Data mining of patients on weaning trials from mechanical ventilation using cluster analysis and neural networks

Carlos Arizmendi, Enrique Romero, René Alquezar, Pere Caminal, Ivan Díaz, Salvador Benito, Beatriz F. Giraldo

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

10 Scopus citations

Abstract

The process of weaning from mechanical ventilation is one of the challenges in intensive care. 149 patients under extubation process (T-tube test) were studied: 88 patients with successful trials (group S), 38 patients who failed to maintain spontaneous breathing and were reconnected (group F), and 23 patients with successful test but that had to be reintubated before 48 hours (group R). Each patient was characterized using 8 time series and 6 statistics extracted from respiratory and cardiac signals. A moving window statistical analysis was applied obtaining for each patient a sequence of patterns of 48 features. Applying a cluster analysis two groups with the majority dataset were obtained. Neural networks were applied to discriminate between patients from groups S, F and R. The best performance obtained was 84.0% of well classified patients using a linear perceptron trained with a feature selection procedure (that selected 19 of the 48 features) and taking as input the main cluster centroid. However, the classification baseline 69.8% could not be improved when using the original set of patterns instead of the centroids to classify the patients.

Original languageEnglish
Title of host publicationProceedings of the 31st Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Subtitle of host publicationEngineering the Future of Biomedicine, EMBC 2009
PublisherIEEE Computer Society
Pages4343-4346
Number of pages4
ISBN (Print)9781424432967
DOIs
StatePublished - 2009
Externally publishedYes
Event31st Annual International Conference of the IEEE Engineering in Medicine and Biology Society: Engineering the Future of Biomedicine, EMBC 2009 - Minneapolis, MN, United States
Duration: 2 Sep 20096 Sep 2009

Publication series

NameProceedings of the 31st Annual International Conference of the IEEE Engineering in Medicine and Biology Society: Engineering the Future of Biomedicine, EMBC 2009

Conference

Conference31st Annual International Conference of the IEEE Engineering in Medicine and Biology Society: Engineering the Future of Biomedicine, EMBC 2009
Country/TerritoryUnited States
CityMinneapolis, MN
Period2/09/096/09/09

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