Accession Number : AD1042159


Title :   Developing Reliable Telemedicine Platforms with Unreliable and Limited Communication Bandwidth


Descriptive Note : Technical Report,01 Jun 2016,01 Sep 2017


Corporate Author : University of Maryland, Baltimore Baltimore United States


Personal Author(s) : Hu,Peter F ; Yang,Shiming


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1042159.pdf


Report Date : 01 Oct 2017


Pagination or Media Count : 23


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.


Descriptors :   telemedicine , military medicine , communication networks , waveforms , physiological monitoring , health services , data processing


Subject Categories : Medicine and Medical Research
      Telemetry


Distribution Statement : APPROVED FOR PUBLIC RELEASE