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논문KCI 등재

환자의 활력 징후를 이용한 후향적 데이터의 분석과 연구를 위한 데이터 가공 및 시각화 방법

Data Processing and Visualization Method for Retrospective Data Analysis and Research Using Patient Vital Signs

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초록

Vital sign are used to help assess the general physical health of a person, give clues to possible diseases, and show progress toward recovery. Researchers are using vital sign data and AI(artificial intelligence) to manage a variety of diseases and predict mortality. In order to analyze vital sign data using AI, it is important to select and extract vital sign data suitable for research purposes. Methods: We developed a method to visualize vital sign and early warning scores by processing retrospective vital sign data collected from EMR(electronic medical records) and patient monitoring devices. The vital sign data used for development were obtained using the open EMR big data MIMIC-III and the wearable patient monitoring device(CareTaker). Data processing and visualization were developed using Python. We used the development results with machine learning to process the prediction of mor- tality in ICU patients. Results: We calculated NEWS(National Early Warning Score) to understand the patient’s con- dition. Vital sign data with different measurement times and frequencies were sampled at equal time intervals, and missing data were interpolated to reconstruct data. The normal and abnormal states of vital sign were visualized as color-coded graphs. Mortality prediction result with processed data and machine learning was AUC of 0.892. Con- clusion: This visualization method will help researchers to easily understand a patient’s vital sign status over time and extract the necessary data.

Abstract

Vital sign are used to help assess the general physical health of a person, give clues to possible diseases, and show progress toward recovery. Researchers are using vital sign data and AI(artificial intelligence) to manage a variety of diseases and predict mortality. In order to analyze vital sign data using AI, it is important to select and extract vital sign data suitable for research purposes. Methods: We developed a method to visualize vital sign and early warning scores by processing retrospective vital sign data collected from EMR(electronic medical records) and patient monitoring devices. The vital sign data used for development were obtained using the open EMR big data MIMIC-III and the wearable patient monitoring device(CareTaker). Data processing and visualization were developed using Python. We used the development results with machine learning to process the prediction of mor- tality in ICU patients. Results: We calculated NEWS(National Early Warning Score) to understand the patient’s con- dition. Vital sign data with different measurement times and frequencies were sampled at equal time intervals, and missing data were interpolated to reconstruct data. The normal and abnormal states of vital sign were visualized as color-coded graphs. Mortality prediction result with processed data and machine learning was AUC of 0.892. Con- clusion: This visualization method will help researchers to easily understand a patient’s vital sign status over time and extract the necessary data.

참고문헌 (13)

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  5. Lee J, "A web-based data visualization tool for the MIMIC-II database", BMC medical informatics and decision making, 16(1) (2016)
  6. Vilic A, "Visualizing patient journals by combining vital sign monitoring and natural language processing", Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference, 2016, pp.2529~2532 (2016)
  7. Johnson AE, "MIMIC-III, a freely accessible critical care database", Scientific data, 3, pp.1~9 (2016)
  8. National Early Warning Score (NEWS): standardising the assessment of acute-illness severity in the NHS. Report of a working party, "Royal College of Physicians", Royal College of Physicians, ~ (2012)
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