Physiologic inference monitor

• US 20050197865A1
• Filed: 03/05/2004
• Published: 09/08/2005
• Est. Priority Date: 03/05/2004
• Status: Abandoned Application

• Current Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Original Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Inventors: Jordan, Desmond
• Application Number:
  US10/795,724
• Publication Number:
  US 20050197865A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

The present invention provides methods, systems, and computer programs for inferring a patient'"'"'s clinical status in the course of treatment. The method includes the steps of accessing a patient'"'"'s data, such as data collected prior, during, and/or after the treatment, and identifying from the patient'"'"'s data abnormal events occurring in the course of the treatment. The abnormal events are generally identified by applying a scoring system for inferring a patient'"'"'s clinical status. This scoring system includes a plurality of scoring schemes applicable at different times with respect to at least one milestone event.

Claims

1. A method for inferring a patient'"'"'s clinical status in the course of a treatment, comprising:

accessing a patient'"'"'s data; and

identifying at least one abnormal event from the patient'"'"'s data by applying a scoring system for inferring a patient'"'"'s clinical status, wherein the scoring system comprises a first scoring scheme for identifying from patient data at least one abnormal event occurring prior to at least one milestone event, and a second scoring scheme for identifying from patient data at least one abnormal event occurring after the at least one milestone event.

2. The method of claim 1, wherein the patient'"'"'s data comprise pre-operative data, and wherein identification of the at least one abnormal event is based, at least in part, on the pre-operative data.

3. The method of claim 2, wherein the pre-operative data comprise at least one of demographic data and clinical data.

4. The method of claim 1, wherein the patient'"'"'s data comprise operative data, wherein the operative data comprise data concerning at least one of:

a patient'"'"'s vital signs,

anesthetics delivered,

ventilation parameters,

drugs delivered,

laboratory results,

intravenous lines attached to the patient,

devices used, and

beginning and start times of events,

and wherein identification of the at least one abnormal event is based, at least in part, on the operative data.

5. The method of claim 1, wherein the at least one abnormal event is identified from a group of abnormal events consisting of abnormal events related to hemodynamics, abnormal events related to laboratory results, and abnormal events indicative of the severity of the patient'"'"'s condition.

6. The method of claim 1, further comprising producing a briefing comprising at least one abnormal event identified in connection with the patient'"'"'s treatment.

7. The method of claim 6, wherein the briefing is a multimedia briefing, and wherein the multimedia briefing is made available on a patient post-operative briefing interface comprising controls for a user to control presentation of the multimedia briefing.

8. The method of claim 7, wherein the patient post-operative briefing interface comprises a graphical presentation, in a time-dependent format, of at least one of an abnormal event identified in connection with the patient'"'"'s treatment and a milestone event.

9. The method of claim 6, wherein the briefing is produced for a target audience.

10. The method of claim 1, wherein at least one scoring scheme assigns a score to abnormal patient data that is based on the severity of the patient'"'"'s condition, as reflected in the patient'"'"'s data.

11. The method of claim 1, wherein the patient'"'"'s data is collected in connection with cardiac bypass surgery, wherein the at least one milestone event is the cardiac bypass, and wherein the first scoring scheme is applied to data occurring prior to the cardiac bypass, and the second scoring scheme is applied to data occurring after the cardiac bypass.

12. The method of claim 1, wherein identification of the at least one abnormal event is based, at least in part, on at least one of:

a duration of the treatment or a portion thereof,

whether blood products were administered,

quantities of blood products administered,

whether drugs were administered, and

quantities of drugs administered.

13. The method of claim 1, further comprising identifying at least one abnormal hemodynamic event by applying temporal abstraction to the patient'"'"'s operative data that have been scored in accordance with the scoring system for inferring a patient'"'"'s clinical status.

14. The method of claim 13, wherein temporal abstraction comprises applying a sliding scale average over a window of a predefined number of consecutively-occurring operative data that have been scored in accordance with the scoring system for inferring a patient'"'"'s clinical status.

15. The method of claim 1, further comprising identifying drugs and quantities thereof administered in connection with an abnormal event, and noting, in a briefing, the drugs and quantities thereof administered.

16. The method of claim 1, further comprising linking a milestone event with one or more abnormal events occurring within a predefined period of time of the milestone event, and noting, in a briefing, whether the one or more abnormal events occurred within a predefined period of time of the milestone event.

17. The method of claim 1, further comprising monitoring a patient'"'"'s treatment, and displaying an operation status monitor interface comprising a patient summary for at least one patient undergoing a treatment.

18. The method of claim 17, wherein the operation status monitor interface comprises a graphical presentation of the patient'"'"'s treatment status in a time-dependent format.

19. The method of claim 17, further comprising:

producing a briefing comprising at least one abnormal event identified in connection with the patient'"'"'s treatment; and

transferring an incidence of the patient from the operation status monitor interface to a patient post-operative briefing interface which indicates that a briefing for the patient is available for review.

20. A method for inferring a patient'"'"'s clinical status in the course of a treatment, comprising:

accessing a patient'"'"'s pre-operative and operative data;

identifying from the patient'"'"'s pre-operative and operative data at least one abnormal event indicative of the severity of a patient'"'"'s condition, by applying a scoring system for inferring a patient'"'"'s clinical status, wherein the scoring system comprises a first scoring scheme for identifying from patient data at least one abnormal event occurring prior to at least one milestone event, and a second scoring scheme for identifying from patient data at least one abnormal event occurring after the at least one milestone event; and

producing a briefing comprising at least one abnormal event identified in connection with the patient'"'"'s treatment.

21. A method for inferring a patient'"'"'s clinical status in the course of a treatment, comprising:

monitoring a patient'"'"'s treatment;

displaying an operation status monitor interface comprising a patient summary for at least one patient undergoing a treatment;

accessing the patient'"'"'s pre-operative and operative data;

identifying abnormal events from the patient'"'"'s pre-operative and operative data by applying a scoring system for inferring a patient'"'"'s clinical status;

producing automatically, at the end of the patient'"'"'s treatment, a briefing comprising at least one abnormal event identified in connection with the patient'"'"'s treatment; and

transferring an incidence of the patient from the operation status monitor interface to a patient post-operative briefing interface which indicates that a briefing for the patient is available for review.

22. The method of claim 21, wherein the briefing is a multimedia briefing, and wherein the multimedia briefing is made available on a patient post-operative briefing interface comprising controls for a user to control presentation of the multimedia briefing.