Deep Learning-Based Electrocardiogram Model (EIANet) to Predict Emergency Department Cardiac Arrest: Development and External Validation Study.

Journal: Journal of medical Internet research
PMID:

Abstract

BACKGROUND: In-hospital cardiac arrest (IHCA) is a severe and sudden medical emergency that is characterized by the abrupt cessation of circulatory function, leading to death or irreversible organ damage if not addressed immediately. Emergency department (ED)-based IHCA (EDCA) accounts for 10% to 20% of all IHCA cases. Early detection of EDCA is crucial, yet identifying subtle signs of cardiac deterioration is challenging. Traditional EDCA prediction methods primarily rely on structured vital signs or electrocardiogram (ECG) signals, which require additional preprocessing or specialized devices. This study introduces a novel approach using image-based 12-lead ECG data obtained at ED triage, leveraging the inherent richness of visual ECG patterns to enhance prediction and integration into clinical workflows.

Authors

  • Shao-Chi Lu
    Department of Computer Science and Information Engineering, National Taiwan University, CSIE Der Tian Hall No. 1, Sec. 4, Roosevelt Road, Taipei, 106319, Taiwan.
  • Guang-Yuan Chen
    Department of Computer Science and Information Engineering, National Taiwan University, Taipei, Taiwan.
  • An-Sheng Liu
    Department of Computer Science and Information Engineering, National Taiwan University, CSIE Der Tian Hall No. 1, Sec. 4, Roosevelt Road, Taipei, 106319, Taiwan.
  • Jen-Tang Sun
    Department of Emergency Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan.
  • Jun-Wan Gao
    Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
  • Chien-Hua Huang
    Department of Emergency Medicine, National Taiwan University, 100 Taipei, Taiwan.
  • Chu-Lin Tsai
    National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan.
  • Li-Chen Fu