Comparison of Alerting Strategies for Hemorrhage Identification During Prehospital Emergency Transport.

摘要

Early and accurate identification of physiological abnormalities is one feature of intelligent decision support. The ideal analytic strategy for identifying pathological states would be highly sensitive and highly specific, with minimal latency. In the field of manufacturing, there are well-established analytic strategies for statistical process control, whereby aberrancies in a manufacturing process are detected by monitoring and analyzing the process output. These include simple thresholding, the sequential probability ratio test (SPRT), risk-adjusted SPRT, and the cumulative sum method. In this report we applied these strategies to continuously monitored prehospital vital-sign data from trauma patients during their helicopter transport to level I trauma centers, seeking to determine whether one strategy would be superior. We found that different configurations of each alerting strategy yielded widely different performances in terms of sensitivity specificity, and average time to alert. Yet, comparing the different investigational analytic strategies, we observed substantial overlap among their different configurations without any one analytic strategy yielding distinctly superior performance. In conclusion, performance did not depend as much on the specific analytic strategy as much as the configuration of each strategy. This implies that any analytic strategy must be carefully configured to yield the optimal performance (i.e., the optimal balance between sensitivity specificity, and latency) for a specific use case.