<script type="text/javascript">
<!--
document.write('<div id="oa_widget"></div>');
document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=undefined&type=result"></script>');
-->
</script>
Sudden cardiac arrest is one of the leading causes of death in the industrialized world. Pulse detection is essential for the recognition of the arrest and the recognition of return of spontaneous circulation during therapy, and it is therefore crucial for the survival of the patient. This paper introduces the first method based exclusively on the ECG for the automatic detection of pulse during cardiopulmonary resuscitation. Random forest classifier is used to efficiently combine up to nine features from the time, frequency, slope, and regularity analysis of the ECG. Data from 191 cardiac arrest patients was used, and 1177 ECG segments were processed, 796 with pulse and 381 without pulse. A leave-one-patient out cross validation approach was used to train and test the algorithm. The statistical distributions of sensitivity (SE) and specificity (SP) for pulse detection were estimated using 500 patient-wise bootstrap partitions. The mean (std) SE/SP for nine-feature classifier was 88.4 (1.8) %/89.7 (1.4) %, respectively. The designed algorithm only requires 4-s-long ECG segments and could be integrated in any commercial automated external defibrillator. The method permits to detect the presence of pulse accurately, minimizing interruptions in cardiopulmonary resuscitation therapy, and could contribute to improve survival from cardiac arrest.
pulse detection, cardiac arrest, Sensitivity and Specificity, Cardiopulmonary Resuscitation, Heart Arrest, pulsed rhythm, Electrocardiography, Heart Rate, Humans, random forest, Algorithms, pulseless electrical activity
pulse detection, cardiac arrest, Sensitivity and Specificity, Cardiopulmonary Resuscitation, Heart Arrest, pulsed rhythm, Electrocardiography, Heart Rate, Humans, random forest, Algorithms, pulseless electrical activity
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 31 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |