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Yuyang Yan1, Loes van Bemmel2, Frits M E Franssen3

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Speech analysis can detect respiratory exacerbations in Chronic Obstructive Pulmonary Disease (COPD) and asthma. This novel method accurately identifies exacerbations using optimized acoustic features, offering a promising tool for remote patient monitoring.

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Area of Science:

  • Respiratory Medicine
  • Biomedical Engineering
  • Data Science

Background:

  • Exacerbations significantly impact chronic respiratory diseases like COPD and asthma.
  • Vocal changes during respiratory distress suggest speech analysis as a monitoring tool.

Purpose of the Study:

  • To develop a remote, speech-based method for automatic detection of exacerbations in COPD and asthma patients.

Main Methods:

  • Utilized optimized Mel-Frequency Cepstral Coefficients (MFCC) and multi-domain acoustic features for speech analysis.
  • Employed SHapley Additive exPlanations (SHAP) for model transparency and identification of key speech biomarkers.

Main Results:

  • Achieved high classification performance with 0.892 accuracy and 0.955 AUC on the TACTICAS dataset.
  • MFCC-related and energy features were identified as key contributors to exacerbation detection via SHAP analysis.

Conclusions:

  • Speech-based monitoring shows significant potential for real-world respiratory condition management.
  • The proposed method surpasses existing approaches, offering efficient exacerbation diagnosis and monitoring.