Skip to main content

Rough Set Methodology in Clinical Practice: Controlled Hospital Trial of the MET System

  • Conference paper
Rough Sets and Current Trends in Computing (RSCTC 2004)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 3066))

Included in the following conference series:

Abstract

Acute abdominal pain in childhood is a common but diagnostically challenging problem facing Emergency Department personnel. Experienced physicians use a combination of key clinical attributes to assess and triage a child, but residents and inexperienced physicians may lack this ability. In order to assist them, we used knowledge discovery techniques based on rough set theory to develop a clinical decision model to support the triage. The model was implemented as a module for the Mobile Emergency Triage system – a clinical decision support system for the rapid emergency triage of children with acute pain. The abdominal pain module underwent a clinical trial in the Emergency Department of a teaching hospital. The trial allowed us to compare in a prospective manner the accuracy of the system to the triage performance of the physicians and the residents. The preliminary results are very encouraging and they demonstrate validity of developing computer-based support tools for a clinical triage.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Glas, A., Pijnenburg, B., Lijmer, J., Bogaard, K., de Roos, M., Keeman, J., Butzelaar, R., Bossuyt, P.: Comparison of diagnostic decision rules and structured data collection in assessment of acute ankle injury. Canadian Medical Association Journal 166, 727–733 (2002)

    Google Scholar 

  2. Pawlak, Z., Slowinski, R.: Rough set approach to multi-attribute decision analysis. European Journal of Operational Research 72, 443–459 (1994)

    Article  MATH  Google Scholar 

  3. Greco, S., Matarazzo, B., Slowinski, R.: Dealing with missing data in rough set analysis of multi-attribute and multi-criteria decision problems. In: Zanakis, S., Doukidis, G., Zopounidis, C. (eds.) Decision Making: Recent Developments and Worldwide Applications, pp. 295–316. Kluwer Academic Publishers, Dordrecht (2000)

    Google Scholar 

  4. Predki, B., Wilk, S.: Rough set based data exploration using rose system. In: Ras, Z., Skowron, A. (eds.) Foundations of Intelligent Systems, pp. 172–180. Springer, Heidelberg (1999)

    Chapter  Google Scholar 

  5. Michalowski, W., Rubin, S., Slowinski, R., Wilk, S.: Triage of the child with abdominal pain: A clinical algorithm for emergency patient management. Journal of Paediatrics and Child Health 6, 23–28 (2001)

    Google Scholar 

  6. Greco, S., Matarazzo, B., Slowinski, R.: Fuzzy measures as a technique for rough set analysis. In: Proc. 6th European Congress on Intelligent Techniques and Soft Computing (EUFIT 1998), Aachen, pp. 99–103 (1998)

    Google Scholar 

  7. Shapley, L.: A value for n-person games. In: Kuhn, H., Tucker, A. (eds.) Contributions to the Theory of Games II, pp. 307–317. Princeton University Press, Princeton (1953)

    Google Scholar 

  8. Mitchell, T.: Machine Learning. McGraw-Hill, New York (1997)

    MATH  Google Scholar 

  9. Michalowski, W., Rubin, S., Slowinski, R., Wilk, S.: Mobile clinical support system for pediatric emergencies. Decision Support Systems 36, 161–176 (2003)

    Article  Google Scholar 

  10. Jing, J., Helal, A., Elmagarmid, A.: Client-server computing in mobile environments. ACM Computing Surveys 32, 117–157 (1999)

    Article  Google Scholar 

  11. Ammenwerth, E., Buchauer, A., Bludau, B., Haux, R.: Mobile information and communication tools in the hospital. International Journal of Medical Informatics, 21–40 (2000)

    Google Scholar 

  12. Quinn, J.: An HL7 (Health Level Seven) overview. Journal of American Health Information Management Association 7, 32–34 (1999)

    Google Scholar 

  13. Kersten, M., Michalowski, W., Wilk, S.: Designing man-machine interactions for mobile clinical systems: Met triage support on palm handheld. In: Bisdorff, R. (ed.) 14th Mini-EURO Conference HCP 2003 Human centered processes. Distributed decision making and man-machine cooperation, Luxembourg (2003)

    Google Scholar 

  14. Korner, H., Sondenaa, K., Soreide, J.: Structured data collection improves the diagnosis of acute appendicitis. British Journal of Surgery 85, 341–344 (1998)

    Article  Google Scholar 

  15. Stefanowski, J.: Classification support based on the rough sets. Foundations of Computing and Decision Sciences 18, 371–380 (1993)

    MATH  MathSciNet  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Farion, K., Michalowski, W., Słowiński, R., Wilk, S., Rubin, S. (2004). Rough Set Methodology in Clinical Practice: Controlled Hospital Trial of the MET System. In: Tsumoto, S., Słowiński, R., Komorowski, J., Grzymała-Busse, J.W. (eds) Rough Sets and Current Trends in Computing. RSCTC 2004. Lecture Notes in Computer Science(), vol 3066. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-25929-9_103

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-25929-9_103

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22117-3

  • Online ISBN: 978-3-540-25929-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics