1. A Comparison of Normalization Techniques for Individual Baseline-Free Estimation of Absolute Hypovolemic Status Using a Porcine Model.
- Author
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Lambert, Tamara P., Chan, Michael, Sanchez-Perez, Jesus Antonio, Nikbakht, Mohammad, Lin, David J., Nawar, Afra, Bashar, Syed Khairul, Kimball, Jacob P., Zia, Jonathan S., Gazi, Asim H., Cestero, Gabriela I., Corporan, Daniella, Padala, Muralidhar, Hahn, Jin-Oh, and Inan, Omer T.
- Subjects
HYPOVOLEMIC anemia ,HYPOVOLEMIA ,WEARABLE technology ,CAUSES of death ,VITAL signs ,RANDOM forest algorithms - Abstract
Hypovolemic shock is one of the leading causes of death in the military. The current methods of assessing hypovolemia in field settings rely on a clinician assessment of vital signs, which is an unreliable assessment of hypovolemia severity. These methods often detect hypovolemia when interventional methods are ineffective. Therefore, there is a need to develop real-time sensing methods for the early detection of hypovolemia. Previously, our group developed a random-forest model that successfully estimated absolute blood-volume status (ABVS) from noninvasive wearable sensor data for a porcine model (n = 6). However, this model required normalizing ABVS data using individual baseline data, which may not be present in crisis situations where a wearable sensor might be placed on a patient by the attending clinician. We address this barrier by examining seven individual baseline-free normalization techniques. Using a feature-specific global mean from the ABVS and an external dataset for normalization demonstrated similar performance metrics compared to no normalization (normalization: R
2 = 0.82 ± 0.025|0.80 ± 0.032, AUC = 0.86 ± 5.5 × 10−3 |0.86 ± 0.013, RMSE = 28.30 ± 0.63%|27.68 ± 0.80%; no normalization: R2 = 0.81 ± 0.045, AUC = 0.86 ± 8.9 × 10−3 , RMSE = 28.89 ± 0.84%). This demonstrates that normalization may not be required and develops a foundation for individual baseline-free ABVS prediction. [ABSTRACT FROM AUTHOR]- Published
- 2024
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