Probabilistic patient monitoring using extreme value theory: A multivariate, multimodal methodology for detecting patient deterioration
Conventional patient monitoring is performed by generating alarms when vital signs exceed pie-determined thresholds, but the false-alarm rate of such monitors in hospitals is so high that alarms are typically ignored. We propose a principled, probabilistic method for combining vital signs into a mul...
Main Authors: | , , |
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Format: | Journal article |
Language: | English |
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2010
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_version_ | 1797054352793272320 |
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author | Hugueny, S Clifton, D Tarassenko, L |
author_facet | Hugueny, S Clifton, D Tarassenko, L |
author_sort | Hugueny, S |
collection | OXFORD |
description | Conventional patient monitoring is performed by generating alarms when vital signs exceed pie-determined thresholds, but the false-alarm rate of such monitors in hospitals is so high that alarms are typically ignored. We propose a principled, probabilistic method for combining vital signs into a multivariate model of patient state, using extreme value theory (EVT) to generate robust alarms if a patient's vital signs are deemed to have become sufficiently "extreme". Our proposed formulation operates many orders of magnitude faster than existing methods, allowing on-line learning of models, leading ultimately to patient-specific monitoring. |
first_indexed | 2024-03-06T18:56:04Z |
format | Journal article |
id | oxford-uuid:11e240fc-e62a-4a5e-b795-9be2fa8443f4 |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-06T18:56:04Z |
publishDate | 2010 |
record_format | dspace |
spelling | oxford-uuid:11e240fc-e62a-4a5e-b795-9be2fa8443f42022-03-26T10:04:42ZProbabilistic patient monitoring using extreme value theory: A multivariate, multimodal methodology for detecting patient deteriorationJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:11e240fc-e62a-4a5e-b795-9be2fa8443f4EnglishSymplectic Elements at Oxford2010Hugueny, SClifton, DTarassenko, LConventional patient monitoring is performed by generating alarms when vital signs exceed pie-determined thresholds, but the false-alarm rate of such monitors in hospitals is so high that alarms are typically ignored. We propose a principled, probabilistic method for combining vital signs into a multivariate model of patient state, using extreme value theory (EVT) to generate robust alarms if a patient's vital signs are deemed to have become sufficiently "extreme". Our proposed formulation operates many orders of magnitude faster than existing methods, allowing on-line learning of models, leading ultimately to patient-specific monitoring. |
spellingShingle | Hugueny, S Clifton, D Tarassenko, L Probabilistic patient monitoring using extreme value theory: A multivariate, multimodal methodology for detecting patient deterioration |
title | Probabilistic patient monitoring using extreme value theory: A multivariate, multimodal methodology for detecting patient deterioration |
title_full | Probabilistic patient monitoring using extreme value theory: A multivariate, multimodal methodology for detecting patient deterioration |
title_fullStr | Probabilistic patient monitoring using extreme value theory: A multivariate, multimodal methodology for detecting patient deterioration |
title_full_unstemmed | Probabilistic patient monitoring using extreme value theory: A multivariate, multimodal methodology for detecting patient deterioration |
title_short | Probabilistic patient monitoring using extreme value theory: A multivariate, multimodal methodology for detecting patient deterioration |
title_sort | probabilistic patient monitoring using extreme value theory a multivariate multimodal methodology for detecting patient deterioration |
work_keys_str_mv | AT huguenys probabilisticpatientmonitoringusingextremevaluetheoryamultivariatemultimodalmethodologyfordetectingpatientdeterioration AT cliftond probabilisticpatientmonitoringusingextremevaluetheoryamultivariatemultimodalmethodologyfordetectingpatientdeterioration AT tarassenkol probabilisticpatientmonitoringusingextremevaluetheoryamultivariatemultimodalmethodologyfordetectingpatientdeterioration |