Machine learning for nocturnal diagnosis of chronic obstructive
pulmonary disease using digital oximetry biomarkers
- URL: http://arxiv.org/abs/2012.05492v1
- Date: Thu, 10 Dec 2020 07:33:59 GMT
- Title: Machine learning for nocturnal diagnosis of chronic obstructive
pulmonary disease using digital oximetry biomarkers
- Authors: Jeremy Levy, Daniel Alvarez, Felix del Campo, and Joachim A. Behar
- Abstract summary: COPD is a major source of morbidity, mortality and healthcare costs.
No research has looked at the feasibility of COPD diagnosis from the nocturnal oximetry time series.
We introduce a novel approach to nocturnal COPD diagnosis using 44 oximetry digital biomarkers and 5 demographic features.
- Score: 0.0
- License: http://creativecommons.org/licenses/by-nc-nd/4.0/
- Abstract: Objective: Chronic obstructive pulmonary disease (COPD) is a highly prevalent
chronic condition. COPD is a major source of morbidity, mortality and
healthcare costs. Spirometry is the gold standard test for a definitive
diagnosis and severity grading of COPD. However, a large proportion of
individuals with COPD are undiagnosed and untreated. Given the high prevalence
of COPD and its clinical importance, it is critical to develop new algorithms
to identify undiagnosed COPD, especially in specific groups at risk, such as
those with sleep disorder breathing. To our knowledge, no research has looked
at the feasibility of COPD diagnosis from the nocturnal oximetry time series.
Approach: We hypothesize that patients with COPD will exert certain patterns
and/or dynamics of their overnight oximetry time series that are unique to this
condition. We introduce a novel approach to nocturnal COPD diagnosis using 44
oximetry digital biomarkers and 5 demographic features and assess its
performance in a population sample at risk of sleep-disordered breathing. A
total of n=350 unique patients polysomnography (PSG) recordings. A random
forest (RF) classifier is trained using these features and evaluated using the
nested cross-validation procedure. Significance: Our research makes a number of
novel scientific contributions. First, we demonstrated for the first time, the
feasibility of COPD diagnosis from nocturnal oximetry time series in a
population sample at risk of sleep disordered breathing. We highlighted what
digital oximetry biomarkers best reflect how COPD manifests overnight. The
results motivate that overnight single channel oximetry is a valuable pathway
for COPD diagnosis.
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