Process Monitoring in the Intensive Care Unit: Assessing Patient Mobility Through Activity Analysis with a Non-Invasive Mobility Sensor

Med Image Comput Comput Assist Interv. 2016 Oct:9900:482-490. doi: 10.1007/978-3-319-46720-7_56. Epub 2016 Oct 2.

Abstract

Throughout a patient's stay in the Intensive Care Unit (ICU), accurate measurement of patient mobility, as part of routine care, is helpful in understanding the harmful effects of bedrest [1]. However, mobility is typically measured through observation by a trained and dedicated observer, which is extremely limiting. In this work, we present a video-based automated mobility measurement system called NIMS: Non-Invasive Mobility Sensor . Our main contributions are: (1) a novel multi-person tracking methodology designed for complex environments with occlusion and pose variations, and (2) an application of human-activity attributes in a clinical setting. We demonstrate NIMS on data collected from an active patient room in an adult ICU and show a high inter-rater reliability using a weighted Kappa statistic of 0.86 for automatic prediction of the highest level of patient mobility as compared to clinical experts.

Keywords: Activity recognition; Patient safety; Tracking.

MeSH terms

  • Actigraphy / instrumentation*
  • Actigraphy / methods
  • Adult
  • Algorithms*
  • Humans
  • Intensive Care Units
  • Movement*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Video Recording*