arXiv:2606.19292cs.LG2026-06

用环境声音和光线数据,提前预测重症患者谵妄风险。

Risk Stratification for ICU Delirium using Pervasive Ambient Sensing Information

论文配图:Risk Stratification for ICU Delirium using Pervasive Ambient Sensing Information
图 1 · 摘自论文原文
  • 用神经网络分析病房声光数据,预测谵妄发生
  • 声音特征是主要预测因子,模型AUC达0.80
  • 适合临床用于短期风险预警,可解释性强

谵妄是重症监护室(ICU)中常见且严重的并发症,与发病率升高、住院时间延长及医疗成本增加相关。尽管其高发,早期预测与预防仍具挑战性。环境因素如周围声音和光照可能影响谵妄的发生,但常被忽视。本研究考察了光照强度与声压水平是否能独立预测谵妄,并在多个预测时间窗下进行评估。我们使用来自309名患者、9个ICU的数据,测试了四种高效的序列神经网络模型,针对10种不同的预测窗口大小进行分析。通过Shapley加法解释法(SHAP)报告特征重要性及影响方向。卷积模型在声音数据和融合数据上的表现最佳,AUC达到0.80。总体而言,声音特征为关键预测因子。将声音与光照结合可提升短期(<1周)预测效果,融合模型在感知期结束后立即赋予最高风险评分。结果表明,被动式环境传感(尤其是声音)可提供具有临床意义且可解释的信号,为多模态ICU风险预测与干预策略提供实用路径。

原文摘要 · Abstract (English)

Delirium is a common and serious complication in the Intensive Care Unit (ICU), associated with increased morbidity, prolonged hospital stays, and higher healthcare costs. Despite its prevalence, early prediction and prevention remain challenging. Environmental factors such as ambient sound and light may influence the onset of delirium, yet they are often overlooked in risk assessments. In this study, we examined whether light intensity and sound pressure levels can independently predict delirium across multiple prediction horizons. We evaluated four efficient sequential neural network models on data collected from 9 ICUs across 309 patients to predict delirium for 10 prediction-window sizes. We reported feature importance and direction of influence using Shapley Additive Explanations analysis. The convolutional model achieved the strongest discrimination, with AUC = 0.80 on sound data and on combined data. Sound features were the dominant predictors overall. Integrating sound with light improved short-term ($<1$ week) prediction, with the combined model assigning the highest risk immediately after the sensing period. These findings suggest that passive ambient sensing, especially sound, can add a clinically meaningful, interpretable signal for delirium risk estimation and offer a practical pathway to enrich multimodal ICU prediction and prevention strategies.

重症监护谵妄预测环境传感可解释模型

Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。