Journal Article

Dempster–Shafer theory for classification and hybridised models of multi-criteria decision analysis for prioritisation: a telemedicine framework for patients with heart diseases

Albahri, A. S., Albahri, O. S., Hamid, Rula A., Zaidan, A. A.

2022

Overview

Hybridised classification and prioritisation of patients with chronic heart diseases (CHDs) can save lives by categorising them on the basis of disease severity and determining priority patients. Such hybridisation is challenging and thus has not been reported in the literature on telemedicine. This paper presents an intelligent classification and prioritisation framework for patients with CHDs who engage in telemedicine. The emergency status of 500 patients with CHDs was evaluated on the basis of multiple heterogeneous clinical parameters, such as electrocardiogram, oxygen saturation, blood pressure and non-sensory measurements (i.e. text frame), by using wearable sensors. In the first stage, the patients were classified according to Dempster–Shafer theory and separated into five categories, namely, at high risk, requires urgent care, sick, in a cold state and normal. In the second stage, hybridised multi-criteria decision-making models, namely, multi-layer analytic hierarchy process (MLAHP) and technique for order performance by similarity to ideal solution (TOPSIS), were used to prioritise patients according to their emergency status. Then, the priority patients were queued in each emergency category according to the results of the first stage. Results demonstrated that Dempster–Shafer theory and the hybridised MLAHP and TOPSIS model are suitable for classifying and prioritising patients with CHDs. Moreover, the groups’ scores in each category showed remarkable differences, indicating that the framework results were identical. The proposed framework has an advantage over other benchmark classification frameworks by 33.33% and 50%, and an advantage over earlier benchmark prioritisation by 50%. This framework should be considered in future studies on telemedicine architecture to improve healthcare management.

• Publisher: Springer Berlin Heidelberg,Springer Nature B.V
• Subject: Analytic hierarchy process / Artificial Intelligence / Automation / Benchmarks / Blood pressure / Classification / Computational Intelligence / Decision analysis / Decision making / Decision theory / Dempster-Shafer Method / Electrocardiography / Emergency medical care / Engineering / Health services / Heart diseases / Hospitals / Localization / Methods / Multilayers / Multiple criterion / Original Research / Oxygen content / Patients / Robotics and Automation / Sensors / Telemedicine / User Interfaces and Human Computer Interaction