Abstract

Recently, with the rapid change to an aging society and the increased interest in healthcare, disease prediction and management through various healthcare devices and services is attracting much attention. In particular, stroke, represented by cerebrovascular disease, is a very dangerous disease, in which death or mental and physical aftereffects are very large in adults and the elderly. The sequelae of such stroke diseases are very dangerous, because they make social and economic activities difficult. In this paper, we propose a new system to prediction and in-depth analysis stroke severity of elderly over 65 years based on the National Institutes of Health Stroke Scale (NIHSS). In addition, we use the algorithm of decision tree of C4.5, which is a methodology of prediction and analysis of machine learning techniques. The C4.5 decision trees are machine learning algorithms that provide additional in-depth rules of the execution mechanism and semantic interpretation analysis. Finally, in this paper, it is verified that the C4.5 decision tree algorithm can be used to classify and predict stroke severity, and to obtain additional NIHSS features reduction effects. Therefore, during the operation of an actual system, the proposed model uses only 13 features out of the 18 stroke scale features, including age, so that it can provide faster and more accurate service support. Experimental results show that the system enables this by reducing the patient NIH stroke scale measurement time and making the operation more efficient, with an overall accuracy, using the C4.5 decision tree algorithm, of 91.11%.

Highlights

  • The number of deaths in Korea in 2015 was recently reported to be 275,895 [1]

  • We propose a new system for predictive and in-depth analysis of stroke severity for the elderly over 65 years old, using National Institutes of Health Stroke Scale (NIHSS) features and C4.5 decision tree algorithm

  • We propose a system that automatically classifies and analysis stroke severity into four classes using NIHSS features collected in real-time

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Summary

Introduction

The number of deaths in Korea in 2015 was recently reported to be 275,895 [1]. The cause of death was reported as malignant neoplasm (76,855), heart disease (28,326), and cerebrovascular disease (24,455) [1]. National Institutes of Health Stroke Scale (NIHSS)-based research topic objectively validates stroke severity and various studies are under way to stroke detection and use risk factors to prevent recurrence [7,8,9,10,11]. The NIHSS method is a tool to assess the extent of brain damage in stroke patients, but it has disadvantages, in that it does not provide an analytical result for the diagnosis of early stroke Another method of analyzing the risk factor of stroke is to find risk factors through previous research, health screening data, and clinical trials. We propose a new system for predictive and in-depth analysis of stroke severity for the elderly over 65 years old, using NIHSS features and C4.5 decision tree algorithm.

Stroke Disease of the Elderly
Research Subjects and Methods
Machine Learning in Stroke Analysis and Disease Prediction
A Stroke Severity Prediction and In-Depth Analysis System Using NIHSS
Experimental
Experimental Environment and Considerations
An In-Depth Analysis on the Stroke Severity Using Machine Learning
Methods
Findings
Conclusions
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