Suppression of false arrhythmia alarms in the ICU: a machine learning approach

Physiol Meas. 2016 Aug;37(8):1186-203. doi: 10.1088/0967-3334/37/8/1186. Epub 2016 Jul 25.

Abstract

This paper presents a novel approach for false alarm suppression using machine learning tools. It proposes a multi-modal detection algorithm to find the true beats using the information from all the available waveforms. This method uses a variety of beat detection algorithms, some of which are developed by the authors. The outputs of the beat detection algorithms are combined using a machine learning approach. For the ventricular tachycardia and ventricular fibrillation alarms, separate classification models are trained to distinguish between the normal and abnormal beats. This information, along with alarm-specific criteria, is used to decide if the alarm is false. The results indicate that the presented method was effective in suppressing false alarms when it was tested on a hidden validation dataset.

MeSH terms

  • Arrhythmias, Cardiac / diagnosis*
  • Arrhythmias, Cardiac / physiopathology
  • Clinical Alarms*
  • Electrocardiography / instrumentation
  • False Positive Reactions
  • Heart Rate
  • Humans
  • Intensive Care Units*
  • Machine Learning*
  • Monitoring, Physiologic / instrumentation*
  • Pattern Recognition, Automated
  • Signal Processing, Computer-Assisted*