A high-availability architecture for
continuous monitoring of sleep disorders
Alexandru IOVANOVICI
a,1
, Alexandru TOPIRCEANU
a
, Mihai UDRESCU
a
, Lucian
PRODAN
a
and Stefan MIHAICUTA
b
a
Politehnica University of Timisoara
b
”Victor Babes” University of Medicine and Pharmacy, Timisoara
Abstract. We present a complete technical solution for continuously monitoring
vital signs required for observing sleep apnoea events, one of the major sleep
respiratory disorders. Based on industry accepted medical devices, we developed a
GSM-based remote data acquisition and transfer module that is integrated via a set
of web services into the server side of the application. The back-end is responsible
with aggregating all the data, and, based on machine learning techniques, it
provides a first level of filtering in order to warn about possible abnormalities. The
proposed solution is currently under the test phase at the “Victor Babes” Hospital
in Timisoara, Romania.
Keywords. Apnea, Sleep Apnea Syndromes, Health Information Systems, Medical
Devices
Introduction
Obstructive sleep apnoea (OSA) is a disorder that consists of abnormal breathing
pauses, irregular or superficial breathing that occurs during sleep [2, 11]. It has often
been indicated as a serious, frequent but mostly underrated clinical problem. The
reported incidence of apnoea varies, but there are about 1 in 4 men and 1 in 10 women
with OSA in USA [1]. The morbidity risks entailed by the fact that many sleep apnoea
cases are not discovered and treated in time are well documented by many
comprehensive studies. Maybe the best known link is between sleep apnoea and
cardiovascular problems, leading to hypertension, stroke and even death [13].
As such, we propose a monitoring framework that can improve the doctor-patient
collaboration by providing real-time assessment of vital signs during sleep. This
information should prove invaluable for doctors as they can monitor patients with sleep
apnoea from a distance. Apart from this capability, it was essential to develop a filtering
mechanism so that the physician can be pinpointed to relevant results, if any.
Important cenerns arise form the strict requiremets for professional drivers to be
screened for sleep disorders, this being a well known cause of fatigure and inducing
posiblly fata sleepiness [3-6].
1 Corresponding Author: Alexandru IOVANOVICI, Department of Computing, ACSA Laboratory,
POLITEHNICA University Timisoara, 2
nd
Vasile Parvan Street, Timisoara, Room B520,
iovanalex@cs.upt.ro.
Digital Healthcare Empowering Europeans
R. Cornet et al. (Eds.)
© 2015 European Federation for Medical Informatics (EFMI).
This article is published online with Open Access by IOS Press and distributed under the terms
of the Creative Commons Attribution Non-Commercial License.
doi:10.3233/978-1-61499-512-8-729
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