论文标题
使用数字血氧蛋白生物标记物对夜间诊断的夜间诊断诊断
Machine learning for nocturnal diagnosis of chronic obstructive pulmonary disease using digital oximetry biomarkers
论文作者
论文摘要
目的:慢性阻塞性肺疾病(COPD)是一种高度普遍的慢性病。 COPD是发病率,死亡率和医疗保健成本的主要来源。肺活量测定法是COPD明确诊断和严重程度分级的金标准测试。但是,很大一部分患有COPD的人未经诊断和未经治疗。鉴于COPD的高流行及其临床重要性,至关重要的是,开发新算法以识别未诊断的COPD,尤其是在处于危险中的特定组中,例如患有睡眠障碍呼吸的特定组。据我们所知,尚无研究研究夜间血氧仪时间序列中COPD诊断的可行性。方法:我们假设患有COPD的患者将在这种情况下施加某些模式和/或动力学的一夜之间的血氧仪时间序列。我们介绍了一种使用44个Oximetry数字生物标志物和5个人群特征的夜间COPD诊断的新方法,并评估其在呼吸困难风险的人群样本中的表现。总共n = 350例独特的患者多肌术(PSG)记录。使用这些特征对随机森林(RF)分类器进行训练,并使用嵌套交叉验证程序进行评估。意义:我们的研究做出了许多新颖的科学贡献。首先,我们首次证明了夜间血氧仪时间序列中COPD诊断的可行性,该样本风险患有睡眠不足的呼吸。我们强调了哪种数字血氧仪生物标志物最能反映出COPD在一夜之间表现的方式。结果激发了隔夜单通道血氧仪是COPD诊断的宝贵途径。
Objective: Chronic obstructive pulmonary disease (COPD) is a highly prevalent chronic condition. COPD is a major source of morbidity, mortality and healthcare costs. Spirometry is the gold standard test for a definitive diagnosis and severity grading of COPD. However, a large proportion of individuals with COPD are undiagnosed and untreated. Given the high prevalence of COPD and its clinical importance, it is critical to develop new algorithms to identify undiagnosed COPD, especially in specific groups at risk, such as those with sleep disorder breathing. To our knowledge, no research has looked at the feasibility of COPD diagnosis from the nocturnal oximetry time series. Approach: We hypothesize that patients with COPD will exert certain patterns and/or dynamics of their overnight oximetry time series that are unique to this condition. We introduce a novel approach to nocturnal COPD diagnosis using 44 oximetry digital biomarkers and 5 demographic features and assess its performance in a population sample at risk of sleep-disordered breathing. A total of n=350 unique patients polysomnography (PSG) recordings. A random forest (RF) classifier is trained using these features and evaluated using the nested cross-validation procedure. Significance: Our research makes a number of novel scientific contributions. First, we demonstrated for the first time, the feasibility of COPD diagnosis from nocturnal oximetry time series in a population sample at risk of sleep disordered breathing. We highlighted what digital oximetry biomarkers best reflect how COPD manifests overnight. The results motivate that overnight single channel oximetry is a valuable pathway for COPD diagnosis.