Medication incompliance and vital signs in heart failure patients

Ioanna G. Chouvarda, T. Mabote, A. Torabi, J. Caffarel, M. van Gils, J. Cleland, N. Maglaveras

Research output: Chapter in Book/Report/Conference proceedingConference contributionScientificpeer-review

1 Citation (Scopus)

Abstract

The success of medication treatment is a crucial part of chronic cardiac patients' therapy. Health professionals are requested to dynamically optimize this procedure (medication initiation, titration, change of medication plans) for each patient. Assessment of the person's response to treatment, and assessment of adherence to treatment are essential in supporting these medical decisions. In this work, methods that apply biosignal analysis on vital signs data are presented, aiming to detect differences due to medication incompliance. These data, although gathered in controlled conditions, encompass physiological fluctuations introduced by different factors of daily life, such as medication timing and activity. Heart Failure data are normalized to personal levels, and classification models trained with a pair of features (SBP and HR in semirecumbent position) succeed in achieving accuracy over 97% in a crossvalidation setup, in detecting 48 hrs incompliance. Additionally, the differences in incompliance patterns between heart failure and hypertensive subjects are discussed. These results constitute a promising step towards application of vital signs measurement and analysis in homecare for incompliance detection.

Original languageEnglish
Title of host publicationThe International Conference on Health Informatics, ICHI 2013
EditorsIgor Lackovic, Paulo de Carvalho, Yuan-Ting Zhang, Ratko Magjarevic
PublisherSpringer Verlag
Pages51-54
Number of pages4
ISBN (Electronic)9783319030043
DOIs
Publication statusPublished - 2014
Externally publishedYes
Publication typeA4 Article in conference proceedings
EventInternational Conference on Health Informatics, ICHI 2013 - Vilamoura, Portugal
Duration: 7 Nov 20139 Nov 2013

Publication series

NameIFMBE Proceedings
Volume42
ISSN (Print)1680-0737

Conference

ConferenceInternational Conference on Health Informatics, ICHI 2013
Country/TerritoryPortugal
CityVilamoura
Period7/11/139/11/13

Keywords

  • Patient medication compliance
  • Personal health systems
  • Telemonitoring data

ASJC Scopus subject areas

  • Bioengineering
  • Biomedical Engineering

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