A new approach to the abstraction of monitoring data in intensive care

  • Authors:
  • S. Sharshar;L. Allart;M.-C. Chambrin

  • Affiliations:
  • EA 2689, Inserm IFR 114, Bat. Vancostenobel, CH&U de Lille, Lille Cedex, France;EA 3614, Faculté de Pharmacie, Lille Cedex, France;EA 2689, Inserm IFR 114, Bat. Vancostenobel, CH&U de Lille, Lille Cedex, France

  • Venue:
  • AIME'05 Proceedings of the 10th conference on Artificial Intelligence in Medicine
  • Year:
  • 2005

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Abstract

Data driven interpretation of multiple physiological measurements in the domain of intensive care is a key point to provide decision support. The abstraction method presented in this paper provides two levels of symbolic interpretation. The first, at mono parametric level, provides 4 classes (increasing, decreasing, constant and transient) by combination of trends computed at two characteristic spans. The second, at multi parametric level, gives an index of global behavior of the system, that is used to segment the observation. Each segment is therefore described as a sequence of words that combines the results of symbolization. Each step of the abstraction process leads to a visual representation that can be validated by the clinician. Construction of sequences do not need any prior introduction of medical knowledge. Sequences can be introduced in a machine learning process in order to extract temporal patterns related to specific clinical or technical events.