OpiTrack: A Wearable-based Clinical Opioid Use Tracker with Temporal Convolutional Attention ...
summary
A wearable system combines Empatica E4 wrist signals with a Channel-Temporal Attention TCN to detect opioid administrations from 36 inpatients (2070 hours, 339 opioid administrations). The model achieves F1 0.80, specificity 0.77, sensitivity 0.80, AUC 0.77 for windowed detection and NMAE 8.6% with R^2 0.85 for moment prediction. Ablations show heart rate and IBI drive detection, while heart rate, EDA and accelerometer drive timing; skin temperature contributes least. Model is evaluated on IV hospital dosing; oral and longitudinal effects remain to be tested.
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