Yeung Serena, Rinaldo Francesca, Jopling Jeffrey, Liu Bingbin, Mehra Rishab, Downing N Lance, Guo Michelle, Bianconi Gabriel M, Alahi Alexandre, Lee Julia, Campbell Brandi, Deru Kayla, Beninati William, Fei-Fei Li, Milstein Arnold
1Department of Computer Science, Stanford University, 353 Serra Mall, Stanford, CA 94305 USA.
2Clinical Excellence Research Center, Stanford University School of Medicine, 75 Alta Rd, Stanford, CA 94305 USA.
NPJ Digit Med. 2019 Mar 1;2:11. doi: 10.1038/s41746-019-0087-z. eCollection 2019.
Early and frequent patient mobilization substantially mitigates risk for post-intensive care syndrome and long-term functional impairment. We developed and tested computer vision algorithms to detect patient mobilization activities occurring in an adult ICU. Mobility activities were defined as moving the patient into and out of bed, and moving the patient into and out of a chair. A data set of privacy-safe-depth-video images was collected in the Intermountain LDS Hospital ICU, comprising 563 instances of mobility activities and 98,801 total frames of video data from seven wall-mounted depth sensors. In all, 67% of the mobility activity instances were used to train algorithms to detect mobility activity occurrence and duration, and the number of healthcare personnel involved in each activity. The remaining 33% of the mobility instances were used for algorithm evaluation. The algorithm for detecting mobility activities attained a mean specificity of 89.2% and sensitivity of 87.2% over the four activities; the algorithm for quantifying the number of personnel involved attained a mean accuracy of 68.8%.
早期且频繁的患者活动可显著降低重症监护后综合征和长期功能障碍的风险。我们开发并测试了计算机视觉算法,以检测成人重症监护病房(ICU)中患者的活动情况。活动被定义为将患者从床上搬运至床外以及从椅子上搬运至椅外。在山间LDS医院重症监护病房收集了一组隐私安全深度视频图像数据集,其中包括563次活动实例以及来自七个壁挂式深度传感器的98,801帧视频数据。总共67%的活动实例用于训练算法,以检测活动的发生、持续时间以及每次活动涉及的医护人员数量。其余33%的活动实例用于算法评估。检测活动的算法在四项活动中的平均特异性为89.2%,敏感性为87.2%;用于量化参与人员数量的算法平均准确率为68.8%。