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Model-Based Cardiovascular Parameter Estimation in the Intensive Care Unit

机译:基于模型的密集护理单元心血管参数估计

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In this paper, we present a simulation study that aims at estimating parameters of a hemodynamic model using observable data typically available in an Intensive Care Unit (ICU). Tracking model parameters in time reveals disease progression, and hence can be very useful for patient monitoring purposes. However, the observable data is generally not rich enough to allow for reliable estimation of all parameters of the underlying model. This leads to an 'ill-conditioned' estimation problem. To overcome this ill-conditioning, we employ subset selection to identify the 'well-conditioned' parameters that can be estimated robustly. We attempt to estimate only these parameters while the rest are fixed at prior values. Our results indicate that focusing on the reduced-order estimation problem improves the reliability of the estimates by more than 50%; the scheme is capable of recovering the underlying well-conditioned parameters with reasonable accuracy in both steady-state and transient conditions.
机译:在本文中,我们提出了一种模拟研究,其旨在使用通常在密集护理单元(ICU)中的可观察数据估计血液动力学模型的参数。及时跟踪模型参数显示疾病进展,因此对于患者监测目的非常有用。然而,可观察数据通常不足以允许可靠地估计底层模型的所有参数。这导致了“有害”估计问题。为了克服这种不良状态,我们采用子集选择来识别可以稳健估计的“良好的条件”参数。我们仅尝试估计这些参数,而其余的固定在先前值。我们的结果表明,关注阶数估计问题的重点会提高估计的可靠性超过50%;该方案能够在稳态和瞬态条件下具有合理的精度来恢复底层的良好条件参数。

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