Predicting survival in critical patients by use of body temperature regularity measurement based on approximate entropy

• Published in: Medical & biological engineering & computing Vol. 45; no. 7; pp. 671 - 678
• Main Authors: Cuesta, D., Varela, M., Miró, P., Galdós, P., Abásolo, D., Hornero, R., Aboy, M.
• Format: Journal Article
• Language: English
• Published: United States Springer Nature B.V 01.07.2007
• Subjects: Adult; Aged; Aged, 80 and over; Body temperature; Body Temperature - physiology; Critical Care - methods; Diagnosis, Computer-Assisted - methods; Entropy; Fever - diagnosis; Humans; Middle Aged; Multiple Organ Failure - physiopathology; Prognosis
• ISSN: 0140-0118; 1741-0444
• DOI: 10.1007/s11517-007-0200-3

Body temperature is a classical diagnostic tool for a number of diseases. However, it is usually employed as a plain binary classification function (febrile or not febrile), and therefore its diagnostic power has not been fully developed. In this paper, we describe how body temperature regularity can be used for diagnosis. Our proposed methodology is based on obtaining accurate long-term temperature recordings at high sampling frequencies and analyzing the temperature signal using a regularity metric (approximate entropy). In this study, we assessed our methodology using temperature registers acquired from patients with multiple organ failure admitted to an intensive care unit. Our results indicate there is a correlation between the patient's condition and the regularity of the body temperature. This finding enabled us to design a classifier for two outcomes (survival or death) and test it on a dataset including 36 subjects. The classifier achieved an accuracy of 72%.