dc.contributor.author | Urteaga Urizarbarrena, Jon | |
dc.contributor.author | Aramendi Ecenarro, Elisabete | |
dc.contributor.author | Elola Artano, Andoni | |
dc.contributor.author | Daya, Mohamud Ramzan | |
dc.contributor.author | Idris, Ahamed | |
dc.date.accessioned | 2024-02-08T11:03:53Z | |
dc.date.available | 2024-02-08T11:03:53Z | |
dc.date.issued | 2023-06-22 | |
dc.identifier.citation | Biomedical Signal Processing and Control 86(A) : 2023 // Article ID 105144 | |
dc.identifier.issn | 1746-8108 | |
dc.identifier.issn | 1746-8094 | |
dc.identifier.uri | http://hdl.handle.net/10810/65407 | |
dc.description.abstract | Quality cardiopulmonary resuscitation (CPR) is crucial to increase the probability of survival during out-of-hospital cardiac arrest (OHCA). Continuous
chest compressions (CCs) provided with appropriate rate are recommended by
the guidelines. Currently, defibrillators and monitors may integrate additional
hardware to monitor CCs and give feedback to the rescuer to align CC rate
with recommended values. Photoplethysmogram (PPG) obtained with pulse
oximeters measures the oxygen saturation in the blood using non invasive and
inexpensive technology. This study proposes a method based on the finger PPG
to detect the presence of CCs and compute the CC rate. A total of 153 segments
from 66 OHCA patients, with 470 min and 48496 CCs, were analyzed. The algorithm classifies 5 s windows as either CC or CC-pause using a logistic regression
classifier with Lasso regularization based on time, spectral, correlation, statistical and entropy features. The rate was computed for windows with CCs using
the autocorrelation function. Results were compared to the ground truth obtained from the compression depth signal derived from an sternal accelerometer.
The method was evaluated using 10 fold cross-validation, and the median (IQR) for 5 feature model were 90.7 (6.3) % sensitivity, 98.3 (1.3) % positive predictive
value, 94.6 (3.1) % F 1 and 94.4 (4.8) % area under the curve. The median (IQR)
of the absolute error in CC rate was 1.7 (2.7) min −1 , with 2.6 (9.1) % of the
windows with errors above 10 %. This is the first approach that analyzes the
feasibility of the PPG to monitor CPR, and an accurate automated solution
based on a multifeature classification model was demonstrated. | es_ES |
dc.description.sponsorship | This work was supported by the Spanish Ministerio de Ciencia, Innovacion y Universidades through grant RTI2018-101475-BI00 and PID2021-122727OB-I00, jointly with the Fondo Europeo de Desarrollo Regional (FEDER), by the Basque Government through grant IT1717-22 and grant PRE_2021_2_0173, and by the University of the Basque Country (UPV/EHU) under grant COLAB20/01. | |
dc.language.iso | eng | es_ES |
dc.relation | info:eu-repo/grantAgreement/MICIN/RTI2018-101475-BI00 | |
dc.relation | info:eu-repo/grantAgreement/MICIN/PID2021-122727OB-I00 | |
dc.rights | info:eu-repo/semantics/openAccess | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | cardiopulmonary resuscitation | es_ES |
dc.subject | photoplethysmogram | es_ES |
dc.subject | chest compressions | es_ES |
dc.subject | machine learning | es_ES |
dc.subject | lasso classifier | es_ES |
dc.title | Monitoring chest compressions using finger photoplethysmography in out-of-hospital cardiac arrest | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.holder | © 2023 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license. | * |
dc.relation.publisherversion | https://www.sciencedirect.com/science/article/pii/S1746809423005773 | |
dc.identifier.doi | 10.1016/J.BSPC.2023.105144 | |
dc.departamentoes | Tecnología electrónica | es_ES |
dc.departamentoeu | Teknologia elektronikoa | es_ES |