Skip to main content

Home-Based Multi-parameter Analysis for Early Risk Detection and Management of a Chronic Disease

  • Conference paper
  • First Online:
Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE 2017)

Abstract

Proactive support of patients with chronic diseases such as Congestive Heart Failure is vital since the recovery from a critical condition usually presents complications and it is not always possible. Although emergency situations may occur without prior warning, still in the majority of emergency cases, there are “signals” that precede their appearance. By capitalizing on technology developments that are changing the way how healthcare services are provided, we propose a multi-parameter and multi-level data analysis approach in order to detect possible alarms which can then trigger proper preventive medical interventions. The main contribution of the presented approach is a methodology that combines selected health parameters that can be measured in a home environment using ambient assisted living technologies, with clinical history, in order to design a risk detection system for a chronic disease based on a Bayesian reasoning network. The added value of the proposed approach is that the system not only collects, processes and transmits vital measurements to the healthcare experts but also detects risks within the collected data. The system developed is discussed in detail as well as the validation process performed both on a technical and a medical level.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bloom, D., Cafiero, E., Jané-Llopis, E., et al.: The Global Economic Burden of Noncommunicable Diseases. World Economic Forum, Geneva (2011). http://www3.weforum.org/docs/WEF_Harvard_HE_GlobalEconomicBurdenNonCommunicableDiseases_2011.pdf. Accessed Aug 15 2017

  2. Giamouzis, G., Kalogeropoulos, A., Georgiopoulou, V., et al.: Telemonitoring in chronic heart failure: a systematic review. Cardiol. Res. Pract. 2012, 1–7 (2012)

    Google Scholar 

  3. Lucas, P.J., van der Gaag, L.C., Abu-Hanna, A.: Bayesian networks in biomedicine and health-care. Artif. Intell. Med. 30(3), 201–214 (2004)

    Article  Google Scholar 

  4. van der Heijden, M., Velikova, M., Lucas, P.J.: Learning Bayesian networks for clinical time series analysis. J. Biomed. Inform. 48, 94–105 (2014)

    Article  Google Scholar 

  5. Heckerman, D.: A tutorial on learning with Bayesian networks. In: Holmes, D.E., Jain, L.C. (eds.) Innovations in Bayesian Networks. Studies in Computational Intelligence, vol. 156, pp. 33–82. Springer, Heidelberg (2008). https://doi.org/10.1007/978-3-540-85066-3_3

    Chapter  MATH  Google Scholar 

  6. Anand, V., Downs, S.M.: Probabilistic asthma case finding: a noisy OR reformulation. In: AMIA Annual Symposium Proceedings, pp. 6–10 (2008)

    Google Scholar 

  7. Aronsky, D., Fiszman, M., Chapman, W.W., Haug, P.J.: Combining decision support methodologies to diagnose pneumonia. In: AMIA Annual Symposium Proceedings, pp. 12–16 (2001)

    Google Scholar 

  8. Foreman, D., Morton, S., Ford, T.: Exploring the clinical utility of the Development And Well-Being Assessment (DAWBA) in the detection of hyperkinetic disorders and associated diagnoses in clinical practice. J. Child Psychol. Psychiatry 50(4), 460–470 (2009)

    Article  Google Scholar 

  9. Steinhauer, H.J., Mellin, J.: Automatic early risk detection of possible medical conditions for usage within an AMI-system. In: Mohamed, A., Novais, P., Pereira, A., Villarrubia González, G., Fernández-Caballero, A. (eds.) Ambient Intelligence - Software and Applications. AISC, vol. 376, pp. 13–21. Springer, Cham (2015). https://doi.org/10.1007/978-3-319-19695-4_2

    Chapter  Google Scholar 

  10. Gatti, E., Luciani, D., Stella, F.: A continuous time Bayesian network model for cardiogenic heart failure. Flex. Serv. Manuf. J. 24(4), 496–515 (2012)

    Article  Google Scholar 

  11. Ghosh, J.K., Valtorta, M.: Probabilistic Bayesian network model building of heart disease. Department of Computer Science, University of South Carolina Columbia, SC 29208, Technical report TR9911 (1999)

    Google Scholar 

  12. Pearl, J.: Probabilistic Reasoning in Intelligent Systems: Networks of Plausible Inference. Morgan Kaufmann, San Francisco (1988)

    MATH  Google Scholar 

  13. Bolt, J.H., van der Gaag, L.C.: An empirical study of the use of the noisy-or model in a real-life Bayesian network. In: Hüllermeier, E., Kruse, R., Hoffmann, F. (eds.) IPMU 2010. CCIS, vol. 80, pp. 11–20. Springer, Heidelberg (2010). https://doi.org/10.1007/978-3-642-14055-6_2

    Chapter  Google Scholar 

  14. Su, J.C.: Developing an early warning system for congestive heart failure using a Bayesian reasoning network. Doctoral dissertation, Massachusetts Institute of Technology (2001)

    Google Scholar 

  15. Auble, T.E., Hsieh, M., Gardner, W., Cooper, G.F., Stone, R.A., McCausland, J.B., Yealy, D.M.: A prediction rule to identify low-risk patients with heart failure. Acad. Emerg. Med. 12(6), 514–521 (2005)

    Article  Google Scholar 

  16. Visweswaran, S., Angus, D.C., Hsieh, M., Weissfeld, L., Yealy, D., Cooper, G.F.: Learning patient-specific predictive models from clinical data. J. Biomed. Inform. 43(5), 669–685 (2010)

    Article  Google Scholar 

  17. Malan, D., Fulford-Jones, T., Welsh, M., Moulton, S.: CodeBlue: an ad hoc sensor network infrastructure for emergency medical care. In: MobiSys 2004 Workshop on Applications of Mobile Embedded Systems (WAMES 2004), Boston, MA, June 2004, pp. 12–14 (2004)

    Google Scholar 

  18. Ko, J., Lim, J.H., Chen, Y., Musvaloiu-E, R., Terzis, A., Masson, G.M., Gao, T., Destler, W., Selavo, L., Dutton, R.P.: MEDiSN: medical emergency detection in sensor networks. ACM Trans. Embed. Comput. Syst. 10(1), 1–29 (2010)

    Article  Google Scholar 

  19. Suh, M.K., Evangelista, L.S., Chen, C.A., Han, K., Kang, J., Tu, M.K., Chen, V., Nahapetian, A., Sarrafzadeh, M.: An automated vital sign monitoring system for congestive heart failure patients. In: 1st ACM International Health Informatics Symposium, pp. 108–117. ACM, New York (2010)

    Google Scholar 

  20. Nashef, S.A., Roques, F., Sharples, L.D., Nilsson, J., Smith, C., Goldstone, A.R., Lockowandt, U.: EuroSCORE II. Eur. J. Cardiothorac. Surg. 41(3), 734–744 (2012)

    Article  Google Scholar 

  21. Lappa, A., Goumopoulos C.: A home-based early risk detection system for congestive heart failure using a Bayesian reasoning network. In: 3rd International Conference on Information and Communication Technologies for Ageing Well and e-Health, pp. 58–69. SCITEPRESS, Setúbal (2017)

    Google Scholar 

  22. Altman, D.G.: Practical Statistics for Medical Research. CRC Press, London (1990)

    Google Scholar 

  23. Dale, D.: Rapid Interpretation of EKG’s: An Interactive Course. Cover Publishing Company, Tampa (2000)

    Google Scholar 

  24. Braunwald, E., Bristow, M.R.: Congestive heart failure: fifty years of progress. Circulation 102(4), 4–23 (2000)

    Google Scholar 

  25. Long, W.J., Fraser, H., Naimi, S.: Reasoning requirements for diagnosis of heart disease. Artif. Intell. Med. 10(1), 5–24 (1997)

    Article  Google Scholar 

  26. He, J., Ogden, L.G., Bazzano, L.A., Vupputuri, S., Loria, C., Whelton, P.K.: Risk factors for congestive heart failure in US men and women: NHANES I epidemiologic follow-up study. Arch. Intern. Med. 161(7), 996–1002 (2001)

    Article  Google Scholar 

  27. Darwiche, A.: Modeling and Reasoning with Bayesian Networks. Cambridge University Press, Cambridge (2009)

    Book  Google Scholar 

  28. Haider, A.W., Larson, M.G., Franklin, S.S., Levy, D.: Systolic blood pressure, diastolic blood pressure, and pulse pressure as predictors of risk for congestive heart failure in the Framingham Heart Study. Ann. Intern. Med. 138(1), 10–16 (2003)

    Article  Google Scholar 

  29. Onisko, A., Druzdzel, M.J., Wasyluk, H.: Learning Bayesian network parameters from small data sets: application of noisy-OR gates. Int. J. Approx. Reason. 27, 165–182 (2001)

    Article  Google Scholar 

  30. Pan, J., Tompkins, W.J.: A real-time QRS detection algorithm. IEEE Trans. Biomed. Eng. 3, 230–236 (1985)

    Article  Google Scholar 

  31. Kutschke, M.: Jayes: Bayesian network library (2013). https://github.com/kutschkem/Jayes. Accessed Aug 15 2017

  32. EuroSCORE calculator. http://www.euroscore.org/calc.html

  33. Pitchforth, J., Mengersen, K.: A proposed validation framework for expert elicited Bayesian networks. Expert Syst. Appl. 40(1), 162–167 (2013)

    Article  Google Scholar 

Download references

Acknowledgements

Part of this research has been co-financed by the European Union (European Social Fund – ESF) and Greek national funds through the Operational Program “DEPIN” of the National Strategic Reference Framework (NSRF) (Project code: 465435). The authors wish to thank the medical experts for their valuable contribution in this study, especially in the BN model validation process.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christos Goumopoulos .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Goumopoulos, C., Lappa, A. (2018). Home-Based Multi-parameter Analysis for Early Risk Detection and Management of a Chronic Disease. In: Röcker, C., O’Donoghue, J., Ziefle, M., Maciaszek, L., Molloy, W. (eds) Information and Communication Technologies for Ageing Well and e-Health. ICT4AWE 2017. Communications in Computer and Information Science, vol 869. Springer, Cham. https://doi.org/10.1007/978-3-319-93644-4_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-93644-4_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93643-7

  • Online ISBN: 978-3-319-93644-4

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics