Abstract
This paper discusses the design and implementation of an Internet of Things (IoT)-based telemedicine health monitoring system (THMS) with an early warning scoring (EWS) function that reads, assesses, and logs physiological parameters of a patient such as body temperature, oxygen saturation level, systemic arterial pressure, breathing patterns, pulse (heart) rate, supplemental oxygen dependency, consciousness, and pain level using Particle Photon microcontrollers interfaced with biosensors and switches. The Mandami fuzzy inference-based medical decision support system (FI-MDSS) was also developed using MATLAB to assist medical professionals in evaluating a patient’s health risk and deciding on the appropriate clinical intervention. The patient’s physiological measurements, EWS, and health risk category are stored on the Particle cloud and Thing Speak cloud platforms and can be accessed remotely and in real-time via the Internet. Furthermore, a RESTful application programming interface (API) was developed using GO language and PostgreSQL database to enhance data presentation and accessibility. Based on the paired samples t-tests obtained from 6 sessions with 10 trials for each vital sign per session, there were no significant differences between the clinical data obtained from the designed prototype and the commercially sold medical equipment. The mean differences between the compared samples for each physiological data were not more than 0.40, the standard deviations were less than 2.3, and the p-values were greater than 0.05. With a 96.67% accuracy, the FI-MDSS predicted health risk levels that were comparable to conventional EWS techniques such as the Modified National Early Warning Score (m-NEWS) and NEWS2, which are used in the clinical decision-making process for managing patients with COVID-19 and other infectious illnesses.
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Acknowledgements
Special thanks to the University of Technology and Applied Sciences-Al Musanna for their unwavering support of this research endeavor, as well as The Research Council (TRC) of Oman for providing the financial resources that made it possible.
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Nagayo, A.M., Al Ajmi, M.Z.K., Guduri, N.R.K., AlBuradai, F.S.H. (2023). IoT-Based Telemedicine Health Monitoring System with a Fuzzy Inference-Based Medical Decision Support Module for Clinical Risk Evaluation. In: Reddy, A.B., Nagini, S., Balas, V.E., Raju, K.S. (eds) Proceedings of Third International Conference on Advances in Computer Engineering and Communication Systems. Lecture Notes in Networks and Systems, vol 612. Springer, Singapore. https://doi.org/10.1007/978-981-19-9228-5_28
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