Complexity reduction of oxygen saturation variability signals in COVID-19 patients: Implications for cardiorespiratory control

Autor: Madini O. Alassafi, Wajid Aziz, Rayed AlGhamdi, Abdulrahman A. Alshdadi, Malik Sajjad Ahmed Nadeem, Ishtiaq Rasool Khan, Adel Bahaddad, Ali Altalbe, Nabeel Albishry
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Infection and Public Health, Vol 17, Iss 4, Pp 601-608 (2024)
Druh dokumentu: article
ISSN: 1876-0341
DOI: 10.1016/j.jiph.2024.02.004
Popis: Background: Coronavirus disease 2019 (COVID-19) is a respiratory illness that leads to severe acute respiratory syndrome and various cardiorespiratory complications, contributing to morbidity and mortality. Entropy analysis has demonstrated its ability to monitor physiological states and system dynamics during health and disease. The main objective of the study is to extract information about cardiorespiratory control by conducting a complexity analysis of OSV signals using scale-based entropy measures following a two-month timeframe after recovery. Methods: This prospective study collected data from subjects meeting specific criteria, using a Beurer PO-80 pulse oximeter to measure oxygen saturation (SpO2) and pulse rate. Excluding individuals with a history of pulmonary/cardiovascular issues, the study analyzed 88 recordings from 44 subjects (26 men, 18 women, mean age 45.34 ± 14.40) during COVID-19 and two months post-recovery. Data preprocessing and scale-based entropy analysis were applied to assess OSV signals. Results: The study found a significant difference in mean OSV during illness (95.08 ± 0.15) compared to post-recovery (95.59 ± 1.03), indicating reduced cardiorespiratory dynamism during COVID-19. Multiscale entropy analyses (MSE, MPE, MFE) confirmed lower entropy values during illness across all time scales, particularly at higher scales. Notably, the maximum distinction between illness and recovery phases was seen at specific time scales and similarity criteria for each entropy measure, showing statistically significant differences. Conclusions: The study demonstrates that the loss of complexity in OSV signals, quantified using scale-based entropy measures, has the potential to detect malfunctioning of cardiorespiratory control in COVID-19 patients. This finding suggests that OSV signals could serve as a valuable indicator for assessing the cardiorespiratory status of COVID-19 patients and monitoring their recovery progress.
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