Developing Reliable Telemedicine Platforms with Unreliable and Limited Communication Bandwidth

Abstract

Telemedicine techniques could deliver health care services to battlefields and expedite, optimize patient care and triage. However, the communication networks in such environments are often unreliable and have limited bandwidth. In this study, we evaluated the accuracy loss and clinical decision error caused by data transmission. We compared physiologic data under various resampling rates with the original high-resolution data and reported the matrix to detailed trade-off between clinical accuracy and band resource requirement. Using data collected from 15,000 trauma patients, we found that heart rate readings could be within a 10 difference when reducing sampling rate from 2 seconds to 5 minutes. Moreover, the high-fidelity waveform could be reduced for sampling rate with a small (<5 ) loss in prediction performance. This study could guide optimal selection of data sampling rate and estimation of data reliability based on the wireless bandwidth availability and acceptable vital signs resolution during the remote clinical decision making process.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2017
Accession Number
AD1042159

Entities

People

  • Peter F. Hu
  • Shiming Yang

Organizations

  • University of Maryland, Baltimore

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Accuracy
  • Air Force
  • Air Force Research Laboratories
  • Blood Transfusions
  • Brain Injuries
  • Data Transmission
  • Health Care
  • Health Services
  • Heart Rate
  • High Resolution
  • Hospitals
  • Natural Disasters
  • Networks
  • Patient Care
  • Physiological Monitoring
  • Reliability
  • Vital Signs

Readers

  • Image Processing and Computer Vision.
  • Radio communications and signal processing.
  • Trauma or Military Medicine