Accelerometry-based classification of circulatory states during out-of-hospital cardiac arrest
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Objective: During cardiac arrest treatment, a reliable detection of spontaneous circulation, usually performed by manual pulse checks, is both vital for patient survival and practically challenging. Methods: We developed a machine learning algorithm to automatically predict the circulatory state during cardiac arrest treatment from 4-second-long snippets of accelerometry and electrocardiogram data from real-world defibrillator records. The algorithm was trained based on 917 cases from the German Resuscitation Registry, for which ground truth labels were created by a manual annotation of physicians. It uses a kernelized Support Vector Machine classifier based on 14 features, which partially reflect the correlation between accelerometry and electrocardiogram data. Results: On a test data set, the proposed algorithm exhibits an accuracy of 94.4 (93.6, 95.2) of 93.9 (92.7, 95.1) algorithm may be used to simplify retrospective annotation for quality management and, moreover, to support clinicians to assess circulatory state during cardiac arrest treatment.
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