Abstract

Oscillometric blood pressure (BP) monitors currently estimate a single point but do not identify variations in response to physiological characteristics. In this paper, to analyze BP’s normality based on oscillometric measurements, we use statistical approaches including kurtosis, skewness, Kolmogorov-Smirnov, and correlation tests. Then, to mitigate uncertainties, we use a deep learning method to determine the confidence limits (CLs) of BP measurements based on their normality. The proposed deep learning regression model decreases the standard deviation of error (SDE) of the mean error and the mean absolute error and reduces the uncertainties of the CLs and SDEs of the proposed technique. We validate the normality of the distribution of the BP estimation which fits the standard normal distribution very well. We use a rank test in the deep learning technique to demonstrate the independence of the artificial systolic BP and diastolic BP estimations. We perform statistical tests to verify the normality of the BP measurements for individual subjects. The proposed methodology provides accurate BP estimations and reduces the uncertainties associated with the CLs and SDEs using the deep learning algorithm.

Highlights

  • Blood pressure (BP) is a key consideration when making decisions about the cardiovascular activity of patients

  • We evaluated a protocol-based on blood pressure (BP) measurement algorithm to ensure that the mean error (ME)

  • For all BP measurements according to the British hypertension protocol (BHS) [18], we identified a % of the mean absolute error for three groups: 5 mmHg or less, 10 mmHg or less, and 15 mmHg or less

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Summary

Introduction

Blood pressure (BP) is a key consideration when making decisions about the cardiovascular activity of patients. Using the bootstrap technique, a CL estimate can be acquired using a BP value of a small sample size [1] This approach assumes that BP based on the oscillometric measurement for individual subjects is an independent and identical distribution (iid), which supposes that the populations for which BP are measured are normally distributed. We estimate the SBP, DBP, and CLs of these values based on the normality for individual subject using a deep learning [8]. Our BP measurements for individual subjects are drawn from only a small sample size due to limited measurements available for individual subjects, which is a disadvantage when using a deep learning that works best with big data [10] To address this problem, we first generate artificial features from the original data using a parametric bootstrap technique for the SBP and DBP estimates.

Data Set
Features Obtained from Oscillometric Signals
Artificial Data Obtained Using Bootstrap
KS Analysis for Data
Deep Learning Based Regression
CL Estimation
Computing and Testing for Kurtosis and Skewness
Normality Test Using KS
Experimental Results and Comparison
Statistical Analysis
Conclusions
Full Text
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