Fuzzy One-Decision Making Model with Fuzzified Outcomes in the Treatment of Necrotizing Fasciitis

摘要

By proposing a new approach to fuzzy decision making, we try to support the medical decision, concerning recommendations for the treatment with hyperbaric oxygen (HBO). This treatment can be used for patients, suffering from necrotizing fasciitis. Due to the disease rarity, it sometimes is difficult for a physician to determine, if a single patient needs the treatment with HBO. We thus identify the decision with a linguistic variable, equipped with treatment recommendation levels. The choice of the appropriate level is based on values of clinical symptoms, found in the patient. To extract the optimal recommendation level for the treatment with HBO, we involve fuzzy set techniques in the decision model. In the paper, we mainly concentrate on designs of fuzzy sets, standing for clinical symptoms and recommendation levels. The levels act as the outcomes, dependent on the cumulative input of the patient's clinical markers. Since the focus is laid on a parametric structure of the outcomes, then we can categorize the model as robust approach to algorithmic modeling of outcomes, being part of eHealth data records.