arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 2207.07572cs.LGcs.HCeess.SP
收藏

COVID-19患者生命体征轨迹的异常值检测

Outlier detection of vital sign trajectories from COVID-19 patients

University of Manchester(曼彻斯特大学);Christie NHS Foundation Trust(克里斯蒂NHS基金会信托);University of Oxford(牛津大学)

Sara Summerton, Ann Tivey, Rohan Shotton, Gavin Brown, Oliver C. Redfern, Rachel Oakley, John Radford, David C. Wong

AI总结:

提出一种基于动态时间规整距离的生命体征轨迹比较算法,通过180分钟非重叠时段的平均成对距离检测异常并聚类相似轨迹,在合成数据和8名COVID-19出院患者数据中验证了其识别恶化与再入院风险的能力。

摘要:

在这项工作中,我们提出了一种新颖的轨迹比较算法,用于识别异常的生命体征趋势,旨在提高对健康状况恶化的识别能力。人们对用于居家远程监测患者的连续可穿戴生命体征传感器的兴趣日益浓厚。这些监测器通常与警报系统相连,当生命体征测量值超出预定义的正常范围时,警报系统就会被触发。生命体征的趋势(例如心率升高)通常预示着健康状况恶化,但很少被纳入警报系统。我们引入了一种基于动态时间规整距离的度量来比较时间序列轨迹。我们将每个多变量生命体征时间序列划分为180分钟的非重叠时段。随后,我们计算所有时段对之间的距离。每个时段通过其与所有其他时段的平均成对距离(平均连接距离)来表征,并与邻近的时段形成聚类。我们在合成生成的数据上证明,该方法能够识别异常时段,并对具有相似轨迹的时段进行聚类。随后,我们将该方法应用于一个真实世界数据集,该数据集包含8名感染COVID-19后近期出院患者的生命体征。我们展示了异常时段如何与异常生命体征良好对应,并识别出随后再次入院的患者。

英文摘要:

In this work, we present a novel trajectory comparison algorithm to identify abnormal vital sign trends, with the aim of improving recognition of deteriorating health. There is growing interest in continuous wearable vital sign sensors for monitoring patients remotely at home. These monitors are usually coupled to an alerting system, which is triggered when vital sign measurements fall outside a predefined normal range. Trends in vital signs, such as increasing heart rate, are often indicative of deteriorating health, but are rarely incorporated into alerting systems. We introduce a dynamic time warp distance-based measure to compare time series trajectories. We split each multi-variable sign time series into 180 minute, non-overlapping epochs. We then calculate the distance between all pairs of epochs. Each epoch is characterized by its mean pairwise distance (average link distance) to all other epochs, with clusters forming with nearby epochs. We demonstrate in synthetically generated data that this method can identify abnormal epochs and cluster epochs with similar trajectories. We then apply this method to a real-world data set of vital signs from 8 patients who had recently been discharged from hospital after contracting COVID-19. We show how outlier epochs correspond well with the abnormal vital signs and identify patients who were subsequently readmitted to hospital.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

↑