Cited by 35Artificial Intelligence in HealthcareHeart Failure Treatment and ManagementMobile Health and mHealth Applications

Artificial Intelligence to Prevent Mobile Heart Failure Patients Decompensation in Real Time: Monitoring-Based Predictive Model

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Larburu, Nekane, Artetxe, Arkaitz, Escolar, Vanessa, Lozano, Ainara, Kerexeta, Jon·2018·Mobile Information Systems

Abstract

Rapid advances in ICT and collection of large amount of mobile health data are giving room to new ways of treating patients. Studies suggest that telemonitoring systems and predictive models for clinical support and patient empowerment may improve several pathologies, such as heart failure, which admissions rate is high. In the current medical practice, clinicians make use of simple rules that generate large number of false alerts. In order to reduce the false alerts, in this study, the predictive models to prevent decompensations that may lead into admissions are presented. They are based on mobile clinical data of 242 heart failure (HF) patients collected for a period of 44 months in the public health service of Basque Country (Osakidetza). The best predictive model obtained is a combination of alerts based on monitoring data and a questionnaire with a Naive Bayes classifier using Bernoulli distribution. This predictive model performs with an AUC = 67% and reduces the false alerts per patient per year from 28.64 to 7.8. This way, the system predicts the risk of admission of ambulatory patients with higher reliability than current alerts.

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Authors
Larburu, N., Artetxe, A., Escolar, V., Lozano, A., & Kerexeta, J.
Affiliations
  • Vicomtech (ES)
  • Hospital de Basurto (ES)
  • Hospital Universitario de Basurto (Osakidetza Health Care System), Avda. Montevideo 18, 48013 Bilbao, Spain
Corresponding author
Larburu, Nekane
Venue
Mobile Information Systems
Publisher
Wiley
Published
2018-11-05
Volume
2018
Pages
1-11
ISSN
  • 1574-017X (ISSN-L)
  • 1875-905X
OpenAlex
W2899937116
Cited by
35
References
29
Citations by year
2026: 5 · 2025: 6 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 5 · 2019: 1
FWCI
3.81
Type
journal article
Language
en
Open access
Locations
  • Mobile Information Systems (publishedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Basque Government (2017222015)
Topics
  • Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
heart failure, remote patient monitoring, mobile health, predictive modeling, false alarms, hospitalization risk, Naive Bayes classifier, Bernoulli distribution, outpatients, real-time monitoring

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