On line extraction of temporal episodes from ICU high-frequency data: a visual support for signal interpretation

This paper presents a method to extract on line temporal episodes from high-frequency physiological parameters monitored in ICU, as a visual support for signal interpretation. Temporal episodes are expressions such as: "systolic blood pressure is steady at 120 mmHg from time t(0) until time t(1); it increases from 120 to 160 mmHg from time t(1) to time t(2) ...". Three words are used to describe the data evolution: {steady, increasing, decreasing}. The method deals with noisy data and missing values. It uses a segmentation algorithm that was developed previously and a classification of the segments into temporal patterns. The results obtained on simulated data are quite satisfactory. They show that the method is able to detect rapid variations as well as slow trends. Episodes extracted from real S(p)o(2) data recorded over a period of 44 h from 10 different adult patients are analysed. The visual representation of the temporal episodes is a powerful tool to help the physicians analyse in a glance the evolution in time of the variables monitored. It can help carer personnel to make quicker decisions in alarm situations.