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A Dynamic Behavioral Approach to Nutritional Assessment using Process Mining

机译:使用过程挖掘进行营养评估的动态行为方法

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Malnutrition is one of the major geriatric syndromes and frailty factor, this joint with the fact of elderly population growing, will situate malnutrition as a front end problem in the upcoming years. Therefore, it is important that health professionals can assess and follow up nutritional status in a proper way, using all available data related to patients. Process mining can be used to extract knowledge from information in order to understand health care processes. A classic approach to assess malnutrition usually comprises anthropometric measures as static variables, with no information about patients evolution and pathways. The aim of this work was to examine anthropometric measures from a dynamic perspective thanks to process mining tools, in order to obtain dynamic behaviour models. This paper proposes a method based on the use of process mining to discover and identify weight changes behaviour. Clustering is used as part of the pre-processing of data to manage variability, and then process mining is used to identify patterns of patients' behaviour. The method is applied through different experiments to data from 96 patients. Results grouped almost all individuals in different models based on common behaviours. Main finding shows different behaviour groups seem to have different results regarding malnutrition status for same interventions. By discovering patterns of dynamic weight change and their relation with malnutrition, nursing homes and health care professional can promote more successful intervention among patients based on their behaviour, moreover they can compare interventions' results analysing changes in behaviour between before and after the intervention.
机译:营养不良是主要的老年人综合症和脆弱的因素之一,再加上老年人口不断增长的事实,将把营养不良作为未来几年的前端问题。因此,重要的是卫生专业人员可以使用与患者有关的所有可用数据,以适当的方式评估和跟踪营养状况。可以使用过程挖掘来从信息中提取知识,以了解医疗保健过程。评估营养不良的经典方法通常包括将人体测量指标作为静态变量,而没有有关患者进化和途径的信息。这项工作的目的是借助过程挖掘工具从动态角度检查人体测量学指标,以获得动态行为模型。本文提出了一种基于过程挖掘的方法,以发现和识别体重变化行为。聚类被用作数据预处理以管理变异性的一部分,然后过程挖掘被用来识别患者行为模式。该方法通过不同的实验应用于来自96位患者的数据。结果基于共同的行为将几乎所有个体分为不同的模型。主要发现表明,对于相同的干预措施,不同的行为群体在营养不良状况方面似乎有不同的结果。通过发现体重动态变化的模式及其与营养不良的关系,疗养院和卫生保健专业人员可以根据患者的行为在患者中促进更成功的干预,此外,他们还可以比较干预措施的结果,分析干预前后的行为变化。

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