Department of Design in Engineering, University of Vigo, 36208 Vigo, Galicia, Spain.
Int J Environ Res Public Health. 2020 Nov 20;17(22):8644. doi: 10.3390/ijerph17228644.
Respiratory diseases are currently considered to be amongst the most frequent causes of death and disability worldwide, and even more so during the year 2020 because of the COVID-19 global pandemic. Aiming to reduce the impact of these diseases, in this work a methodology is developed that allows the early detection and prevention of potential hypoxemic clinical cases in patients vulnerable to respiratory diseases. Starting from the methodology proposed by the authors in a previous work and grounded in the definition of a set of expert systems, the methodology can generate alerts about the patient's hypoxemic status by means of the interpretation and combination of data coming both from physical measurements and from the considerations of health professionals. A concurrent set of Mamdani-type fuzzy-logic inference systems allows the collecting and processing of information, thus determining a final alert associated with the measurement of the global hypoxemic risk. This new methodology has been tested experimentally, producing positive results so far from the viewpoint of time reduction in the detection of a blood oxygen saturation deficit condition, thus implicitly improving the consequent treatment options and reducing the potential adverse effects on the patient's health.
目前,呼吸道疾病被认为是全球范围内最常见的死亡和致残原因之一,尤其是在 2020 年 COVID-19 全球大流行期间。为了降低这些疾病的影响,本工作开发了一种方法,可早期检测和预防易患呼吸道疾病的患者中潜在的低氧血症临床病例。本方法从作者在先前工作中提出的方法出发,并基于一组专家系统的定义,通过解释和组合来自生理测量和卫生专业人员考虑的信息,生成有关患者低氧血症状态的警报。同时使用一组 Mamdani 型模糊逻辑推理系统来收集和处理信息,从而确定与全球低氧血症风险测量相关的最终警报。到目前为止,这种新方法已经通过实验进行了测试,从检测血氧饱和度不足的情况所需的时间减少的角度来看,产生了积极的结果,从而隐含地改善了随后的治疗选择,并降低了对患者健康的潜在不利影响。