Department of Software Engineering, University of Engineering and Technology, Taxila, Pakistan.
Department of Software Engineering, University of Engineering and Technology, Taxila, Pakistan.
Int J Med Inform. 2017 Dec;108:134-145. doi: 10.1016/j.ijmedinf.2017.10.008. Epub 2017 Oct 18.
An intelligent information technology based system could have a positive impact on the life-style of patients suffering from chronic diseases by providing useful health recommendations. In this paper, we have proposed a hybrid model that provides disease prediction and medical recommendations to cardiac patients. The first part aims at implementing a prediction model, that can identify the disease of a patient and classify it into one of the four output classes i.e., non-cardiac chest pain, silent ischemia, angina, and myocardial infarction. Following the disease prediction, the second part of the model provides general medical recommendations to patients.
The recommendations are generated by assessing the severity of clinical features of patients, estimating the risk associated with clinical features and disease, and calculating the probability of occurrence of disease. The purpose of this model is to build an intelligent and adaptive recommender system for heart disease patients. The experiments for the proposed recommender system are conducted on a clinical data set collected and labelled in consultation with medical experts from a known hospital.
The performance of the proposed prediction model is evaluated using accuracy and kappa statistics as evaluation measures. The medical recommendations are generated based on information collected from a knowledge base created with the help of physicians. The results of the recommendation model are evaluated using confusion matrix and gives an accuracy of 97.8%.
The proposed system exhibits good prediction and recommendation accuracies and promises to be a useful contribution in the field of e-health and medical informatics.
基于智能信息技术的系统可以通过提供有用的健康建议,对慢性病患者的生活方式产生积极影响。本文提出了一种混合模型,为心脏病患者提供疾病预测和医疗建议。第一部分旨在实现一个预测模型,可以识别患者的疾病,并将其分类为四个输出类别之一,即非心源性胸痛、无症状性缺血、心绞痛和心肌梗死。在疾病预测之后,模型的第二部分为患者提供一般医疗建议。
建议是通过评估患者临床特征的严重程度、估计与临床特征和疾病相关的风险以及计算疾病发生的概率来生成的。该模型的目的是为心脏病患者构建一个智能和自适应的推荐系统。该推荐系统的实验是在与一家知名医院的医学专家协商收集和标记的临床数据集上进行的。
使用准确性和 Kappa 统计作为评估指标来评估所提出的预测模型的性能。医疗建议是根据从医生协助创建的知识库中收集的信息生成的。使用混淆矩阵评估推荐模型的结果,并给出 97.8%的准确性。
所提出的系统表现出良好的预测和推荐准确性,有望在电子健康和医学信息学领域做出有价值的贡献。