The Intelligent ICU Pilot Study: Using Artificial Intelligence Technology for Autonomous Patient Monitoring

作者: Azra Bihorac , Tezcan Ozrazgat-Baslanti , Parisa Rashidi , Patrick J. Tighe , Matthew Ruppert

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摘要: Currently, many critical care indices are repetitively assessed and recorded by overburdened nurses, e.g. physical function or facial pain expressions of nonverbal patients. In addition, essential information on patients their environment not captured at all, in a non-granular manner, sleep disturbance factors such as bright light, loud background noise, excessive visitations. this pilot study, we examined the feasibility using pervasive sensing technology artificial intelligence for autonomous granular monitoring critically ill Intensive Care Unit (ICU). As an exemplar prevalent condition, also characterized delirious non-delirious environment. We used wearable sensors, light sound high-resolution camera to collected data analyzed deep learning statistical analysis. Our system performed face detection, recognition, action unit head pose expression posture actigraphy analysis, pressure level visitation frequency detection. were able detect patient's (Mean average precision (mAP)=0.94), recognize (mAP=0.80), postures (F1=0.94). found that all expressions, 11 activity features, during day, night, levels, levels night significantly different between (p-value<0.05). summary, showed is feasible can be characterizing conditions related factors.

参考文章(57)
W. Lee Titsworth, Jeannette Hester, Tom Correia, Richard Reed, Peggy Guin, Lennox Archibald, A. Joseph Layon, J Mocco, The effect of increased mobility on morbidity in the neurointensive care unit Journal of Neurosurgery. ,vol. 116, pp. 1379- 1388 ,(2012) , 10.3171/2012.2.JNS111881
Karen Simonyan, Andrew Zisserman, Very Deep Convolutional Networks for Large-Scale Image Recognition computer vision and pattern recognition. ,(2014)
Marwan Mattar, Tamara Berg, Gary B. Huang, Eric Learned-Miller, Labeled Faces in the Wild: A Database forStudying Face Recognition in Unconstrained Environments Workshop on Faces in 'Real-Life' Images: Detection, Alignment, and Recognition. ,(2008)
Chester C. Buckenmaier, Kevin T. Galloway, Rosemary C. Polomano, Mary McDuffie, Nancy Kwon, Rollin M. Gallagher, Preliminary Validation of the Defense and Veterans Pain Rating Scale (DVPRS) in a Military Population Pain Medicine. ,vol. 14, pp. 110- 123 ,(2013) , 10.1111/J.1526-4637.2012.01516.X
Irene J. Zaal, Carolina F. Spruyt, Linda M. Peelen, Maarten M. J. van Eijk, Rens Wientjes, Margriet M. E. Schneider, Jozef Kesecioglu, Arjen J. C. Slooter, Intensive care unit environment may affect the course of delirium. Intensive Care Medicine. ,vol. 39, pp. 481- 488 ,(2013) , 10.1007/S00134-012-2726-6
Selina M. Parry, Catherine L. Granger, Sue Berney, Jennifer Jones, Lisa Beach, Doa El-Ansary, René Koopman, Linda Denehy, Assessment of impairment and activity limitations in the critically ill: a systematic review of measurement instruments and their clinimetric properties Intensive Care Medicine. ,vol. 41, pp. 744- 762 ,(2015) , 10.1007/S00134-015-3672-X
Jin H. Han, Eli E. Zimmerman, Nathan Cutler, John Schnelle, Alessandro Morandi, Robert S. Dittus, Alan B. Storrow, E. Wesley Ely, Delirium in Older Emergency Department Patients: Recognition, Risk Factors, and Psychomotor Subtypes Academic Emergency Medicine. ,vol. 16, pp. 193- 200 ,(2009) , 10.1111/J.1553-2712.2008.00339.X
Min Sun, Silvio Savarese, Articulated part-based model for joint object detection and pose estimation international conference on computer vision. pp. 723- 730 ,(2011) , 10.1109/ICCV.2011.6126309
Gráinne O'Malley, Maeve Leonard, David Meagher, Shaun T. O'Keeffe, The delirium experience: A review Journal of Psychosomatic Research. ,vol. 65, pp. 223- 228 ,(2008) , 10.1016/J.JPSYCHORES.2008.05.017
E. Wesley Ely, Richard Margolin, Joseph Francis, Lisa May, Brenda Truman, Robert Dittus, Theodore Speroff, Shiva Gautam, Gordon R. Bernard, Sharon K. Inouye, Evaluation of Delirium in Critically Ill Patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) Critical Care Medicine. ,vol. 29, pp. 1370- 1379 ,(2001) , 10.1097/00003246-200107000-00012