Hypervolemia Screening for Dialysis Patient Healthcare Using Meta Learning Model-Based Intelligent Scaler

• Published in: Smart science Vol. 7; no. 1; pp. 16 - 27
• Main Authors: Chen, Wei-Ling, Lai, Hsiang-Yueh, Chen, Pi-Yun, Kan, Chung-Dann, Lin, Chia-Hung
• Format: Journal Article
• Language: English
• Published: Taylor & Francis 02.01.2019
• Subjects: generalized regression neural network (GRNN); Hypervolemia; intelligent scaler; meta-learning model; particle swarm optimization (PSO); total body water (TBW)
• ISSN: 2308-0477; 2308-0477
• DOI: 10.1080/23080477.2018.1517293

Sodium intake and diet are the main factors controlling fluid volume balance and changes in body weight for dialysis patients. Inadequate dry weight controls will lead to various complications. Sometimes, inadequate fluid volume removal will cause hypotension during dialysis treatment. Therefore, maintaining adequate body weight, water volume balance, and blood pressure are important in the healthcare of dialysis patients. The anthropometric method is a non-invasive and mathematical statistical model to estimate the total body water with the patient characteristics, including gender, age, height, and weight. In the experienced anthropometric methods, Watson standard formula is a well known criterion and has < 2% margin error for estimating TBW in different populations. For multipatient use in hypervolemia and hypovolemia screening, the enrolled dialysis patients will gradually increase, thus, new criterions are required to meet the modified individual standard with varying patient characteristics. This study proposes a meta-learning model-based intelligent scaler. When new subjects or existing subjects update new training patterns in the current active database, an incremental learning scheme is used to retrain the generalized regression neural network, updating new training patterns or adding incremental ones. The meta-learning model also possesses learning-to-optimization capability using the particle swarm optimization algorithm. Through incremental training patterns, this intelligent scaler can gradually enhance optimization that can be applicable to individuals of all gender and age groups. The experimental results indicate that the proposed screening model provides an assistive tool for maintaining an appropriate BMI and dry weight in the healthcare of dialysis patients.