Predicting acute hypotensive episodes from mean arterial pressure

P. Langley, S.T. King, D. Zheng, E.J. Bowers, K. Wang, J. Allen, A. Murray

    Research output: Chapter in Book/Report/Conference proceedingConference proceedingpeer-review

    12 Citations (Scopus)
    5 Downloads (Pure)

    Abstract

    Acute hypotensive episodes (AHE) are serious clinical events in intensive care units. We present an algorithm for automated computer prediction of AHE in patients using mean arterial pressure (MAP). We defined an AHE index based on the observation that patients with documented AHE experienced more transient reductions in MAP compared to those without AHE. The algorithm was developed and tested using the PhysioNet/Computers in Cardiology Challenge 2009 data sets. The algorithm, which classifies records with at least one occurrence of a reduction in MAP to 65 mmHg for at least 75% of a 30 minute window as AHE positive, correctly classified 8 out
    of 10 records in test set A and 28/40 records in test set B.
    Using MAP alone the algorithm achieved modest accuracy for prediction of AHE in patients. The algorithm could be improved by taking account of temporal changes in MAP.
    Original languageEnglish
    Title of host publicationComputers in Cardiology
    Pages553−556
    Number of pages4
    Volume36
    ISBN (Electronic)978-1-4244-7282-6
    Publication statusPublished - 2009
    Event36th Annual Computers in Cardiology Conference - Park City, United States
    Duration: 13 Sep 200916 Sep 2009

    Publication series

    Name
    ISSN (Print)0276-6574

    Conference

    Conference36th Annual Computers in Cardiology Conference
    Country/TerritoryUnited States
    CityPark City
    Period13/09/0916/09/09

    Bibliographical note

    Licensed under the Creative Commons Attribution
    License 3.0 (CCAL).

    Since volume 33 (2006), CinC has been an open-access publication, in which copyright in each article is held by its authors, who grant permission to copy and redistribute their work with attribution, under the terms of the Creative Commons Attribution License.

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