arXiv:2511.18334cs.LGcs.AI2025-11AAAI被引 1

用智能家居数据+不确定性感知,提前发现老人尿路感染发作

Clinician-in-the-Loop Smart Home System to Detect Urinary Tract Infection Flare-Ups via Uncertainty-Aware Decision Support

  • 结合环境传感器提取行为特征,构建可量化不确定性的预测模型
  • 在8个真实家庭中测试,召回率优于基线方法,拒答率与区间宽度最低
  • 42名护士调研认可其临床价值,适合老年慢病管理场景

尿路感染(UTI)发作对患有慢性病的老年人构成重大健康风险,常因未被及时发现而恶化。传统机器学习方法依赖简单二分类进行检测,缺乏对预测不确定性的反馈,难以支持护士等医护人员做出知情决策。本文提出一种临床医生在环(CIL)的智能家居系统,利用环境传感器数据提取有意义的行为标记,训练稳健的预测模型,并通过统计有效的不确定性量化方法——共形校准区间(CCI),量化预测置信度,在模型信心不足时拒绝预测(“我不知道”)。在8个真实智能家居环境中评估表明,该方法在召回率等分类指标上优于基线,同时保持最低的拒答比例和最窄的预测区间。对42名护士的调查显示,系统输出对临床决策具有实际帮助,显著提升对老年人群尿路感染及其他病情发作的管理效能。

原文摘要 · Abstract (English)

Urinary tract infection (UTI) flare-ups pose a significant health risk for older adults with chronic conditions. These infections often go unnoticed until they become severe, making early detection through innovative smart home technologies crucial. Traditional machine learning (ML) approaches relying on simple binary classification for UTI detection offer limited utility to nurses and practitioners as they lack insight into prediction uncertainty, hindering informed clinical decision-making. This paper presents a clinician-in-the-loop (CIL) smart home system that leverages ambient sensor data to extract meaningful behavioral markers, train robust predictive ML models, and calibrate them to enable uncertainty-aware decision support. The system incorporates a statistically valid uncertainty quantification method called Conformal-Calibrated Interval (CCI), which quantifies uncertainty and abstains from making predictions ("I don't know") when the ML model's confidence is low. Evaluated on real-world data from eight smart homes, our method outperforms baseline methods in recall and other classification metrics while maintaining the lowest abstention proportion and interval width. A survey of 42 nurses confirms that our system's outputs are valuable for guiding clinical decision-making, underscoring their practical utility in improving informed decisions and effectively managing UTIs and other condition flare-ups in older adults.

智能医疗不确定性建模老年健康行为识别

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