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A Machine Learning Approach to Prediction of Exacerbations of Chronic Obstructive Pulmonary Disease

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Artificial Computation in Biology and Medicine (IWINAC 2015)

Abstract

Chronic Obstructive Pulmonary Disease (COPD) places an enormous burden on the health care systems and causes diminished health related quality of life. The highest proportion of human and economic cost is associated to admissions for acute exacerbation of respiratory symptoms. The remote monitoring of COPD patients with the view of early detection of acute exacerbation of COPD (AECOPD) is one of the goals of the respiratory community. In this study, machine learning was used to develop predictive models. Models robustness to exacerbation definition was analyzed. A non-knowled-ge based approach was followed on data self-reported by patients using a multimodal tool during a remote monitoring 6 months trial. Comparison of different classifier algorithms operating with different AECOPD definitions was performed. Significant results were obtained for AECOPD prediction, regardless of the definition of exacerbation used. Best accuracy was achieved using a PNN classifier independently of the selected AECOPD definition. Our study suggests that the proposed data-driven methodology could help to design reliable predictive algorithms aimed to predict COPD exacerbations and therefore could provide support both to physicians and patients.

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References

  1. Toy, E.L., Gallagher, K.F., Stanley, E.L., Swensen, A.R., Duh, M.S.: The economic impact of exacerbations of chronic obstructive pulmonary disease and exacerbation definition: a review. COPD 7, 214–228 (2010)

    Article  Google Scholar 

  2. Lundell, S., Holmner, Å., Rehn, B., Nyberg, A., Wadell, K.: Telehealthcare in COPD: A systematic review and meta-analysis on physical outcomes and dyspnea. Respiratory Medicine 109(1), 11–26 (2015)

    Article  Google Scholar 

  3. Trappenburg, J., Touwen, I., Oene, G., Bourbeau, J., Monninkhof, E., et al.: Detecting exacerbations using the Clinical COPD Questionnaire. Health Qual Life Outcomes 8, 102 (2010)

    Article  Google Scholar 

  4. Jensen, M.H., Cichosz, S.L., Dinesen, B., Hejlesen, O.K.: Moving prediction of exacerbation in chronic obstructive pulmonary disease for patients in telecare. J. Telemed. Telecare 18, 99–103 (2012)

    Article  Google Scholar 

  5. van der Heijden, M., Lijnse, B., Lucas, P.J.F., Heijdra, Y.F., Schermer, T.R.J.: Managing COPD exacerbations with telemedicine. In: Peleg, M., Lavrač, N., Combi, C. (eds.) AIME 2011. LNCS, vol. 6747, pp. 169–178. Springer, Heidelberg (2011)

    Chapter  Google Scholar 

  6. Walters, E., Walters, J., Wills, K., Robinson, A., Wood-Baker, R.: Clinical diaries in COPD: compliance and utility in predicting acute exacerbations. International Journal of Chronic Obstructive Pulmonary Disease 7, 427–435 (2012)

    Google Scholar 

  7. Mackay, A.J., Donaldson, G.C., Patel, A.R., et al.: Detection and severity grading of COPD exacerbations using the exacerbations of Chronic Obstructive Pulmonary Disease Tool (EXACT). Eur. Respir. J. 43(3), 735–744 (2014)

    Article  Google Scholar 

  8. Mohktar, M.S., Redmond, S.J., Antoniades, N.C., Rochford, P.D., Pretto, J.J., Basilakis, J., McDonald, C.F.: Predicting the risk of exacerbation in patients with chronic obstructive pulmonary disease using home telehealth measurement data. Artificial Intelligence in Medicine (2014), doi:10.1016/j.artmed.2014.12.003

    Google Scholar 

  9. Burton, C., Pinnock, H., McKinstry, B.: Changes in telemonitored physiological variables and symptoms prior to exacerbations of chronic obstructive pulmonary disease. Journal of Telemedicine and Telecare, 1357633X14562733 (2014)

    Google Scholar 

  10. Fernández-Granero, M.A., Sánchez-Morillo, D., León-Jiménez, A., Crespo, L.F.: Automatic prediction of chronic obstructive pulmonary disease exacerbations through home telemonitoring of symptoms. Bio-Medical Materials and Engineering 24(6), 3825–3832 (2014)

    Google Scholar 

  11. Rutter, H., Velardo, C., Toms, C., Williams, V., Tarassenko, L., Farmer, A.: Using a Mobile Health Application to Support Self-Management in COPD-Development of Alert Thresholds Derived from Variability in Self-Reported and Measured Clinical Variables. Am. J. Respir. Crit. Care Med 189, A1396 (2014)

    Google Scholar 

  12. Sanchez-Morillo, D., Fernandez-Granero, M., Leon, A.: Detecting COPD exacerbations early using daily telemonitoring of symptoms and k-means clustering: a pilot study. Med. Biol. Eng. & Comp. (2015), doi:10.1007/s11517-015-1252-4

    Google Scholar 

  13. McKinstry, B.: The use of remote monitoring technologies in managing chronic obstructive pulmonary disease. QJM 106, 883–885 (2013)

    Article  Google Scholar 

  14. Sanders, C., Rogers, A., Bowen, R., Bower, P., Hirani, S., et al.: Exploring barriers to participation and adoption of telehealth and telecare within the whole system demonstrator trial: a qualitative study. BMC Health Serv. Res. 12, 220 (2012)

    Article  Google Scholar 

  15. Hurst, J.R., Donaldson, G., Quint, J.K., Goldring, J.J.P., Patel, A.R.C., Wedzicha, J.A., et al.: Domiciliary pulse-oximetry at exacerbation of chronic obstructive pulmonary disease: prospective pilot study. BMC Pulm. Med. 10, 52–58 (2010)

    Article  Google Scholar 

  16. Effing, T.W., Kerstjens, H.A., Monninkhof, E.M., van der Valk, P.D., Wouters, E.F., Postma, D.S., van der Palen, J.: Definitions of exacerbations: Does it really matter in clinical trials on COPD? CHEST Journal 136(3), 918–923 (2009)

    Article  Google Scholar 

  17. Sanchez-Morillo, D., Crespo, M., Leon, A., Crespo, F.L.: A novel multimodal tool for telemonitoring patients with COPD. Inform Health Soc. Care 40, 1–22 (2013)

    Article  Google Scholar 

  18. Global Strategy for the Diagnosis, Management and Prevention of COP (2014), Global Ini-tiative for Chronic Obstructive Lung Disease (GOLD), http://www.goldcopd.org/ (accessed November 24, 2014)

  19. Powell, M.: Radial Basis Functions for Multivariable Interpolation: A Review. In: Mason, Cox (eds.) Algorithms for Approximation, pp. 143–167. Clarendon Press, Oxford (1987)

    Google Scholar 

  20. Begg, R., Kamruzzaman, J., Sarker, R.: Neural Networks in Healthcare. Potential and Challenges. Idea Group Publishing (2006)

    Google Scholar 

  21. Hartigan, J.A., Wong, M.A.: A K-means clustering algorithm. Applied Statistics 28, 100–108 (1979) [A8]

    Google Scholar 

  22. Specht, D.F.: Probabilistic neural networks. Neural Networks 3, 109–118 (1990)

    Article  Google Scholar 

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Correspondence to Miguel Angel Fernandez-Granero .

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Fernandez-Granero, M.A., Sanchez-Morillo, D., Lopez-Gordo, M.A., Leon, A. (2015). A Machine Learning Approach to Prediction of Exacerbations of Chronic Obstructive Pulmonary Disease. In: Ferrández Vicente, J., Álvarez-Sánchez, J., de la Paz López, F., Toledo-Moreo, F., Adeli, H. (eds) Artificial Computation in Biology and Medicine. IWINAC 2015. Lecture Notes in Computer Science(), vol 9107. Springer, Cham. https://doi.org/10.1007/978-3-319-18914-7_32

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  • DOI: https://doi.org/10.1007/978-3-319-18914-7_32

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18913-0

  • Online ISBN: 978-3-319-18914-7

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