Online apnea-bradycardia detection based on hidden semi-Markov models.

In this paper, we propose a new online apnea-bradycardia detection scheme that takes into account not only the instantaneous values of time series, but also their temporal evolution. The detector is based on a set of hidden semi-Markov models, representing the temporal evolution of beat-to-beat inte...

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Publicado en:Medical & Biological Engineering & Computing Vol. 53; no. 1; pp. 1 - 14
Autores principales: Altuve, Miguel, Carrault, Guy, Beuchée, Alain, Pladys, Patrick, Hernández, Alfredo I
Formato: research Journal Article
Publicado: Springer Nature Jan2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2015
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        atl: Online apnea-bradycardia detection based on hidden semi-Markov models.
      aug:
        au:
          Altuve, Miguel
          Carrault, Guy
          Beuchée, Alain
          Pladys, Patrick
          Hernández, Alfredo I
      sug:
        subj:
          Apnea Diagnosis
          Bradycardia Diagnosis
          Probability
          Online Systems
          Apnea Ultrasonography
          Bradycardia Ultrasonography
          Electrocardiography
          Human
          Infant, Newborn
          Infant, Premature
          ROC Curve
          Sensitivity and Specificity
          Signal Processing, Computer Assisted
          Time Factors
          Infant, Newborn: birth-1 month
      ab: In this paper, we propose a new online apnea-bradycardia detection scheme that takes into account not only the instantaneous values of time series, but also their temporal evolution. The detector is based on a set of hidden semi-Markov models, representing the temporal evolution of beat-to-beat interval (RR interval) time series. A preprocessing step, including quantization and delayed version of the observation vector, is also proposed to maximize detection performance. This approach is quantitatively evaluated through simulated and real signals, the latter being acquired in neonatal intensive care units (NICU). Compared to two conventional detectors used in NICU, our best detector shows an improvement on average of around 15 % in sensitivity and 7 % in specificity. Furthermore, a reduced detection delay of approximately 2 s is also observed with respect to conventional detectors.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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