Evaluation of triage performance in IoMT-based telemedicine using robust scaler and PCA preprocessing

Abstract This study examines the influence of two data preprocessing techniques, Robust Scaler (RS) and Principal Component Analysis (PCA), on the predictive behaviour of Machine Learning (ML) models used for triage assessment in Internet of Medical Things (IoMT)-based telemedicine environments to enhance the decision support for healthcare, where heterogeneous and high-dimensional clinical data often introduce challenges related to variability and analytical stability. The objective is to evaluate how RS and PCA contribute to the consistency and reliability of triage predictions when integrated with established ML algorithms. A dataset of 55,680 outpatient records was used to assess the integration of RS and PCA with five supervised ML models: Support Vector Machine (SVM), Random Forest (RF), Decision Tree (DT), Logistic Regression (LR), and Naïve Bayes (NB). Performance was evaluated using accuracy, precision, recall, and F-score metrics. The evaluation reveals that each preprocessing technique affects model behaviour in distinct ways, and the RS Decision Tree combination exhibits stable performance in generating triage outcomes. PCA-based models exhibit characteristic patterns associated with dimensionality reduction, affecting interpretability and model response. The findings emphasize the role of preprocessing techniques in shaping ML-driven telemedicine workflows. Applying RS within ML pipelines supports consistent triage prediction, contributing to timely identification of patient conditions and strengthening data-driven remote healthcare services.