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Reducing False Alarms of Intensive Care Online-Monitoring Systems: An Evaluation of Two Signal Extraction Algorithms

机译:减少重症监护在线监测系统的虚警:两种信号提取算法的评估

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摘要

Online-monitoring systems in intensive care are affected by a high rate of false threshold alarms. These are caused by irrelevant noise and outliers in the measured time series data. The high false alarm rates can be lowered by separating relevant signals from noise and outliers online, in such a way that signal estimations, instead of raw measurements, are compared to the alarmlimits. This paper presents a clinical validation study for two recently developed online signal filters. The filters are based on robust repeated median regression in moving windows of varying width. Validation is done offline using a large annotated reference database. The performance criteria are sensitivity and the proportion of false alarms suppressed by the signal filters.
机译:重症监护中的在线监视系统会受到较高的错误阈值警报率的影响。这些是由不相关的噪声和测得的时间序列数据中的异常值引起的。可以通过将相关信号与噪声和异常值在线分开来降低高误报率,从而将信号估计值(而非原始测量值)与警报限值进行比较。本文介绍了针对两个最近开发的在线信号滤波器的临床验证研究。过滤器基于可变宽度的移动窗口中的鲁棒重复中值回归。验证是使用大型带注释的参考数据库脱机完成的。性能标准是灵敏度和信号滤波器抑制误报的比例。

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