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| Content Provider | IEEE Xplore Digital Library |
|---|---|
| Author | Paredes, S. Marques, T. Rocha, T. de Carvalho, P. Henriques, J. Morals, J. |
| Copyright Year | 2014 |
| Description | Author affiliation: Dept. de Eng. Inf., Univ. de Coimbra, Coimbra, Portugal (Marques, T.; de Carvalho, P.; Henriques, J.) || Servico de Cardiologia, Leiria Pombal Hosp. Centre, Leiria, Portugal (Morals, J.) || Dept. de Eng. Inf. e de Sist., Inst. Politec. de Coimbra, Coimbra, Portugal (Paredes, S.; Rocha, T.) |
| Abstract | Cardiovascular disease (CVD) is the major cause of death in the world. Clinical guidelines recommend the use of risk assessment tools (scores) to identify the CVD risk of each patient as the correct stratification of patients may significantly contribute to the optimization of the health care strategies. This work further explores the personalization of CVD risk assessment, supported on the evidence that a specific CVD risk assessment tool may have good performance within a given group of patients and might perform poorly within other groups. Two main personalization methods based on the proper creation of groups of patients are presented: i) clustering patients approach; ii) similarity measures approach. These two methodologies were validated in a Portuguese population (460 Acute Coronary Syndrome with non-ST segment elevation (ACS-NSTEMI) patients). The similarity measures approach had the best performance, achieving maximum values of sensitivity, specificity and geometric mean of, respectively, 77.7%, 63.2%, 69.7%. These values represent an enhancement in relation to the best performance obtained with current CVD risk assessment tools applied in clinical practice (78.5%, 53.2%, 64.4%). |
| Sponsorship | IEEE Eng. Med. Biol. Soc. |
| Starting Page | 2726 |
| Ending Page | 2729 |
| File Size | 762441 |
| Page Count | 4 |
| File Format | |
| ISBN | 9781424479290 |
| ISSN | 1557170X |
| DOI | 10.1109/EMBC.2014.6944186 |
| Language | English |
| Publisher | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Publisher Date | 2014-08-26 |
| Publisher Place | USA |
| Access Restriction | Subscribed |
| Rights Holder | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Subject Keyword | Risk management Clustering algorithms Training Cardiovascular diseases Sensitivity Classification algorithms |
| Content Type | Text |
| Resource Type | Article |
| Subject | Signal Processing Biomedical Engineering Health Informatics Computer Vision and Pattern Recognition |
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