Analysis of Consciousness Level Using Galvanic Skin Response during Therapeutic Effect.
The neurological status of patients in the Intensive Care Units (ICU) is determined by the Glasgow Coma Scale (GCS). Patients in coma are thought to be unaware of what is happening around them. However, many studies show that the family plays an important role in the recovery of the patient and is a...
| Published in: | Journal of Medical Systems Vol. 45; no. 1; pp. 1 - 13 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147997203&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147997203 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: 2021 vid: 45 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 147997203 147997203 147997203 10.1007/s10916-020-01677-5 147997203 ppf: 1 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Analysis of Consciousness Level Using Galvanic Skin Response during Therapeutic Effect. aug: au: Altıntop, Çiğdem Gülüzar Latifoğlu, Fatma Akın, Aynur Karayol İleri, Ramis Yazar, Mehmet Akif affil: Department of Biomedical Engineering, Erciyes University, Kayseri, Turkey sug: subj: Consciousness Evaluation Skin Physiology Electric Stimulation Comatose Patients Human Glasgow Coma Scale Scales Family Role Nursing Role Descriptive Statistics T-Tests Analysis of Variance Kruskal-Wallis Test Nonparametric Statistics Wilcoxon Signed Rank Test Monitoring, Physiologic Recovery Signal Processing, Computer Assisted ab: The neurological status of patients in the Intensive Care Units (ICU) is determined by the Glasgow Coma Scale (GCS). Patients in coma are thought to be unaware of what is happening around them. However, many studies show that the family plays an important role in the recovery of the patient and is a great emotional resource. In this study, Galvanic Skin Response (GSR) signals were analyzed from 31 patients with low consciousness levels between GCS 3 and 8 to determine relationship between consciousness level and GSR signals as a new approach. The effect of family and nurse on unconscious patients was investigated by GSR signals recorded with a new proposed protocol. The signals were recorded during conversation and touching of the patient by the nurse and their families. According to numerical results, the level of consciousness can be separated using GSR signals. Also, it was found that family and nurse had statistically significant effects on the patient. Patients with GCS 3,4, and 5 were considered to have low level of consciousness, while patients with GCS 6,7, and 8 were considered to have high level of consciousness. According to our results, it is obtained lower GSR amplitude in low GCS (3, 4, 5) compared to high GCS (7, 8). It was concluded that these patients were aware of therapeutic affect although they were unconscious. During the classification stage of this study, the class imbalance problem, which is common in medical diagnosis, was solved using Synthetic Minority Over-Sampling Technique (SMOTE), Adaptive Synthetic Sampling (ADASYN) and random oversampling methods. In addition, level of consciousness was classified with 92.7% success using various decision tree algorithms. Random Forest was the method which provides higher accuracy compared to all other methods. The obtained results showed that GSR signal analysis recorded in different stages gives very successful GCS score classification performance according to literature studies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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