IEEE Trans Biomed Eng. 2022 Jan;69(1):432-442. doi: 10.1109/TBME.2021.3096462. Epub 2021 Dec 23.
Dyspnea, also known as the patient's feeling of difficult or labored breathing, is one of the most common symptoms for respiratory disorders. Dyspnea is usually self-reported by patients using, for example, the Borg scale from 0 - 10, which is however subjective and problematic for those who refuse to cooperate or cannot communicate. The objective of this paper was to develop a learning-based model that can evaluate the correlation between the self-report Borg score and the respiratory metrics for dyspnea induced by exertion and increased airway resistance.
A non-invasive wearable radio-frequency sensor by near-field coherent sensing was employed to retrieve continuous respiratory data with user comfort and convenience. Self-report dyspnea scores and respiratory features were collected on 32 healthy participants going through various physical and breathing exercises. A machine learning model based on the decision tree and random forest then produced an objective dyspnea score.
For unseen data as well as unseen participants, the objective dyspnea score can be in reasonable agreement with the self-report score, and the importance factor of each respiratory metrics can be assessed.
An objective dyspnea score can potentially complement or substitute the self-report for physiologically induced dyspnea.
The method can potentially formulate a baseline for clinical dyspnea assessment and help caregivers track dyspnea continuously, especially for patients who cannot report themselves.
呼吸困难,也称为患者感到呼吸困难或呼吸困难,是呼吸系统疾病最常见的症状之一。呼吸困难通常由患者使用 Borg 量表(从 0 到 10)自我报告,然而对于拒绝合作或无法沟通的患者来说,这种方法是主观的,存在问题。本文的目的是开发一种基于学习的模型,该模型可以评估因用力和气道阻力增加而引起的呼吸困难的自我报告 Borg 评分与呼吸指标之间的相关性。
使用基于近场相干传感的非侵入式可穿戴射频传感器,以用户舒适和方便的方式检索连续呼吸数据。对 32 名健康参与者进行各种身体和呼吸练习,收集自我报告的呼吸困难评分和呼吸特征。然后,基于决策树和随机森林的机器学习模型生成客观的呼吸困难评分。
对于未见数据和未见参与者,客观的呼吸困难评分可以与自我报告评分合理一致,并且可以评估每个呼吸指标的重要因素。
客观的呼吸困难评分可以补充或替代生理引起的呼吸困难的自我报告。
该方法可以为临床呼吸困难评估制定基线,并帮助护理人员持续跟踪呼吸困难,特别是对于无法自我报告的患者。