一个基于智能手机的应用程序来计算急性喘恶化患者的咳
Ji-Su Shim1, Byung-Keun Kim2, Sae-Hoon Kim3
1Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Republic of Korea.
Journal of thoracic disease
|August 10, 2023
概括
一个由人工智能驱动的智能手机应用程序准确地计算了喘患者的咳,与人类专家的相关性很好. 这种工具在临床实践中显示出客观咳监测的前景.
科学领域:
- 数字健康数字健康
- 人工智能在医学中的应用
- 呼吸系统医学 呼吸系统医学
背景情况:
- 在临床实践中缺乏客观的咳测量工具.
- 一个基于人工智能 (AI) 的系统通过智能手机应用程序量化咳声音.
- 这种AI算法在急性喘恶化患者中进行了前性研究.
研究的目的:
- 评估基于人工智能的咳计数算法在真实世界喘患者中的有效性.
- 评估AI衍生的咳数量与临床参数之间的相关性.
- 确定智能手机应用程序对客观咳监测的潜力.
主要方法:
- 患有急性喘恶化的患者使用CoughyTM智能手机应用程序记录咳声音7天.
- 人工智能算法和人类专家计算了咳;患者自行测量了峰值呼吸道流量率 (PEFR).
- 分析了AI咳计数和各种结果评估 (CS-VAS,睡眠/清醒频率,萨尔布塔摩尔使用) 之间的相关性.
主要成果:
- 人工智能咳计数与睡眠 (rho=0.908) 和清醒时间 (rho=0.847) 的手动计数有很强的相关性.
- 睡眠咳的数量与CS-VAS,夜间唤醒和夜间萨尔布塔摩尔使用有中度至强烈的相关性.
- 清醒时咳的数量显示与CS-VAS,活动限制和白天萨尔布塔摩尔的使用有微弱到中等的相关性;与PEFR没有显著的相关性.
结论:
- 人工智能算法证明了对客观监测喘患者急性恶化咳的有效性.
- 人工智能和人类咳计数之间的强烈一致支持其临床实用性.
- CoughyTM应用程序提供了一个新的解决方案,用于在临床环境中客观地监测咳.
相关概念视频
01:30Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
01:30Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K
01:24Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
01:29Asthma-I: Introduction
2.7K
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.7K
01:23Inhaled Medications
309
Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
309
01:20Asthma: Pathogenesis and Management
446
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
446