A Survey of Challenges and Opportunities in Sensing and Analytics for Risk Factors of Cardiovascular Disorders.

ACM transactions on computing for healthcare Pub Date : 2021-01-01 Epub Date: 2020-12-30 DOI:10.1145/3417958
Nathan C Hurley, Erica S Spatz, Harlan M Krumholz, Roozbeh Jafari, Bobak J Mortazavi
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Abstract

Cardiovascular disorders cause nearly one in three deaths in the United States. Short- and long-term care for these disorders is often determined in short-term settings. However, these decisions are made with minimal longitudinal and long-term data. To overcome this bias towards data from acute care settings, improved longitudinal monitoring for cardiovascular patients is needed. Longitudinal monitoring provides a more comprehensive picture of patient health, allowing for informed decision making. This work surveys sensing and machine learning in the field of remote health monitoring for cardiovascular disorders. We highlight three needs in the design of new smart health technologies: (1) need for sensing technologies that track longitudinal trends of the cardiovascular disorder despite infrequent, noisy, or missing data measurements; (2) need for new analytic techniques designed in a longitudinal, continual fashion to aid in the development of new risk prediction techniques and in tracking disease progression; and (3) need for personalized and interpretable machine learning techniques, allowing for advancements in clinical decision making. We highlight these needs based upon the current state of the art in smart health technologies and analytics. We then discuss opportunities in addressing these needs for development of smart health technologies for the field of cardiovascular disorders and care.

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心血管疾病风险因素传感与分析的挑战与机遇调查》。
在美国,近三分之一的死亡是由心血管疾病造成的。这些疾病的短期和长期治疗通常是在短期环境下决定的。然而,在做出这些决定时,纵向和长期数据极少。为了克服这种偏重急症护理数据的情况,需要改进对心血管病人的纵向监测。纵向监测可以更全面地了解患者的健康状况,从而做出明智的决策。这项研究调查了心血管疾病远程健康监测领域的传感和机器学习。我们强调了新型智能健康技术设计中的三个需求:(1) 需要能跟踪心血管疾病纵向趋势的传感技术,尽管数据测量不频繁、有噪声或缺失;(2) 需要以纵向、持续的方式设计新的分析技术,以帮助开发新的风险预测技术和跟踪疾病进展;(3) 需要个性化和可解释的机器学习技术,以促进临床决策。我们根据智能健康技术和分析的当前技术水平强调了这些需求。然后,我们将讨论满足这些需求的机会,以便为心血管疾病和护理领域开发智能健康技术。
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