Title :
Fuzzy reasoning Clinical Decision Support for manual titration of Positive Airway Pressure Support and Oxygen supply in patients with Obstructive Sleep Apnea
Author :
Tzavaras, A. ; Spyropoulos, B. ; Weller, P.R.
Author_Institution :
Dept. of Med. Instrum. Technol., Technol. Educ. Inst. of Athens, Aigaleo, Greece
Abstract :
Continuous Positive Airway Pressure Support (CPAP) devices are commonly used in Home Care for treating patients with sleep breathing disorders. This paper presents a Clinical Decision Support (CDS) model for adult patients with Obstructive Sleep Apnea, advising manual titration of positive pressure support and Oxygen supply. The CDS collects data from wireless devices, namely Arterial Oxygen Saturation (SaO2) and upper airway flow & pressure, and utilizes a Fuzzy logic (FL) algorithm for producing advice on the level of pressure support and oxygen supply according to patient´s needs. CDS suggestion on pressure supply closely followed clinical guidelines (mean rmse 3.16 cm H2O).
Keywords :
biomedical equipment; decision support systems; fuzzy logic; medical disorders; patient care; patient treatment; pneumodynamics; sleep; CDS; CPAP; Clinical Decision Support model; adult patients; arterial oxygen saturation; clinical guidelines; continuous positive airway pressure support devices; fuzzy logic algorithm; fuzzy reasoning clinical decision support; home care; manual titration; obstructive sleep apnea; oxygen supply level; patient treatment; pressure support level; sleep breathing disorder; upper airway flow; upper airway pressure; wireless devices; Fuzzy logic; Guidelines; Manuals; Monitoring; Sleep apnea; Water;
Conference_Titel :
Biomedical and Health Informatics (BHI), 2014 IEEE-EMBS International Conference on
Conference_Location :
Valencia
DOI :
10.1109/BHI.2014.6864379
