论文标题

从潮汐呼吸中推断出COPD严重程度

Inferring COPD Severity from Tidal Breathing

论文作者

Odame, Kofi, Atkins, Graham, Nyamukuru, Maria, Fearon, Katherine

论文摘要

目的:开发一种可以从可穿戴设备收集的潮汐呼吸数据中推断出COPD患者气流限制的严重程度的算法。 方法:从25位单一访问成人志愿者那里收集数据,并确认或怀疑慢性阻塞性肺疾病(COPD)。每个受试者的地面真相气流限制的严重程度是通过将全球倡议应用于受试者的肺活量测定法上的慢性阻塞性肺疾病(GOLD)分期标准的确定。在训练有素的临床人员的监督下,在肺功能测试实验室中进行了肺活量测定法。另外,在安静的呼吸过程中测量了受试者的呼吸信号,并建立了分类模型,以从测量的呼吸信号中推断受试者的气流限制水平。使用剩下的测试对地面真相评估了分类模型。 结果:气道阻塞的严重程度被归类为轻度/中度或严重/非常严重,精度为96.4%。 结论:可使用可穿戴设备测量的潮汐呼吸参数可用于区分COPD患者的不同水平的气流限制。

Objective: To develop an algorithm that can infer the severity level of a COPD patient's airflow limitation from tidal breathing data that is collected by a wearable device. Methods: Data was collected from 25 single visit adult volunteers with a confirmed or suspected diagnosis of chronic obstructive pulmonary disease (COPD). The ground truth airflow limitation severity of each subject was determined by applying the Global Initiative for Chronic Obstructive Lung Disease (GOLD) staging criteria to the subject's spirometry results. Spirometry was performed in a pulmonary function test laboratory under the supervision of trained clinical staff. Separately, the subjects' respiratory signal was measured during quiet breathing, and a classification model was built to infer the subjects' level of airflow limitation from the measured respiratory signal. The classification model was evaluated against the ground truth using leave-one-out testing. Results: Severity of airway obstruction was classified as either mild/moderate or severe/very severe with an accuracy of 96.4%. Conclusion: Tidal breathing parameters that are measured with a wearable device can be used to distinguish between different levels of airflow limitation in COPD patients.

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