Evidence map›Paper›PMID 27390164›Full record

ArticleIEEE transactions on bio-medical engineering2017

Is the Sequence of SuperAlarm Triggers More Predictive Than Sequence of the Currently Utilized Patient Monitor Alarms?

Yong Bai, Duc Do, Quan Ding, Jorge Arroyo Palacios, Yalda Shahriari, Michele M Pelter, Noel Boyle, Richard Fidler, Xiao Hu

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in IEEE transactions on bio-medical engineering, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Generalizability of SuperAlarm via Cross-Institutional Performance Evaluation.IEEE access : practical innovations, open solutions · 2020
    Article
  3. Review
  4. Predict In-Hospital Code Blue Events using Monitor Alarms through Deep Learning Approach.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2018
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yong Bai
Duc Do
Quan Ding
Jorge Arroyo Palacios
Yalda Shahriari
Michele M Pelter
Noel Boyle
Richard Fidler
Xiao Hu

Funding

Develop&validate SuperAlarm to detect patient deterioration with few false alarmsR01HL128679 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HU, XIAO · 2015 to 2018
$2.4M
NHLBI NIH HHS R01 HL128679
6 · The paper itself

Abstract

objectiveOur previous studies have shown that "code blue" events can be predicted by SuperAlarm patterns that are multivariate combinations of monitor alarms and laboratory test results cooccurring frequently preceding the events but rarely among control patients. Deploying these patterns to the monitor data streams can generate SuperAlarm sequences. The objective of this study is to test the hypothesis that SuperAlarm sequences may contain more predictive sequential patterns than monitor alarms sequences.

methodsMonitor alarms and laboratory test results are extracted from a total of 254 adult coded and 2213 control patients. The training dataset is composed of subsequences that are sampled from complete sequences and then further represented as fixed-dimensional vectors by the term frequency inverse document frequency method. The information gain technique and weighted support vector machine are adopted to select the most relevant features and train a classifier to differentiate sequences between coded patients and control patients. Performances are assessed based on an independent dataset using three metrics: sensitivity of lead time (Sen

resultsThe performance of 12-h-long sequences of SuperAlarm can yield a Sen CONCLUSION AND SIGNIFICANCE: The results demonstrate that SuperAlarm sequences indeed outperform monitor alarm sequences and suggest that one can focus on sequential patterns from SuperAlarm sequences to develop more precise patient monitoring solutions.

Indexed as

AlgorithmsData Interpretation, StatisticalModels, StatisticalClinical AlarmsComputer SimulationData MiningHumansMonitoring, PhysiologicPattern Recognition, AutomatedReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID27390164
PMCPMC5484640

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.