Istituto di Scienza e Tecnologie dell'Informazione     
Colantonio S., Dellacą R. L., Govoni L., Martinelli M., Salvetti O., Vitacca M. A decision making approach for the remote, personalized evaluation of COPD patients' health status. In: BSI2012 - 7th International Workshop on Biosignal Interpretation (Como, 2-4 Luglio 2012). Proceedings, pp. 347 - 350. S. Cerutti, H. Dickhaus, L. Mainardi, K. Yana (eds.). BSI website, 2012.
This paper presents a decision making approach for the remote management of COPD patients based on the early detection of disease exacerbation episodes. An e-diary card is defined to evaluate a number of physiological variables and clinical parameters acquired remotely by means of wearable and environmental sensors deployed in patients' long-stay settings. The automatic evaluation of the card results in a socalled Chronic Status Index (CSI) whose computation is tailored to patients' specific manifestation of the disease (i.e., patient's phenotype). The decision support method relies on a parameterized analysis of CSI variations so as to early detect worsening changes, identify exacerbation severity and track the patterns of recovery. A web-based service has been set up and simulation tests have shown the feasibility of the method. Validity and sensitivity are currently being evaluated in a trail study with 30 COPD patients, monitored at home.
URL: http://www.biomed.polimi.it/BSI2012/BSIarticles/00920092.pdf
Subject Decision Support
Patients' Monitoring
Personalized Healthcare
D.2.2 Design Tools and Techniques

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