An Algorithm for the Detection of General Movements of Preterm Infants Based on the Instantaneous Heart Rate

Video recording and editing of general movements (GMs) takes time. We devised an algorithm to automatically extract the period of GMs emergence to assist in the assessment of GMs. The algorithm consisted of δHR: subtracting the moving average heart rate (HR) for the past 60 s from the average instan...

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Main Authors: Tomoki Maeda, Osamu Kobayashi, Eriko Eto, Masanori Inoue, Kazuhito Sekiguchi, Kenji Ihara
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/1/69
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author Tomoki Maeda
Osamu Kobayashi
Eriko Eto
Masanori Inoue
Kazuhito Sekiguchi
Kenji Ihara
author_facet Tomoki Maeda
Osamu Kobayashi
Eriko Eto
Masanori Inoue
Kazuhito Sekiguchi
Kenji Ihara
author_sort Tomoki Maeda
collection DOAJ
description Video recording and editing of general movements (GMs) takes time. We devised an algorithm to automatically extract the period of GMs emergence to assist in the assessment of GMs. The algorithm consisted of δHR: subtracting the moving average heart rate (HR) for the past 60 s from the average instantaneous HR; and %δHR: the percentage of the instantaneous HR to the moving average HR. Ten-second sections in which δHR was positive for three consecutive sections and contained at least one section with %δHR > 105% were extracted. Extracted periods are called automated extraction sections (AESs). We evaluated the concordance rate between AESs and GMs in three periods (gestational age 24–32, 33–34, and 35–36 weeks). The records of 84 very low birth weight infants were evaluated. Approximately 90% of AESs were accompanied by GMs at any period in both the supine and prone positions. The proportion of full-course (beginning to end) GMs among GMs in the AES was 80–85% in the supine position and 90% in the prone position in all periods. We could extract a sufficient number of assessable GMs with this algorithm, which is expected to be widely used for assisting in the assessment of GMs.
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spelling doaj.art-b924b7e72ec942de9c6a86eb6111d6d82023-11-30T21:43:19ZengMDPI AGChildren2227-90672022-12-011016910.3390/children10010069An Algorithm for the Detection of General Movements of Preterm Infants Based on the Instantaneous Heart RateTomoki Maeda0Osamu Kobayashi1Eriko Eto2Masanori Inoue3Kazuhito Sekiguchi4Kenji Ihara5Department of Pediatrics, Oita University, Yufu 879-5593, JapanDepartment of Pediatrics, Oita University, Yufu 879-5593, JapanDepartment of Pediatrics, Oita University, Yufu 879-5593, JapanDepartment of Pediatrics, Oita University, Yufu 879-5593, JapanDepartment of Pediatrics, Oita University, Yufu 879-5593, JapanDepartment of Pediatrics, Oita University, Yufu 879-5593, JapanVideo recording and editing of general movements (GMs) takes time. We devised an algorithm to automatically extract the period of GMs emergence to assist in the assessment of GMs. The algorithm consisted of δHR: subtracting the moving average heart rate (HR) for the past 60 s from the average instantaneous HR; and %δHR: the percentage of the instantaneous HR to the moving average HR. Ten-second sections in which δHR was positive for three consecutive sections and contained at least one section with %δHR > 105% were extracted. Extracted periods are called automated extraction sections (AESs). We evaluated the concordance rate between AESs and GMs in three periods (gestational age 24–32, 33–34, and 35–36 weeks). The records of 84 very low birth weight infants were evaluated. Approximately 90% of AESs were accompanied by GMs at any period in both the supine and prone positions. The proportion of full-course (beginning to end) GMs among GMs in the AES was 80–85% in the supine position and 90% in the prone position in all periods. We could extract a sufficient number of assessable GMs with this algorithm, which is expected to be widely used for assisting in the assessment of GMs.https://www.mdpi.com/2227-9067/10/1/69general movementsheart rateaccelerationsautomated extractionsupine positionprone position
spellingShingle Tomoki Maeda
Osamu Kobayashi
Eriko Eto
Masanori Inoue
Kazuhito Sekiguchi
Kenji Ihara
An Algorithm for the Detection of General Movements of Preterm Infants Based on the Instantaneous Heart Rate
Children
general movements
heart rate
accelerations
automated extraction
supine position
prone position
title An Algorithm for the Detection of General Movements of Preterm Infants Based on the Instantaneous Heart Rate
title_full An Algorithm for the Detection of General Movements of Preterm Infants Based on the Instantaneous Heart Rate
title_fullStr An Algorithm for the Detection of General Movements of Preterm Infants Based on the Instantaneous Heart Rate
title_full_unstemmed An Algorithm for the Detection of General Movements of Preterm Infants Based on the Instantaneous Heart Rate
title_short An Algorithm for the Detection of General Movements of Preterm Infants Based on the Instantaneous Heart Rate
title_sort algorithm for the detection of general movements of preterm infants based on the instantaneous heart rate
topic general movements
heart rate
accelerations
automated extraction
supine position
prone position
url https://www.mdpi.com/2227-9067/10/1/69
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