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A novel self-adaptive method for improving patient monitoring with composite early-warning scores

2022· article· en· W4320024117 on OpenAlex
Antonio Iyda Paganelli, Pedro Elkind Velmovitsky, Adriano Branco, Markus Endler, Plinio Pelegrini Morita, Paulo Alencar, Donald Cowan

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

Venue2022 IEEE International Conference on Big Data (Big Data) · 2022
Typearticle
Languageen
FieldMedicine
TopicHealthcare Technology and Patient Monitoring
Canadian institutionsUniversity of Waterloo
Fundersnot available
KeywordsComputer scienceWearable computerRemote patient monitoringReal-time computingPruningWearable technologyTransmission (telecommunications)Adaptive samplingMachine learningArtificial intelligenceData miningEmbedded systemMedicineTelecommunications

Abstract

fetched live from OpenAlex

Wearable sensors utilize small, low-cost, noninvasive, and wireless components. These sensors capture vital signs, allowing the monitoring of patients remotely. In this manner, they are efficient tools to enhance patient care and can be used to monitor vulnerable populations, and keep track of the development of chronic diseases, and the transmission of infectious illnesses – such as during pandemics. However, there are many challenges to monitoring patients using wearables, with massive data generation and battery power consumption being significant constraints. Strategies to reduce data generation should be applied taking into account the patient’s clinical status and health risks. Previous studies took advantage of single early-warning scores (EWS) utilized in infirmaries to detect emergencies, reduce transmissions, and be a reference for self-adaptive features embedded in the devices. Our work proposes the use of composite EWS to infer health deterioration risk, minimize data transmissions and power consumption, and reduce excessive alarms through self-adaptive features based on these scores. We also compare our method with previous studies using real patient data. Further, we propose applying self-adaptive features to sampling, processing, and transmission rates. Our method demonstrated enhanced data reduction, 81% fewer readings than the baseline, significant pruning of the number of alarms, and dynamic and automatic inference of patient risk.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.897
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0020.002
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.331
GPT teacher head0.395
Teacher spread0.064 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it