Prediction of 30-Day Readmission for COPD Patients Using Accelerometer-Based Activity Monitoring
Chronic obstructive pulmonary disease (COPD) claimed 3.0 million lives in 2016 and ranked 3rd among the top 10 global causes of death. Moreover, once diagnosed and discharged from the hospital, the 30-day readmission risk in COPD patients is found to be the highest among all chronic diseases. The ex...
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doaj-1d63b5980a2c44e5ae61d8eba246cbee2020-11-24T22:09:55ZengMDPI AGSensors1424-82202019-12-0120121710.3390/s20010217s20010217Prediction of 30-Day Readmission for COPD Patients Using Accelerometer-Based Activity MonitoringWen-Yen Lin0Vijay Kumar Verma1Ming-Yih Lee2Horng-Chyuan Lin3Chao-Sung Lai4Department of Electrical Engineering, Center for Biomedical Engineering, Chang Gung University, Tao-Yuan 33302, TaiwanDepartment of Electrical Engineering, Center for Biomedical Engineering, Chang Gung University, Tao-Yuan 33302, TaiwanDivision of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Tao-Yuan 33305, TaiwanDepartment of Thoracic Medicine, Chang Gung Memorial Hospital, Tao-Yuan 33305, TaiwanDepartment of Electronic Engineering, Center for Biomedical Engineering, Chang Gung University, Tao-Yuan 33302, TaiwanChronic obstructive pulmonary disease (COPD) claimed 3.0 million lives in 2016 and ranked 3rd among the top 10 global causes of death. Moreover, once diagnosed and discharged from the hospital, the 30-day readmission risk in COPD patients is found to be the highest among all chronic diseases. The existing diagnosis methods, such as Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2019, Body-mass index, airflow Obstruction, Dyspnea, and Exercise (BODE) index, modified Medical Research Council (mMRC), COPD assessment test (CAT), 6-minute walking distance, which are adopted currently by physicians cannot predict the potential readmission of COPD patients, especially within the 30 days after discharge from the hospital. In this paper, a statistical model was proposed to predict the readmission risk of COPD patients within 30-days by monitoring their physical activity (PA) in daily living with accelerometer-based wrist-worn wearable devices. This proposed model was based on our previously reported PA models for activity index (AI) and regularity index (RI) and it introduced a new parameter, quality of activity (QoA), which incorporates previously proposed parameters, such as AI and RI, with other activity-based indices to predict the readmission risk. Data were collected from continuous PA monitoring of 16 COPD patients after hospital discharge as test subjects and readmission prediction criteria were proposed, with a 63% sensitivity and a 37.78% positive prediction rate. Compared to other clinical assessment, diagnosis, and prevention methods, the proposed model showed significant improvement in predicting the 30-day readmission risk.https://www.mdpi.com/1424-8220/20/1/217accelerometersactigraphyactivity monitoringcopdpredictionreadmission riskwearable devices |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wen-Yen Lin Vijay Kumar Verma Ming-Yih Lee Horng-Chyuan Lin Chao-Sung Lai |
spellingShingle |
Wen-Yen Lin Vijay Kumar Verma Ming-Yih Lee Horng-Chyuan Lin Chao-Sung Lai Prediction of 30-Day Readmission for COPD Patients Using Accelerometer-Based Activity Monitoring Sensors accelerometers actigraphy activity monitoring copd prediction readmission risk wearable devices |
author_facet |
Wen-Yen Lin Vijay Kumar Verma Ming-Yih Lee Horng-Chyuan Lin Chao-Sung Lai |
author_sort |
Wen-Yen Lin |
title |
Prediction of 30-Day Readmission for COPD Patients Using Accelerometer-Based Activity Monitoring |
title_short |
Prediction of 30-Day Readmission for COPD Patients Using Accelerometer-Based Activity Monitoring |
title_full |
Prediction of 30-Day Readmission for COPD Patients Using Accelerometer-Based Activity Monitoring |
title_fullStr |
Prediction of 30-Day Readmission for COPD Patients Using Accelerometer-Based Activity Monitoring |
title_full_unstemmed |
Prediction of 30-Day Readmission for COPD Patients Using Accelerometer-Based Activity Monitoring |
title_sort |
prediction of 30-day readmission for copd patients using accelerometer-based activity monitoring |
publisher |
MDPI AG |
series |
Sensors |
issn |
1424-8220 |
publishDate |
2019-12-01 |
description |
Chronic obstructive pulmonary disease (COPD) claimed 3.0 million lives in 2016 and ranked 3rd among the top 10 global causes of death. Moreover, once diagnosed and discharged from the hospital, the 30-day readmission risk in COPD patients is found to be the highest among all chronic diseases. The existing diagnosis methods, such as Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2019, Body-mass index, airflow Obstruction, Dyspnea, and Exercise (BODE) index, modified Medical Research Council (mMRC), COPD assessment test (CAT), 6-minute walking distance, which are adopted currently by physicians cannot predict the potential readmission of COPD patients, especially within the 30 days after discharge from the hospital. In this paper, a statistical model was proposed to predict the readmission risk of COPD patients within 30-days by monitoring their physical activity (PA) in daily living with accelerometer-based wrist-worn wearable devices. This proposed model was based on our previously reported PA models for activity index (AI) and regularity index (RI) and it introduced a new parameter, quality of activity (QoA), which incorporates previously proposed parameters, such as AI and RI, with other activity-based indices to predict the readmission risk. Data were collected from continuous PA monitoring of 16 COPD patients after hospital discharge as test subjects and readmission prediction criteria were proposed, with a 63% sensitivity and a 37.78% positive prediction rate. Compared to other clinical assessment, diagnosis, and prevention methods, the proposed model showed significant improvement in predicting the 30-day readmission risk. |
topic |
accelerometers actigraphy activity monitoring copd prediction readmission risk wearable devices |
url |
https://www.mdpi.com/1424-8220/20/1/217 |
work_keys_str_mv |
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