Title
Anomaly Detection in Clinical Data of Patients Undergoing Heart Surgery.
Abstract
We describe two approaches to detecting anomalies in time series of multi-parameter clinical data: (1) metric and model-based indicators and (2) information surprise. (1) Metric and model-based indicators are commonly used as early warning signals to detect transitions between alternate states based on individual time series. Here we explore the applicability of existing indicators to distinguish critical (anomalies) from non-critical conditions in patients undergoing cardiac surgery, based on a small anonymized clinical trial dataset. We find that a combination of time-varying autoregressive model, kurtosis, and skewness indicators correctly distinguished critical from non-critical patients in 5 out of 36 blood parameters at a window size of 0.3 (average of 37 hours) or higher. (2) Information surprise quantifies how the progression of one patient’s condition differs from that of rest of the population based on the cross-section of time series. With the maximum surprise and slope features we detect all critical patients at the 0.05 significance level. Moreover we show that a naive outlier detection does not work, demonstrating the need for the more sophisticated approaches explored here. Our preliminary results suggest that future developments in early warning systems for patient condition monitoring may predict the onset of critical transition and allow medical intervention preventing patient death. Further method development is needed to avoid overfitting and spurious results, and verification on large clinical datasets.
Year
DOI
Venue
2017
10.1016/j.procs.2017.05.002
Procedia Computer Science
Keywords
Field
DocType
Anomaly Detection,Information Surprise,Early Warning Signal,Time series Analysis
Warning system,Data mining,Autoregressive model,Population,Anomaly detection,Time series,Computer science,Artificial intelligence,Overfitting,Surprise,Kurtosis,Machine learning
Conference
Volume
ISSN
Citations 
108
1877-0509
0
PageRank 
References 
Authors
0.34
6
4
Name
Order
Citations
PageRank
Alva Presbitero111.39
Rick Quax2194.49
Valeria V. Krzhizhanovskaya319430.20
Peter M. A. Sloot43095513.51