Hurley Nathan C, Spatz Erica S, Krumholz Harlan M, Jafari Roozbeh, Mortazavi Bobak J
Texas A&M University, USA.
Yale University, USA.
ACM Trans Comput Healthc. 2021 Jan;2(1). doi: 10.1145/3417958. Epub 2020 Dec 30.
Cardiovascular disorders cause nearly one in three deaths in the United States. Short- and long-term care for these disorders is often determined in short-term settings. However, these decisions are made with minimal longitudinal and long-term data. To overcome this bias towards data from acute care settings, improved longitudinal monitoring for cardiovascular patients is needed. Longitudinal monitoring provides a more comprehensive picture of patient health, allowing for informed decision making. This work surveys sensing and machine learning in the field of remote health monitoring for cardiovascular disorders. We highlight three needs in the design of new smart health technologies: (1) need for sensing technologies that track longitudinal trends of the cardiovascular disorder despite infrequent, noisy, or missing data measurements; (2) need for new analytic techniques designed in a longitudinal, continual fashion to aid in the development of new risk prediction techniques and in tracking disease progression; and (3) need for personalized and interpretable machine learning techniques, allowing for advancements in clinical decision making. We highlight these needs based upon the current state of the art in smart health technologies and analytics. We then discuss opportunities in addressing these needs for development of smart health technologies for the field of cardiovascular disorders and care.
在美国,心血管疾病导致的死亡人数几乎占总死亡人数的三分之一。对这些疾病的短期和长期护理通常在短期环境中决定。然而,这些决策所依据的纵向和长期数据极少。为了克服这种对急性护理环境数据的偏向,需要加强对心血管疾病患者的纵向监测。纵向监测能更全面地了解患者健康状况,从而做出明智的决策。这项工作调查了心血管疾病远程健康监测领域中的传感技术和机器学习。我们强调了新型智能健康技术设计中的三个需求:(1)需要传感技术,即便数据测量不频繁、有噪声或缺失,也能追踪心血管疾病的纵向趋势;(2)需要以纵向、持续的方式设计新的分析技术,以帮助开发新的风险预测技术并追踪疾病进展;(3)需要个性化且可解释的机器学习技术,以推动临床决策的进步。我们基于智能健康技术和分析的当前技术水平强调了这些需求。然后,我们讨论了满足这些需求为心血管疾病及护理领域开发智能健康技术的机遇。