Evidence map›Paper›PMID 30215212›Full record

ArticleMedical & biological engineering & computing2019

ECG-based pulse detection during cardiac arrest using random forest classifier.

Andoni Elola, Elisabete Aramendi, Unai Irusta, Javier Del Ser, Erik Alonso, Mohamud Daya

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Medical & biological engineering & computing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
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

12 citing papers in PubMed, 37 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Andoni ElolaCommunications Engineering Department, University of the Basque Country UPV/EHU, Alameda Urquijo S/N, 48013, Bilbao, Spain. andoni.elola@ehu.eus.ORCID http://orcid.org/0000-0003-4401-7376
Elisabete AramendiCommunications Engineering Department, University of the Basque Country UPV/EHU, Alameda Urquijo S/N, 48013, Bilbao, Spain.
Unai IrustaCommunications Engineering Department, University of the Basque Country UPV/EHU, Alameda Urquijo S/N, 48013, Bilbao, Spain.
Javier Del SerCommunications Engineering Department, University of the Basque Country UPV/EHU, Alameda Urquijo S/N, 48013, Bilbao, Spain.
Erik AlonsoDepartment of Applied Mathematics, University of the Basque Country UPV/EHU, Rafael Moreno "Pitxitxi", 3, 48013, Bilbao, Spain.
Mohamud DayaDepartment of Emergency Medicine, Oregon Health & Science University, Portland, OR, 97239-3098, USA.
University of the Basque Country · ESOregon Health & Science University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sudden cardiac arrest is one of the leading causes of death in the industrialized world. Pulse detection is essential for the recognition of the arrest and the recognition of return of spontaneous circulation during therapy, and it is therefore crucial for the survival of the patient. This paper introduces the first method based exclusively on the ECG for the automatic detection of pulse during cardiopulmonary resuscitation. Random forest classifier is used to efficiently combine up to nine features from the time, frequency, slope, and regularity analysis of the ECG. Data from 191 cardiac arrest patients was used, and 1177 ECG segments were processed, 796 with pulse and 381 without pulse. A leave-one-patient out cross validation approach was used to train and test the algorithm. The statistical distributions of sensitivity (SE) and specificity (SP) for pulse detection were estimated using 500 patient-wise bootstrap partitions. The mean (std) SE/SP for nine-feature classifier was 88.4 (1.8) %/89.7 (1.4) %, respectively. The designed algorithm only requires 4-s-long ECG segments and could be integrated in any commercial automated external defibrillator. The method permits to detect the presence of pulse accurately, minimizing interruptions in cardiopulmonary resuscitation therapy, and could contribute to improve survival from cardiac arrest.

Indexed as

AlgorithmsCardiopulmonary ResuscitationElectrocardiographyHeart ArrestHeart RateHumansSensitivity and SpecificityCardiac arrestPulse detectionPulsed rhythmPulseless electrical activityRandom forest

Identifiers

PMID30215212
OpenAlexW2890635761

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.