KNOWLEDGE BASED DECISION SUPPORT FOR THE MANAGEMENT OF CHRONIC PATIENTS

Sara Colantonio, Massimo Martinelli, Ovidio Salvetti, Giuseppe De Pietro, Massimo Esposito, Alberto Machì

Abstract

Due to the current socio-economic impact of chronic diseases, a strong effort is being spent in the development of ICT applications able to support a new care paradigm specialized for chronic patients. Such applications are mainly based on patients’ telemonitoring for the collection of a number of relevant physiological parameters aimed at identifying and preventing acute events, while maximizing patients’ quality of life and reducing clinical costs. The most advanced and challenging features of these ICT applications are intelligent services devoted to the interpretation of monitored patients’ data for supporting clinicians in their routine management of chronic patients. In this paper, a Knowledge-based Clinical Decision Support System (KB-CDSS) is presented, which is aimed at aiding clinical professionals in managing chronic patients on a daily basis, by assessing their current status, helping face their worsening conditions, and preventing disease exacerbation events. The CDSS has been developed by encoding the relevant knowledge elicited from clinicians who have a large experience in patients’ monitoring. A formalism based on ontologies and rules was selected to build the Knowledge Base according to a scenario-based approach. The system is currently under validation for the management of real clinical cases.

References

  1. Carroll J. J., et al. Jena: Implementing the semantic web recommendations. In Proceedings of the 13th Int.l World Wide Web conference on Alternate track (WWW Alt.7804). ACM, New York, USA, 74-83
  2. Chiarugi F., Colantonio S., Emmanouilidou D., Martinelli M., Moroni D., Salvetti O. Decision support in heart failure through processing of electro- and echocardiograms. In: Artificial Intelligence in Medicine, vol. 50 pp. 95 - 104. Elsevier, 2010
  3. Cleland J. G. F., et al. 2005. Noninvasive Home Telemonitoring for Patients with Heart Failure at High Risk of Recurrent Admission and Death: The TransEuropean Network-Home-Care Management System (TEN-HMS) study. Journal of the American College of Cardiology, Volume 45, Issue 10, 17 May 2005, Pages 1654-1664
  4. OWL 2009. http://www.w3.org/TR/owl-features/
  5. Paré G., Jaana M., Sicotte C., 2007. Systematic Review of Home Telemonitoring for Chronic Diseases: The Evidence Base. J. of the American Medical Informatics Association, Vol. 14, Issue 3, May-June 2007, Pages 269-277
  6. Pentland, S., 2004. Healthwear: Medical Technology Becomes Wearable. in IEEE Computer, 37(5). May 2004. 34-41
  7. Rosso R., Munaro G., Salvetti O., Colantonio S., Ciancitto F., 2010 CHRONIOUS. In: EMBC 2010 pp. 6850 - 6853. IEEE.
  8. Vitacca M., Bianchi L., Guerra A., Fracchia C., Spanevello A., Balbi B., Scalvini S., 2009. Teleassistance in chronic respiratory failure patients: a randomised clinical trial. Eur Respir J; 33: 411-418
Download


Paper Citation


in Harvard Style

Colantonio S., Martinelli M., Salvetti O., De Pietro G., Esposito M. and Machì A. (2011). KNOWLEDGE BASED DECISION SUPPORT FOR THE MANAGEMENT OF CHRONIC PATIENTS . In Proceedings of the International Conference on Knowledge Engineering and Ontology Development - Volume 1: KEOD, (IC3K 2011) ISBN 978-989-8425-80-5, pages 220-225. DOI: 10.5220/0003657902200225


in Bibtex Style

@conference{keod11,
author={Sara Colantonio and Massimo Martinelli and Ovidio Salvetti and Giuseppe De Pietro and Massimo Esposito and Alberto Machì},
title={KNOWLEDGE BASED DECISION SUPPORT FOR THE MANAGEMENT OF CHRONIC PATIENTS},
booktitle={Proceedings of the International Conference on Knowledge Engineering and Ontology Development - Volume 1: KEOD, (IC3K 2011)},
year={2011},
pages={220-225},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0003657902200225},
isbn={978-989-8425-80-5},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Knowledge Engineering and Ontology Development - Volume 1: KEOD, (IC3K 2011)
TI - KNOWLEDGE BASED DECISION SUPPORT FOR THE MANAGEMENT OF CHRONIC PATIENTS
SN - 978-989-8425-80-5
AU - Colantonio S.
AU - Martinelli M.
AU - Salvetti O.
AU - De Pietro G.
AU - Esposito M.
AU - Machì A.
PY - 2011
SP - 220
EP - 225
DO - 10.5220/0003657902200225