Risk Prediction of Critical Vital Signs for ICU Patients Using Recurrent Neural Network

Daniel Chang, David Chang, M. Pourhomayoun
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引用次数: 20

Abstract

Monitoring vital signs for Intensive Care Unit (ICU) patients is an absolute necessity to help assess the general physical health. In this research, we use machine learning to make a classification forecast that uses continuous ICU vital signs measurements to predict whether the vital signs of the next hour would reach the critical value or not. With the early warning, nurses and doctors can prevent emergency situations that may cause organ dysfunction or even death before it is too late. In this study, the data includes vital sign measurements, laboratory test results, procedures, medications collected from over 40,000 patients. After data preprocessing, bias data balancing, feature extraction, and feature selection, we have a clean dataset with informative and discriminating features. Then, various machine learning algorithms including Random Forest, XGBoost, Artificial Neural Networks (ANN), and LSTM were developed to predict critical vital signs of ICU patients 1-hour beforehand. We particularly developed predictive models to predict Heart Rate, Blood Oxygen Level (SpO2), Mean Arterial Pressure (MAP), Respiratory Rate (RR), Systolic Blood Pressure (SBP). The results demonstrated the accuracy of the developed methods.
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应用循环神经网络预测ICU患者危重生命体征风险
监测重症监护病房(ICU)患者的生命体征是绝对必要的,以帮助评估一般的身体健康。在本研究中,我们使用机器学习进行分类预测,使用连续的ICU生命体征测量来预测下一个小时的生命体征是否会达到临界值。有了早期预警,护士和医生可以预防可能导致器官功能障碍甚至死亡的紧急情况,以免为时已晚。在这项研究中,数据包括生命体征测量,实验室测试结果,程序,从40,000多名患者收集的药物。经过数据预处理、偏置数据平衡、特征提取和特征选择,我们得到了一个具有信息和判别特征的干净数据集。然后,采用随机森林、XGBoost、人工神经网络(ANN)、LSTM等多种机器学习算法提前1小时预测ICU患者的危重生命体征。我们特别开发了预测模型来预测心率、血氧水平(SpO2)、平均动脉压(MAP)、呼吸频率(RR)、收缩压(SBP)。结果证明了所建立方法的准确性。
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