Machine learning-based algorithms for at-home respiratory disease monitoring and respiratory assessment

Respiratory diseases impose a significant burden on global health, with current diagnostic and management practices primarily reliant on specialist clinical testing. This work aims to develop machine learning-based algorithms to facilitate at-home respiratory disease monitoring and assessment for patients undergoing continuous positive airway pressure (CPAP) therapy. Data were collected from 30 healthy adults, encompassing respiratory pressure, flow, and dynamic thoraco-abdominal circumferential measurements under three breathing conditions: normal, panting, and deep breathing. Various machine learning models, including the random forest classifier, logistic regression, and support vector machine (SVM), were trained to predict breathing types. The random forest classifier demonstrated the highest accuracy, particularly when incorporating breathing rate as a feature. These findings support the potential of AI-driven respiratory monitoring systems to transition respiratory assessments from clinical settings to home environments, enhancing accessibility and patient autonomy. Future work involves validating these models with larger, more diverse populations and exploring additional machine learning techniques.

Prediction of COPD Using Machine Learning, Clinical Summary Notes, and Vital Signs

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. In the United States, more than 15.7 million Americans have been diagnosed with COPD, with 96% of individuals living with at least one other chronic health condition. It is the 4th leading cause of death in the country. Over 2.2 million patients are admitted to hospitals annually due to COPD exacerbations. Monitoring and predicting patient exacerbations on-time could save their life. This paper presents two different predictive models to predict COPD exacerbation using AI and natural language processing (NLP) approaches. These models use respiration summary notes, symptoms, and vital signs. To train and test these models, data records containing physiologic signals and vital signs time series were used. These records were captured from patient monitors and comprehensive clinical data obtained from hospital medical information systems for tens of thousands of Intensive Care Unit (ICU) patients. We achieved an area under the Receiver operating characteristic (ROC) curve of 0.82 in detection and prediction of COPD exacerbation.