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Alarm logs are present in the Philips Intelli Vue patient monitoring system (MX800 software version M.00.03; MMS X2 software version H.15.41-M.00.04). It includes bedside monitors, client monitors integrating data from 2 to 3 patient rooms, and a central station. By default, it measures oxygen saturation (Sp O2), BP (invasive or noninvasive), heart rate (HR), and temperature. In our study, we focused on a subset of patient alarms triggered by the electrocardiogram, invasive BP device, or pulse oximeter.
J Med Internet Res 2025;27:e65961
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The probability of transitioning into each hidden state at time t is dependent on the previous hidden state, and is given by:
Where the elements of A are each of the transition probabilities such that Amn ≡ p(ztn = 1|zt-1,m = 1, ct) denotes the probability of transitioning from state m to state n at time t and we make it explicit that this can depend on a vector of time-varying covariates ct.
In addition, other measures can be calculated from the hidden state sequence itself.
J Med Internet Res 2025;27:e64007
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