4.8 Article

A Deep-Learning-Based Smart Healthcare System for Patient's Discomfort Detection at the Edge of Internet of Things

Journal

IEEE INTERNET OF THINGS JOURNAL
Volume 8, Issue 13, Pages 10318-10326

Publisher

IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
DOI: 10.1109/JIOT.2021.3052067

Keywords

Monitoring; Cameras; Feature extraction; Medical services; Internet of Things; Biomedical monitoring; Data mining; Computer vision; deep learning; Internet of Things (IoT); noninvasive; patient's discomfort; smart healthcare system

Funding

  1. NRF of Korea - Korea Government [2018045330]

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The article presents a noninvasive patient discomfort monitoring system based on the Internet of Things, using an IP camera device for detecting patient movement and posture, and analyzing comfort and discomfort levels in real-time. The system achieved a true-positive rate of 94% and a false-positive rate of 7% in experimental evaluations.
The Internet of Things (IoT) widely supports the smart healthcare field; combined with computer vision, machine, and deep learning techniques; it provides fast and accurate services for automated patient discomfort monitoring/detection systems. Traditional patient monitoring systems are commonly composed of wearable sensors and vision-based methods. In this article, an IoT-based noninvasive automated patient's discomfort monitoring/detection system is presented and implemented, using a deep-learning-based algorithm. The system is based on an IP camera device; the patient's body's movement and posture are detected without using any wearable devices. The Mask-RCNN method is employed for the extraction of different key points on the patient body. These detected key points are then transformed into six major body organs using association rules of data mining. Furthermore, for analyzing the patient's discomfort, detected key point coordinates information is measured. Finally, the distance and the temporal threshold are applied to classify movements as either associated with normal or discomfort conditions. These key points information is also used to determine the postures of the patient lying on the bed. The patient's body position and posture are continuously monitored, based on which comfort and discomfort level are discriminated. For experimental evaluation, different video sequences are recorded covering two patient's beds. The experimental results show the proposed system's worth by achieving a true-positive rate of 94% and a false-positive rate of 7%.

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