Method and apparatus for the early diagnosis of subacute,...

A - Human Necessities – 61 – B

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A61B 5/024 (2006.01) A61B 5/0452 (2006.01) G06F 17/00 (2006.01)

Patent

CA 2476607

There is provided a method and apparatus for early detection of subacute, potentially catastrophic illness in a patient. This can be used to diagnose illnesses such as, but not limited to, sepsis, necrotizing enterocolitis, pneumonia and meningitis, as well as noninfectious illnesses. In particular, there is provided a method and apparatus for early detection of subacute, potentially catastrophic illness in a patient. The method comprises: (a) monitoring the patient's RR intervals; (b) generating a normalized data set of the RR intervals; (c) calculating one or more of (i) moments of the data set selected from the second and higher moments, including the standard deviation (ii) percentile values of the data set, (iii) sample entropy, and (iv) sample assymetry; and (d) identifying an abnormal heart rate variability associated with the illness based on one or more of the moments, the percentile values, sample entropy, and sample assymmetry analysis.

La présente invention concerne un procédé et un appareil de diagnostic précoce de maladie suraiguë potentiellement catastrophique chez un patient. Cela peut s'utiliser pour diagnostiquer des maladies telles que notamment la septie, l'entérocolite nécrosante, la pneumonie et la méningite, ainsi que des maladies non infectieuses. L'invention concerne en particulier un procédé et un appareil de diagnostic précoce de maladie suraiguë potentiellement catastrophique chez un patient. Le procédé comprend: (a) la surveillance des intervalles RR du patient; (b) la génération d'un fichier de données normalisé des intervalles RR; (c) le calcul de l'un au moins des (i) moments du fichier de données sélectionnés à partir des seconds moments et des moments supérieurs, incluant l'écart standard (ii) exprimé en pourcentage du fichier de données, (iii) l'entropie d'échantillon, et (iv) l'asymétrie d'échantillon; et (d) l'identification d'une variabilité normale du rythme cardiaque associée à la maladie sur la base de l'un au moins des moments, des valeurs en pourcentage, de l'entropie d'échantillon et de l'analyse d'asymétrie d'échantillon.

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