arXiv:2608.23531cs.CVcs.LG2026-08

用传感器数据同时预测老人术后康复与孤独感,提升照护精准度。

Predicting Multiple Clinical Outcomes Related to Functional Recovery and Social Isolation Among Older Adults After Lower-Limb Fracture or Hip Replacement

论文配图:Predicting Multiple Clinical Outcomes Related to Functional Recovery and Social Isolation Among Older Adults After Lower-Limb Fracture or Hip Replacement
图 1 · 摘自论文原文
  • 基于多模态传感器数据,建立联合预测康复与社交状态的模型。
  • 多输出深度学习模型在5项临床指标上达到均方误差3.96、平均绝对误差1.02。
  • 揭示多种传感器数据对全面评估老人恢复轨迹的关键作用,适合医疗智能研究者。

老年人在下肢骨折或髋关节置换术后恢复过程复杂,传统研究常孤立分析各项临床指标,忽略了其相互影响。本研究使用MAISON-LLF数据集,包含18名社区康复老人的多模态传感器与临床评估数据,监测最长8周(最多1008个参与日)。从室内活动、加速度、步数、心率、外出活动和睡眠等提取46项每日特征,每两周评估5个临床指标:社交孤立量表、牛津髋关节评分、牛津膝关节评分、起立-行走测试和30秒坐站测试。将多模态数据与不同临床评分间的内在关联建模为多输出回归问题,对比多种单/多输出机器学习与深度学习算法。结果表明联合预测优于独立预测,其中表格式深度学习多输出回归器NODE表现最佳,均方误差为3.96,平均绝对误差为1.02。SHAP特征分析进一步显示,融合多模态传感器数据可更准确估计患者恢复轨迹。该研究支持对社区老人实现功能恢复与社会参与的同步评估,有助于改善照护质量与生活福祉。

原文摘要 · Abstract (English)

Older adults recovering after lower-limb fracture or hip replacement may experience complex recovery trajectories. Most of the time, these clinical aspects are studied in isolation, masking their joint impact on recovery. This study used the MAISON-LLF dataset, which contains multimodal sensor and clinical assessment data from 18 older adults recovering in the community after lower-limb fracture or hip replacement. Participants were monitored for up to eight weeks, corresponding to a maximum of 1,008 participant-days of sensor monitoring. Forty-six daily features were extracted from indoor motion, acceleration, step count, heart rate, out-of-home mobility, and sleep data. Five clinical outcomes were assessed every two weeks: the Social Isolation Scale, Oxford Hip Score, Oxford Knee Score, Timed Up and Go test, and 30-second Chair Stand test. We utilize an inherent relationship between multi-modal sensor data and different clinical scores and formulate it as a multi-output regression problem. We tested various machine learning and deep learning single- and multi-output regression algorithms to predict these scores simultaneously. The results showed that predicting clinical scores jointly was better than separately. The tabular DL multi-output regressor, NODE, gave a remarkable performance of MSE=3.96 and MAE=1.02 in comparison to other multi- and single-output regressors. The SHAP feature analysis further showed the importance of including multimodal sensors to provide a good estimate of patients' recovery trajectory. This work may support the simultaneous assessment of functional recovery and social engagement among community-dwelling older adults and ultimately help improve their care and quality of life.

老年康复多模态数据临床预测

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