Predicting near-term deterioration of hospital patients
Methods, systems, and computer storage media are provided for predicting a probability of acute deterioration for a specific patient. Various discrete measurements are taken regarding the patient's current health. Those measurements are used to determine a PPOD score, which is displayed for clinicians.
1. One or more computer storage media not being a signal per se storing computer-useable instructions that, when executed by one or more computing devices, cause the one or more computing devices to perform a method for providing a predicted probability of acute deterioration for a particular patient, the method comprising:
receiving patient-specific data from a plurality of different sources;
conditioning the patient-specific data to create conditioned data;
calculating, from the conditioned data, a predicted probability of acute deterioration for the particular patient; and
selectively displaying a result based on the calculated predicted probability of acute deterioration;
wherein the calculation of a predicted probability of acute deterioration for the particular patient involves computation of a baroreceptor reflex sensitivity, an index of the deviation of the patient's current systolic blood pressure from the pressure that is usual for the patient, and the probability that the bivariate copula of the autonomically challenged vs. unchallenged heart rate difference timeseries and the autonomically challenged vs. unchallenged systolic blood pressure difference timeseries is an extreme-value copula.
2. The media of claim 1 , wherein the predicted probability of acute deterioration is calculated from the acquired data by logistic regression, K-nearest neighbor clustering, neural-network, support-vector machine classifier, or other statistical techniques.