Skip to main content

An annotated data collection system to support intelligent analysis of Intensive Care Unit data

  • Conference paper
  • First Online:

Part of the book series: Lecture Notes in Computer Science ((LNCS,volume 1280))

Abstract

Without a proper system for collecting data, the extent to which intelligent analysis can be performed on that data is limited. This is especially true in the study of time-ordered data, in which the gold standard for analysis techniques often comes from knowledge of discrete event occurrences amongst continuous data streams. An illustrative example is the study of patient monitor data from the Intensive Care Unit (ICU), which holds the promise of improving patient care in a setting where data overload and false alarms currently make that goal difficult at best. Here, monitor data is practically useless without corresponding knowledge of what clinical events were taking place to produce the observed data. A method of collecting both monitor data and clinical event annotations, and subsequently being able to correlate the two, has been developed and is being used at Children's Hospital in Boston. Preliminary results indicate that this type of data collection system is a viable tool for facilitating the intelligent analysis of temporal data, such as that from the ICU.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Topf M, Dillon E: Noise-induced stress as a predictor of burnout in critical care nurses. Heart Lung. 17 (1988) 567–574

    Google Scholar 

  2. Lawless, S: Crying wolf: False alarms in a pediatric intensive care unit. Critical Care Medicine. 22 (1994) 981–985

    Article  Google Scholar 

  3. Tsien C, Fackler J: Poor prognosis for existing monitors in the intensive care unit. Critical Care Medicine. 25 (1997) 614–619

    Article  Google Scholar 

  4. Crew A, Stoodley K, Lu R, Old S, Ward M: Preliminary clinical trials of a computer-based cardiac arrest alarm. Intensive Care Medicine. 17 (1991) 359–364

    Article  Google Scholar 

  5. Uckun, S: Intelligent systems in patient monitoring and therapy management. A survey of research projects. Int J Clin Monit Comput. 11 (1994) 241–253

    Article  Google Scholar 

  6. Bosnjak A, Bevilacqua G, Passariello G, Mora F, Sanso B, Carrault G: An approach to intelligent ischaemia monitoring. Medical & Biological Engineering & Computing. (1995) 749–756

    Google Scholar 

  7. Aukburg S, Ketikidis P, Kitz D, Mavrides T, Matschinsky B: Automation of physiological data presentation and alarms in the post anesthesia care unit. Symposium on Computer Applications in Medical Care. (1989) 580–582

    Google Scholar 

  8. Dumas C, Wahr J, Tremper K: Clinical evaluation of a prototype motion artifact resistant pulse oximeter in the recovery room. Anesth Analg. 83 (1996) 269–272

    Google Scholar 

  9. Visram A, Jones R, Irwin M, Bacon-Shone J: Use of two oximeters to investigate a method of movement artefact rejection using photoplethysmographic signals. British Journal of Anaesthesia. 72 (1994) 388–392

    Article  Google Scholar 

  10. Sukuvaara T, Koski E, Makivirta A, Kari A: A knowledge-based alarm system for monitoring cardiac operated patients — technical construction and evaluation. Int J Clin Monit Comput. 10 (1993) 117–126

    Article  Google Scholar 

  11. Adams J, Inman I, Abreu S, Zabaleta I, Sackner M: A computer algorithm for differentiating valid from distorted pulse oximeter waveforms in neonates. Pediatric Pulmonology. 19 (1995) 307–311

    Article  Google Scholar 

  12. Westenskow D, Orr J, Simon F, Bender H, Frankenberger H: Intelligent Alarms Reduce Anesthesiologist's Response Time to Critical Faults. Anesthesiology. 77 (1992) 1074–1079

    Article  Google Scholar 

  13. Guedes de Oliveira P, Cunha J, Martins da Silva A: The role of computer based techniques in patient monitoring: technical note. Acta Neurochir. [Suppl] 55 (1992) 18–20

    Google Scholar 

  14. Makivirta A, Koski E, Kari A, Sukuvaara T: The median filter as a preprocessor for a patient monitor limit alarm system in intensive care. Computer Methods and Programs in Biomedicine. 34 (1991) 139–144

    Article  Google Scholar 

  15. Hall G, Colditz P: Continuous physiological monitoring: an integrated system for use in neonatal intensive care. Australasian Physical & Engineering Sciences in Medicine. 18 (1995) 139–142

    Google Scholar 

  16. Metnitz G, Laback P, Popow C, Laback O, Lenz K, Hiesmayr M: Computer assisted data analysis in intensive care: the ICDEV project — development of a scientific database system for intensive care. Int J Clin Monit Comput. 12 (1995) 147–159

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Xiaohui Liu Paul Cohen Michael Berthold

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag

About this paper

Cite this paper

Tsien, C.L., Fackler, J.C. (1997). An annotated data collection system to support intelligent analysis of Intensive Care Unit data. In: Liu, X., Cohen, P., Berthold, M. (eds) Advances in Intelligent Data Analysis Reasoning about Data. IDA 1997. Lecture Notes in Computer Science, vol 1280. Springer, Berlin, Heidelberg. https://doi.org/10.1007/BFb0052834

Download citation

  • DOI: https://doi.org/10.1007/BFb0052834

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-63346-4

  • Online ISBN: 978-3-540-69520-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics