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研究生: 劉安善
Liu, An-Shan
論文名稱: 基於穿戴裝置資料之病情惡化提前偵測技術
Early Detection of Patient Deterioration from Wearable Data
指導教授: 莊坤達
Chuang, Kun-Ta
學位類別: 碩士
Master
系所名稱: 電機資訊學院 - 資訊工程學系
Department of Computer Science and Information Engineering
論文出版年: 2022
畢業學年度: 110
語文別: 英文
論文頁數: 41
中文關鍵詞: 護病比穿戴裝置小圖形模式挖掘圖嵌入模型
外文關鍵詞: Nurse-to-Patient ratio, wearable device, shapelets, pattern mining, graph embedding
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  • 提前偵測在醫學領域是一項熱門話題,因為提前偵測出疾病或臨床惡化並及早介入治療可以大幅降低患者的死亡率。許多醫學研究都深入研究不同疾病的提前偵測,包括癌症、心臟疾病甚至是近年流行的COVID-19。目前在醫院病房裡,要判斷病人是否有惡化的情況,還是要透過護理人員依據專業知識和經驗檢查病人的生命體徵或臨床情況。護理人員不足一直是醫院病房長期問題,也會降低對患者進行重新評估的頻率。不足的重新評估頻率可能會導致護理人員沒有注意到一些重要的生命體徵變化並錯過黃金治療時間。我們提出了一種基於穿戴裝置的提前偵測框架,以解決醫院人力不足而導致重新評估頻率不足的問題。穿戴裝置常見問題是它的數據可靠性,這可能是由於傳感器損壞或數據傳輸造成的。我們提出的方法能處理數據可靠性,以防止我們的模型受到不可靠數據的影響。對於提前偵測,我們提出了一個基於shapelet的概念,以在時間序列數據中找到重要趨勢,並通過觀察到shapelet的轉換構建知識圖譜。我們希望該知識圖譜能夠學習shapelet轉換之間的關係。我們假設shapelet轉換和數據可靠性是分析時間序列數據的重要組成部分。因此,我們進行消融實驗來證明我們的假設。在實驗研究中,我們提出的CST-KGE優於比較的模型,這證明了上述假設確實能讓模型表現提升。

    Early detection is a popular topic in the medical domain since the discovery of disease or clinical deterioration in the early stage can help to execute rapid medical intervention, leading to a decrease in patient hospital mortality. Research has dug into different applications of early detection in cancers, critical heart disease, and COVID-19. Nowadays in hospital wards, to figure out if a patient is in a deterioration situation, the nurse should frequently check the patient's vital signs or clinical conditions based on their professional and experiences. The shortage of nurses has been a long-term problem in hospital wards and will lower the reassessment frequency for patients. Lack of reassessments may cause nurses to ignore some critical vital sign changes and to miss the golden treatment time. In this thesis, we propose an early detection framework based on a wearable device to overcome the shortage of hospital manpower caused by insufficient reassessment problems. A common problem of wearable devices is their data reliability which may be caused by error-prone nature due to body movement or data transmission. Our work will deal with data reliability to enhance our model in the error-prone data. In this thesis, we also propose a shapelet-based concept to find important patterns in time series data and build a knowledge graph by observed shapelet transitions. We expect that the graph can learn the relations between transitions of shapelet patterns. We assume that shapelet transitions and data reliability are important components in analyzing time series data. Hence, we make ablation experiments to prove our assumption. In the experimental studies, our proposed CST-KGE outperforms all baselines which proves the aforementioned assumptions can improve the model's performance.

    中文摘要 i Abstract ii Acknowledgment iii Contents iv List of Tables vii List of Figures viii 1 Introduction 1 1.1 Background 1 1.2 Motivation 1 1.3 Research Objective 2 2 Related Works 5 2.1 Nurse-to-Patient Ratio 5 2.2 Wearable Devices 5 2.3 Early Classification 6 2.4 Shapelet based Method 8 2.5 Shapelet Transitions 9 2.6 Knowledge Graph Embedding 9 3 Methodology 11 3.1 Data Reliability Processing 13 3.1.1 Data Imputation 13 3.1.2 Data Confidence Estimation 13 3.2 Shapelet Estimation 14 3.2.1 Shapelet Extraction 15 3.2.2 Shapelet Confidence Estimation 16 3.3 Transition Graph Learning 17 3.3.1 Transition Graph Construction 18 3.3.2 Graph Embedding 18 3.4 Classifier 20 4 Experimental Results 21 4.1 Dataset 21 4.1.1 Data Collection and Description 21 4.1.2 APACHE II 21 4.1.3 Label Description 22 4.2 Experimental Settings 24 4.2.1 Shapelets Settings 24 4.2.2 Experimental Design 24 4.2.3 Baseline Methods 25 4.2.4 Evaluation Settings 26 4.3 CST-KGE Performance 26 4.4 Missing Rate Comparison 27 4.5 Ablation Study 28 4.6 Transition Graph Visualization 29 4.7 Case Study 29 5 Conclusions 32 Bibliography 33 List of Tables 1.1 Nurse-to-Patient ratio of each country 1 4.1 Age Points 22 4.2 APACHE II score and hospital mortality 23 4.3 Train and test label distribution 24 4.4 Shapelet settings 24 4.5 Performance comparison 27 4.6 Accuracy based on various missing rates 28 4.7 Ablation parameter comparison 29 4.8 Statistics of transition knowledge graph 29 List of Figures 1.1 Low vital sign reassessment problem 2 1.2 Scenario 3 1.3 Missing data and Outlier of wearable device data 4 2.1 Illustration of shapelet based early classification of time series 7 2.2 Normal heartbeat and a Myocardial Infarction 9 3.1 CST-KGE Framework 12 3.2 CST-KGE Training 12 3.3 Linear interpolation 13 3.4 Missing Confidence Score Calculation 15 3.5 Shapelet and data confidence scores 17 3.6 Constructed transition graph example 19 3.7 Triple with extra info 20 4.1 Patient heart rate data and APACHE II level 23 4.2 Example of experiment design 25 4.3 Example of earliness calculation 27 4.4 Transition Graph 30 4.5 PCA of embedding vectors of transition graph 30 4.6 Patient heart rate data and shapelets 31 4.7 Patient heart rate data and shapelets 31

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