Technical challenges related to implementation of a formula one real time data acquisition and analysis system in a paediatric intensive care unit

Most existing, expert monitoring systems do not provide the real time continuous analysis of the monitored physiological data that is necessary to detect transient or combined vital sign indicators nor do they provide long term storage of the data for retrospective analyses. In this paper we examine...

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Veröffentlicht in:Journal of clinical monitoring and computing 2018-06, Vol.32 (3), p.559-569
Hauptverfasser: Matam, B. Rajeswari, Duncan, Heather
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description Most existing, expert monitoring systems do not provide the real time continuous analysis of the monitored physiological data that is necessary to detect transient or combined vital sign indicators nor do they provide long term storage of the data for retrospective analyses. In this paper we examine the feasibility of implementing a long term data storage system which has the ability to incorporate real-time data analytics, the system design, report the main technical issues encountered, the solutions implemented and the statistics of the data recorded. McLaren Electronic Systems expertise used to continually monitor and analyse the data from F1 racing cars in real time was utilised to implement a similar real-time data recording platform system adapted with real time analytics to suit the requirements of the intensive care environment. We encountered many technical (hardware and software) implementation challenges. However there were many advantages of the system once it was operational. They include: (1) The ability to store the data for long periods of time enabling access to historical physiological data. (2) The ability to alter the time axis to contract or expand periods of interest. (3) The ability to store and review ECG morphology retrospectively. (4) Detailed post event (cardiac/respiratory arrest or other clinically significant deteriorations in patients) data can be reviewed clinically as opposed to trend data providing valuable clinical insight. Informed mortality and morbidity reviews can be conducted. (5) Storage of waveform data capture to use for algorithm development for adaptive early warning systems. Recording data from bed-side monitors in intensive care/wards is feasible. It is possible to set up real time data recording and long term storage systems. These systems in future can be improved with additional patient specific metrics which predict the status of a patient thus paving the way for real time predictive monitoring.
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subjects Adaptive algorithms
Adaptive systems
Adolescent
Algorithms
Analytics
Anesthesiology
Child
Child, Preschool
Computer Systems
Computers
Critical Care
Critical Care Medicine
Data analysis
Data capture
Data recording
Data storage
Early warning systems
Electrocardiography
Electronic systems
Feasibility studies
Health Sciences
Humans
Infant
Infant, Newborn
Intensive
Intensive care
Intensive Care Units, Pediatric
Length of Stay
Long term
Medicine
Medicine & Public Health
Monitoring, Physiologic - instrumentation
Original Research
Pediatrics - methods
Physiology
Race cars
Racing
Real time
Retrospective Studies
Risk Assessment
Software
Statistics for Life Sciences
Storage systems
Systems design
title Technical challenges related to implementation of a formula one real time data acquisition and analysis system in a paediatric intensive care unit
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