Skip to main content

Enhancing the Self-Aware Early Warning Score System Through Fuzzified Data Reliability Assessment

  • Conference paper
  • First Online:
Wireless Mobile Communication and Healthcare (MobiHealth 2017)

Abstract

Early Warning Score (EWS) systems are a common practice in hospitals. Health-care professionals use them to measure and predict amelioration or deterioration of patients’ health status. However, it is desired to monitor EWS of many patients in everyday settings and outside the hospitals as well. For portable EWS devices, which monitor patients outside a hospital, it is important to have an acceptable level of reliability. In an earlier work, we presented a self-aware modified EWS system that adaptively corrects the EWS in the case of faulty or noisy input data. In this paper, we propose an enhancement of such data reliability validation through deploying a hierarchical agent-based system that classifies data reliability but using Fuzzy logic instead of conventional Boolean values. In our experiments, we demonstrate how our reliability enhancement method can offer a more accurate and more robust EWS monitoring system.

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

Notes

  1. 1.

    The reliability module in our implementation limits the cross-reliability \(r_{cro}\) to a value between 0 to 1, although theoretically, a coefficient less than 1 can lead to a \(r_{cro}\) higher that 1.

References

  1. WHO: Chronic diseases and health promotion. http://www.who.int/chp/en/. Accessed June 2017

  2. Kyriacos, U.: Monitoring vital signs using early warning scoring systems: a review of the literature. J. Nurs. Manag. 19(3), 311–330 (2011)

    Article  Google Scholar 

  3. Morgan, R.J.M.: An early warning scoring system for detecting developing critical illness. Clin. Intensive Care 8(2), 100 (1997)

    Google Scholar 

  4. Anzanpour, A., et al.: Internet of Things enabled in-home health monitoring system using early warning score. In: Proceedings of MobiHealth (2015)

    Google Scholar 

  5. Anzanpour, A., et al.: Self-awareness in remote health monitoring systems using wearable electronics. In: DATE Conference (2017)

    Google Scholar 

  6. Götzinger, M., Taherinejad, N., Rahmani, A.M., Liljeberg, P., Jantsch, A., Tenhunen, H.: Enhancing the early warning score system using data confidence. In: Perego, P., Andreoni, G., Rizzo, G. (eds.) MobiHealth 2016. LNICST, vol. 192, pp. 91–99. Springer, Cham (2017). https://doi.org/10.1007/978-3-319-58877-3_12

    Chapter  Google Scholar 

  7. TaheriNejad, N., et al.: Comprehensive observation and its role in self-awareness; an emotion recognition system example. In: Proceedings of FedCSIS (2016)

    Google Scholar 

  8. Pasquier, M., et al.: Cooling rate of 9.4 \(^\circ \)C in an hour in an avalanche victim. Resuscitation 93, e17–e18 (2015)

    Article  Google Scholar 

  9. Reule, S.: Heart rate and blood pressure: any possible implications for management of hypertension? Curr. Hypertens. Rep. 14(6), 478–484 (2012)

    Article  Google Scholar 

  10. Davies, P.: The relationship between body temperature, heart rate and respiratory rate in children. Emerg. Med. J. 26(9), 641–643 (2009)

    Article  Google Scholar 

  11. Zila, I., Calkovska, A.: Effects of elevated body temperature on control of breathing. Acta Medica Martiniana 2011(Supp 1), 24–30 (2011)

    Google Scholar 

  12. Ross, T.J.: Fuzzy Logic with Engineering Applications. Wiley, New York (2009)

    Google Scholar 

  13. Guang, L.: Hierarchical agent monitoring design approach towards self-aware parallel soc. ACM Trans. Embed. Comput. Syst. 9(3), 25 (2010)

    Article  Google Scholar 

  14. Zephyr: Bioharness 3. www.zephyranywhere.com. Accessed June 2017

  15. iHealth: iHealth BP5. www.ihealthlabs.com/blood-pressure-monitors/feel/. Accessed June 2017

  16. iHealth: iHealth PO3. www.ihealthlabs.com/fitness-devices/wireless-pulse-oximeter/. Accessed June 2017

  17. Maxim Integrated: DS18b20. www.maximintegrated.com/en/products/analog/sensors-and-sensor-interface/DS18B20.html. Accessed June 2017

  18. ATMEL: Atmega328p. www.atmel.com/devices/atmega328p. Accessed June 2017

  19. Nordic Semiconductor: nrf51822. www.nordicsemi.com/eng/Products/Bluetooth-low-energy/nRF51822. Accessed June 2017

  20. Song, H.S., et al.: The effects of specific respiratory rates on heart rate and heart rate variability. Appl. Psychophysiol. Biofeedback 28(1), 13–23 (2003)

    Article  Google Scholar 

Download references

Acknowledgement

The authors wish to acknowledge the financial support by the Marie Curie Actions of the European Union’s H2020 Programme.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maximilian Götzinger .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Götzinger, M., Anzanpour, A., Azimi, I., TaheriNejad, N., Rahmani, A.M. (2018). Enhancing the Self-Aware Early Warning Score System Through Fuzzified Data Reliability Assessment. In: Perego, P., Rahmani, A., TaheriNejad, N. (eds) Wireless Mobile Communication and Healthcare. MobiHealth 2017. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 247. Springer, Cham. https://doi.org/10.1007/978-3-319-98551-0_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-98551-0_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98550-3

  • Online ISBN: 978-3-319-98551-0

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics