., and Hwang, S. W., Cuff-less blood pressure estimation using pulse waveform analysis and pulse arrival time. IEEE J. Biomed. Heal. Inf. 22:1068–1074, 2018.
Xing, X., and Sun, M., Optical blood pressure estimation with photoplethysmography and FFT-based neuralnetworks. Biomed. Opt. Express 7:3007–3020, 2016.
Li, Y., Wang, Z., Zhang, L., Yang, X., and Song, J., Characters available in photoplethysmogram for blood pressure estimation: Beyond the pulse transit time. Australas. Phys. Eng. Sci. Med 37:367–376, 2014.
Ding, X., Yan, B. P., Zhang, Y. T., Liu, J., Zhao, N., and Tsang, H. K., Pulse transit time based continuous cufflessblood pressure estimation: A new extension and a comprehensive evaluation. Sci. Rep. 7:11554, 2017. https://doi.org/10.1038/s41598-017-11507-3.
Rundo, F., Ortis, A., Battiato, S., and Conoci, S., Advanced bio-inspired system for noninvasive cuff-less bloodpressure estimation from physiological signal analysis. Computation 6:46, 2018. https://doi.org/10.3390/computation6030046.
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Manna, T., Swetapadma, A. & Abdar, M. Decision Tree Predictive Learner-Based Approach for False Alarm Detection in ICU. J Med Syst 43, 191 (2019). https://doi.org/10.1007/s10916-019-1337-y
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DOI: https://doi.org/10.1007/s10916-019-1337-y