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Machine learning-based cardiac activity non-linear analysis for discriminating COVID-19 patients with different degrees of severity

dc.contributor.authorRibeiro, Pedro
dc.contributor.authorMarques, João Alexandre Lobo
dc.contributor.authorPordeus, Daniel
dc.contributor.authorZacarias, Laíla
dc.contributor.authorLeite, Camila Ferreira
dc.contributor.authorSobreira-Neto, Manoel Alves
dc.contributor.authorPeixoto Jr, Arnaldo Aires
dc.contributor.authorOliveira, Adriel de
dc.contributor.authorMadeiro, João Paulo do Vale
dc.contributor.authorRodrigues, Pedro Miguel
dc.date.accessioned2023-10-09T11:04:39Z
dc.date.available2023-10-09T11:04:39Z
dc.date.issued2024-01
dc.description.abstractObjective: This study highlights the potential of an Electrocardiogram (ECG) as a powerful tool for early diagnosis of COVID-19 in critically ill patients with limited access to CT–Scan rooms. Methods: In this investigation, 3 categories of patient status were considered: Low, Moderate, and Severe. For each patient, 2 different body positions have been used to collect 2 ECG signals. Then, from each collected signal, 10 non-linear features (Energy, Approximate Entropy, Logarithmic Entropy, Shannon Entropy, Hurst Exponent, Lyapunov Exponent, Higuchi Fractal Dimension, Katz Fractal Dimension, Correlation Dimension and Detrended Fluctuation Analysis) were extracted every 1s ECG time-series length to serve as entries for 19 Machine learning classifiers within a leave-one-out cross-validation procedure. Four different classification scenarios were tested: Low vs. Moderate, Low vs. Severe, Moderate vs. Severe and one Multi-class comparison (All vs. All). Results: The classification report results were: (1) Low vs. Moderate - 100% of Accuracy and 100% of F1–Score; (2) Low vs. Severe - Accuracy of 91.67% and an F1–Score of 94.92%; (3) Moderate vs. Severe - Accuracy of 94.12% and an F1–Score of 96.43%; and (4) All vs All - 78.57% of Accuracy and 84.75% of F1–Score. Conclusion: The results indicate that the applied methodology could be considered a good tool for distinguishing COVID-19’s different severity stages using ECG signals. Significance: The findings highlight the potential of ECG as a fast and effective tool for COVID-19 examination. In comparison to previous studies using the same database, this study shows a 7.57% improvement in diagnostic accuracy for the All vs All comparison.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1016/j.bspc.2023.105558pt_PT
dc.identifier.eid85173285676
dc.identifier.issn1746-8094
dc.identifier.urihttp://hdl.handle.net/10400.14/42806
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectCOVID-19pt_PT
dc.subjectECG signalspt_PT
dc.subjectNon-linear analysispt_PT
dc.subjectMachine learning classifierspt_PT
dc.subjectAccuracypt_PT
dc.subjectF1–Scorept_PT
dc.titleMachine learning-based cardiac activity non-linear analysis for discriminating COVID-19 patients with different degrees of severitypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleBiomedical Signal Processing and Controlpt_PT
oaire.citation.volume87pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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