Moving prediction of exacerbation in chronic obstructive pulmonary disease for patients in telecare

被引:42
作者
Jensen, Morten H. [1 ]
Cichosz, Simon L. [1 ]
Dinesen, Birthe [1 ]
Hejlesen, Ole K. [1 ]
机构
[1] Aalborg Univ, Dept Hlth Sci & Technol, Aalborg, Denmark
关键词
RISK;
D O I
10.1258/jtt.2011.110607
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We investigated whether physiological data can be used for predicting chronic obstructive pulmonary disease (COPD) exacerbations. Home measurements from 57 patients were analysed, during which 10 exacerbations occurred in nine patients. A total of 273 different features were evaluated for their discrimination abilities between periods with and without exacerbations. The analysis showed that if a sensitivity level of 70% is considered to be acceptable, then the specificity was 95% and the AUC was 0.73, i.e. it is possible to discriminate between periods of exacerbation and periods without. A system capable of predicting risk could provide support to COPD patients in their tele-rehabilitation.
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页码:99 / 103
页数:5
相关论文
共 12 条
[1]   Risk factors for hospital readmission in patients with chronic obstructive pulmonary disease [J].
Almagro, Pedro ;
Barreiro, Bienvenido ;
Ochoa de Echaguen, Anna ;
Quintana, Salvador ;
Carballeira, Mnica Rodriguez ;
Heredia, Jose L. ;
Garau, Javier .
RESPIRATION, 2006, 73 (03) :311-317
[2]  
[Anonymous], 2000, Pattern Classification
[3]   THE MEANING AND USE OF THE AREA UNDER A RECEIVER OPERATING CHARACTERISTIC (ROC) CURVE [J].
HANLEY, JA ;
MCNEIL, BJ .
RADIOLOGY, 1982, 143 (01) :29-36
[4]  
Juel K, 2003, KOL DANMARK
[5]   Prediction of risk of COPD exacerbations by the BODE index [J].
Marin, Jose M. ;
Carrizo, Santiago J. ;
Casanova, Ciro ;
Martinez-Camblor, Pablo ;
Soriano, Joan B. ;
Agusti, Alvar G. N. ;
Celli, Bartolome R. .
RESPIRATORY MEDICINE, 2009, 103 (03) :373-378
[6]   Prognostic value of C-reactive protein in chronic obstructive pulmonary disease [J].
Miniati, Massimo ;
Monti, Simonetta ;
Bottai, Matteo ;
Cocci, Franca ;
Fornai, Edo ;
Lubrano, Valter .
INTERNAL AND EMERGENCY MEDICINE, 2011, 6 (05) :423-430
[7]  
Moeslund TB, 2001, PRINCIPAL COMPONENT
[8]  
NIP, 2007, CHRON OBSTR PULM DIS
[9]   A multidimensional grading system (BODE index) as predictor of hospitalization for COPD [J].
Ong, KC ;
Earnest, A ;
Lu, SJ .
CHEST, 2005, 128 (06) :3810-3816
[10]   Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease [J].
Seemungal, TAR ;
Donaldson, GC ;
Paul, EA ;
Bestall, JC ;
Jeffries, DJ ;
Wedzicha, JA .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1998, 157 (05) :1418-1422