基于数据流技术的ICU监护数据管理策略

Yongsheng Tan, Yibing Wang, Hongyan Li
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引用次数: 6

摘要

医疗监护设备产生的数据,如ICU中的呼吸机、心脏监护仪,以多个、连续、快速、时变的数据流到达。由于存储设备的限制,以及医生或护士的医疗操作和患者的活动产生的干扰数据,这些数据不能完全存储。目前的ICU系统使用关系数据库来存储和操作数据,仅提供“依赖于操作员”的方式,以医生设定的固定时间间隔收集这些流数据。这样,一些重要的监测数据可能会被忽略,但可能会收集到一些干扰数据。因此,数据管理的质量不能满足医生和护士的需求。本文在深入分析ICU流监控数据特点的基础上,探讨了利用数据流技术解决这一问题。在流数据到达之前,医生会根据患者的病情预先建立一些数据采集规则,如固定的数据采集时间间隔、数据报警范围和级别等。当监视器数据到达时,它们将由上面预先建立的预定义查询规则进行分析和操作。因此,它可以提供一种“患者依赖”的方式,既可以收集患者病情良好时固定时间间隔的监护数据,也可以收集患者危重时的所有监护数据。此外,本文还提供了一种处理监控设备产生的干扰数据的方法。数据流技术可以弥补基于关系数据库的流监测数据管理的不足,提高ICU数据管理的质量。
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A management strategy of monitor data in ICU based on data stream technology
The data produced by such medical monitor devices as ventilators, cardiac monitors in the ICU, arrive in multiple, continuous, rapid, time-varying data streams. Such data can not be stored entirely because of the storage devices limitation and the interference data produced by doctors' or nurses' medical operations and patients' activities. The present ICU systems using a relational database to store and manipulate data only provides the "operator-dependent" way to collect these stream data at fixed time intervals set by doctors. In this way, some important monitor data may be ignored, but some interference data may be collected. So the quality of data management can not meet the needs of doctors' and nurses'. In this paper, after deeply analyzing the features of the stream monitor data in the ICU, we talk about using data stream technology to solve the problem. Before the stream data arriving, doctors will pre-establish some data collecting rules based on patients' illness status such as fixed data collecting time intervals, data alarming range and level, and so on. When the monitor data arriving, they will be analyzed and manipulated by the pre-defining query rules above pre-established. So it can provide a "patient-dependent" way to collect not only the monitor data affixed time intervals when patients in good condition, but also all the monitor data when they are in critically ill situation. Furthermore, in this paper we also provide a way to deal with the interference data produced by monitor devices. Data stream technology can supply a gap in the management of the stream monitor data which is based on a relational database, and improve the quality of the data management in the ICU.
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