Classification of health deterioration by geometric invariants

Comput Methods Programs Biomed. 2023 Sep:239:107623. doi: 10.1016/j.cmpb.2023.107623. Epub 2023 May 26.

Abstract

Background and objectives: Prediction of patient deterioration is essential in medical care, and its automation may reduce the risk of patient death. The precise monitoring of a patient's medical state requires devices placed on the body, which may cause discomfort. Our approach is based on the processing of long-term ballistocardiography data, which were measured using a sensory pad placed under the patient's mattress.

Methods: The investigated dataset was obtained via long-term measurements in retirement homes and intensive care units (ICU). Data were measured unobtrusively using a measuring pad equipped with piezoceramic sensors. The proposed approach focused on the processing methods of the measured ballistocardiographic signals, Cartan curvature (CC), and Euclidean arc length (EAL).

Results: For analysis, 218,979 normal and 216,259 aberrant 2-second samples were collected and classified using a convolutional neural network. Experiments using cross-validation with expert threshold and data length revealed the accuracy, sensitivity, and specificity of the proposed method to be 86.51 CONCLUSIONS: The proposed method provides a unique approach for an early detection of health concerns in an unobtrusive manner. In addition, the suitability of EAL over the CC was determined.

Keywords: Ballistocardiography; Cartan curvature; Convolutional neural network; Deterioration detection; Piezoeceramic sensor.

MeSH terms

  • Ballistocardiography*
  • Beds
  • Heart Rate
  • Humans
  • Neural Networks, Computer*