Artificial Intelligence for Real-Time Monitoring of Neonatal Vital Signs: Enhancing Decision-Making in Critical Care Units

Authors

  • Gogula Sravani
  • Sk. Khaleel
  • Haritha
  • Sunkesula Sudhakar
  • C. M. Vivek Vardhan

Keywords:

Neonatal Intensive Care, Artificial Intelligence, Vital Sign Monitoring, LSTM Model, Clinical Decision Support

Abstract

This study presents an artificial intelligence (AI)-based framework for the real-time monitoring of neonatal vital signs in Neonatal Intensive Care Units (NICUs), addressing limitations in traditional threshold-based alarm systems. Leveraging LSTM neural networks, the model processes heart rate, respiratory rate, oxygen saturation, and temperature data to detect physiological anomalies with high accuracy. Using data from the MIMIC-III database, the system achieved an average F1-score of 91.3%, outperforming conventional systems in both sensitivity and false alert reduction. It integrates clinician feedback, enabling dynamic adaptation and interpretability through SHAP-based feature attribution. The AI system issues colour-coded alerts and provides transparent explanations for each risk prediction, facilitating faster, more informed decision-making. Real-time implementation tests confirmed operational feasibility, with sub-second latency and minimal resource demands. The system’s closed-loop design, combining prediction, feedback, and continuous learning, makes it a clinically viable tool for improving neonatal outcomes and reducing alarm fatigue in critical care settings

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References

Choudhury, A., & Urena, E. (2024). Chapter 32 - Artificial intelligence in neonatal and pediatric intensive care units. In C. Krittanawong (Ed.), Artificial Intelligence in Clinical Practice (pp. 275–284). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-443-15688-5.00013-9

Gerald Dcruz, J., & Yeh, P. (2024). The Accuracy of Pulse Oxygen Saturation, Heart Rate, Blood Pressure, and Respiratory Rate Raised by a Contactless Telehealth Portal: Validation Study. JMIR Formative Research, 8. https://doi.org/https://doi.org/10.2196/55361

Joaquim, P., Calado, G., & Costa, M. (2024). Benefits of reading to premature newborns in the neonatal intensive care unit: A scoping review. Journal of Neonatal Nursing, 30(4), 325–330. https://doi.org/https://doi.org/10.1016/j.jnn.2023.11.011

Khan, S. M. (2025). Chapter 14 - AI-enabled decision support systems in clinical practice. In S. M. Khan (Ed.), Fundamentals of AI for Medical Education, Research and Practice (pp. 305–330). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-443-33584-6.00014-1

Kim, S., Osiovich, H., Langlois, S., Virani, A., Shen, Y., & Elliott, A. M. (2025). Evaluating Parental Satisfaction and Empowerment with Genetic Testing in the Neonatal Intensive Care Unit (NICU). European Journal of Medical Genetics, 105014. https://doi.org/https://doi.org/10.1016/j.ejmg.2025.105014

Papatheodorou, A., Gilboa, D., Seidman, D., Oraiopoulou, C., Karagianni, M., Papadopoulou, M., Tsarfati, M., Christoforidis, N., & Chatziparasidou, A. (2022). Clinical and practical validation of an end-to-end artificial intelligence (AI)-driven fertility management platform in a real-world clinical setting. Reproductive BioMedicine Online, 45, e44–e45. https://doi.org/https://doi.org/10.1016/j.rbmo.2022.08.076

Shiang, T., Garwood, E., & Debenedectis, C. M. (2022). Artificial intelligence-based decision support system (AI-DSS) implementation in radiology residency: Introducing residents to AI in the clinical setting. Clinical Imaging, 92, 32–37. https://doi.org/https://doi.org/10.1016/j.clinimag.2022.09.003

Taha, S., Simpson, R. B., & Sharkey, D. (2023). The critical role of technologies in neonatal care. Early Human Development, 187, 105898. https://doi.org/https://doi.org/10.1016/j.earlhumdev.2023.105898

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Published

2025-04-23

How to Cite

1.
Sravani G, Khaleel S, Haritha H, Sudhakar S, Vardhan CMV. Artificial Intelligence for Real-Time Monitoring of Neonatal Vital Signs: Enhancing Decision-Making in Critical Care Units. J Neonatal Surg [Internet]. 2025Apr.23 [cited 2025Sep.21];14(15S):2092-101. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/4441