Ali Amir, Montanaro Teodoro, Sergi Ilaria, Carrisi Simone, Galli Daniele, Distante Cosimo, Patrono Luigi
Department of Engineering for Innovation, Università del Salento, 73100 Lecce, Italy.
Gematica s.r.l., 73100 Lecce, Italy.
Sensors (Basel). 2025 Mar 11;25(6):1735. doi: 10.3390/s25061735.
The aging global population requires innovative remote monitoring systems to assist doctors and caregivers in assessing the health of elderly patients. Doctors often lack access to continuous behavioral data, making it difficult to detect deviations from normal patterns when elderly patients arrive for a consultation. Without historical insights into common behaviors and potential anomalies detected with unobtrusive techniques (e.g., non-wearable devices), timely and informed medical interventions become challenging. To address this, we propose an edge-based Internet of Things (IoT) framework that enables real-time monitoring and anomaly detection using non-wearable sensors to assist doctors and caregivers in assessing the health of elderly patients. By processing data locally, the system minimizes privacy concerns and ensures immediate data availability, allowing healthcare professionals to detect unusual behavioral patterns early. The system employs advanced machine learning (ML) models to identify deviations that may indicate potential health risks. A prototype of our system has been developed to test its feasibility and demonstrate, through the application of two of the most frequently used ML models, i.e., isolation forest and Long Short-Term Memory (LSTM) networks, that it can provide scalability, efficiency, and reliability in the context of elderly care. Further, the provided dashboard enables caregivers and healthcare professionals to access real-time alerts and longitudinal trends, facilitating proactive interventions. The proposed approach improves healthcare responsiveness by providing instant insights into patient behavior, facilitating more accurate diagnoses and interventions. This study lays the groundwork for future advancements in the field and offers valuable insights for the research community to harness the full potential of combining edge computing, artificial intelligence (AI), and the IoT in elderly care.
全球人口老龄化需要创新的远程监测系统,以协助医生和护理人员评估老年患者的健康状况。医生常常无法获取连续的行为数据,这使得在老年患者前来就诊时难以察觉其与正常模式的偏差。如果没有通过非侵入性技术(如非可穿戴设备)检测到的常见行为及潜在异常的历史洞察,及时且明智的医疗干预将变得具有挑战性。为解决这一问题,我们提出了一种基于边缘的物联网(IoT)框架,该框架利用非可穿戴传感器实现实时监测和异常检测,以协助医生和护理人员评估老年患者的健康状况。通过在本地处理数据,该系统将隐私问题降至最低,并确保数据即时可用,使医疗保健专业人员能够尽早发现异常行为模式。该系统采用先进的机器学习(ML)模型来识别可能表明潜在健康风险的偏差。我们已开发出系统原型,以测试其可行性,并通过应用两种最常用的ML模型,即孤立森林和长短期记忆(LSTM)网络,证明它在老年护理环境中能够提供可扩展性、效率和可靠性。此外,所提供的仪表板使护理人员和医疗保健专业人员能够获取实时警报和纵向趋势,便于进行主动干预。所提出的方法通过提供对患者行为的即时洞察来提高医疗响应能力,有助于进行更准确的诊断和干预。本研究为该领域未来的发展奠定了基础,并为研究界提供了宝贵的见解,以充分发挥边缘计算、人工智能(AI)和物联网在老年护理中的潜力。