原创力文档temperature variability analysis using wavelets and multiscale entropy in patients with systemic inflammatory response syndrome, sepsis, and septic shock温度变化分析利用小波和多尺度熵全身炎症反应综合征患者,脓毒症和脓毒性休克.pdfVIP
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temperature variability analysis using wavelets and multiscale entropy in patients with systemic inflammatory response syndrome, sepsis, and septic shock温度变化分析利用小波和多尺度熵全身炎症反应综合征患者,脓毒症和脓毒性休克
Papaioannou et al. Critical Care 2012, 16:R51
/content/16/2/R51
RESEARCH Open Access
Temperature variability analysis using wavelets
and multiscale entropy in patients with systemic
inflammatory response syndrome, sepsis, and
septic shock
Vasilios E Papaioannou 1*†, Ioanna G Chouvarda2†, Nikos K Maglaveras2 and Ioannis A Pneumatikos1
Abstract
Background: Even though temperature is a continuous quantitative variable, its measurement has been
considered a snapshot of a process, indicating whether a patient is febrile or afebrile. Recently, other diagnostic
techniques have been proposed for the association between different properties of the temperature curve with
severity of illness in the Intensive Care Unit (ICU), based on complexity analysis of continuously monitored body
temperature. In this study, we tried to assess temperature complexity in patients with systemic inflammation
during a suspected ICU-acquired infection, by using wavelets transformation and multiscale entropy of temperature
signals, in a cohort of mixed critically ill patients.
Methods: Twenty-two patients were enrolled in the study. In five, systemic inflammatory response syndrome (SIRS,
group 1) developed, 10 had sepsis (group 2), and seven had septic shock (group 3). All temperature curves were
studied during the first 24 hours of an inflammatory state. A wavelet transformation was applied, decomposing the
signal in different frequency components (scales) that have been found to reflect neurogenic and metabolic inputs
on temperature oscillations. Wavelet energy and entropy per different scales associated with complexity in specific
frequency bands and multiscale entropy of the whole signal were calculated. Moreover, a clustering technique and
a linear discriminant analysis (LDA) were applied for permitting pattern recognition in data
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