Evaluation of a smart alarm for intensive care using clinical data

Andrew King; Kelsea Fortino; Nicholas Stevens; Sachin Shah; Margaret Fortino-Mullen; Insup Lee

doi:10.1109/EMBC.2012.6345897

Evaluation of a smart alarm for intensive care using clinical data

Annu Int Conf IEEE Eng Med Biol Soc. 2012:2012:166-9. doi: 10.1109/EMBC.2012.6345897.

Authors

Andrew King¹, Kelsea Fortino, Nicholas Stevens, Sachin Shah, Margaret Fortino-Mullen, Insup Lee

Affiliation

¹ Department of Computer and Information Science, University of Pennsylvania, PA, USA.

PMID: 23365858
DOI: 10.1109/EMBC.2012.6345897

Abstract

We describe and report the results of an evaluation of a smart alarm algorithm for post coronary artery bypass graft (CABG) patients. The algorithm (CABG-SA) was applied to vital sign data streams recorded in a surgical intensive care unit (SICU) at a hospital in the University of Pennsylvania Health System. In order to determine the specificity of CABG-SA, the alarms generated by CABG-SA were compared against the actual interventions performed by the staff of the critical care unit. Overall, CABG-SA alarmed for 55% of the time relative to traditional alarms while still generating alarms for 12 of the 13 recorded interventions.

Publication types

Comparative Study
Evaluation Study

MeSH terms

Algorithms*
Clinical Alarms*
Coronary Artery Bypass*
Critical Care / methods*
Databases, Factual*
Female
Humans
Male
Postoperative Care* / instrumentation
Postoperative Care* / methods
Sensitivity and Specificity
Vital Signs