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An automated ICU agitation monitoring system for video streaming using deep learning classification.


ABSTRACT:

Objective

To address the challenge of assessing sedation status in critically ill patients in the intensive care unit (ICU), we aimed to develop a non-contact automatic classifier of agitation using artificial intelligence and deep learning.

Methods

We collected the video recordings of ICU patients and cut them into 30-second (30-s) and 2-second (2-s) segments. All of the segments were annotated with the status of agitation as "Attention" and "Non-attention". After transforming the video segments into movement quantification, we constructed the models of agitation classifiers with Threshold, Random Forest, and LSTM and evaluated their performances.

Results

The video recording segmentation yielded 427 30-s and 6405 2-s segments from 61 patients for model construction. The LSTM model achieved remarkable accuracy (ACC 0.92, AUC 0.91), outperforming other methods.

Conclusion

Our study proposes an advanced monitoring system combining LSTM and image processing to ensure mild patient sedation in ICU care. LSTM proves to be the optimal choice for accurate monitoring. Future efforts should prioritize expanding data collection and enhancing system integration for practical application.

SUBMITTER: Dai PY 

PROVIDER: S-EPMC10946151 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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Publications

An automated ICU agitation monitoring system for video streaming using deep learning classification.

Dai Pei-Yu PY   Wu Yu-Cheng YC   Sheu Ruey-Kai RK   Wu Chieh-Liang CL   Liu Shu-Fang SF   Lin Pei-Yi PY   Cheng Wei-Lin WL   Lin Guan-Yin GY   Chung Huang-Chien HC   Chen Lun-Chi LC  

BMC medical informatics and decision making 20240318 1


<h4>Objective</h4>To address the challenge of assessing sedation status in critically ill patients in the intensive care unit (ICU), we aimed to develop a non-contact automatic classifier of agitation using artificial intelligence and deep learning.<h4>Methods</h4>We collected the video recordings of ICU patients and cut them into 30-second (30-s) and 2-second (2-s) segments. All of the segments were annotated with the status of agitation as "Attention" and "Non-attention". After transforming th  ...[more]

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