Development of a Low-Cost Portable Exhaled Breath Ammonia Detector for Supplementary Five-Stage CKD Classification Using Embedded Threshold Logic.

Conventional diagnosis of chronic kidney disease (CKD) relies predominantly on invasive blood-based examinations, limiting the scalability of kidney health screening in resource-constrained environments. This study presents embedded engineering framework for non-invasive, breath-based CKD staging framework supported by machine learning and implemented on a low-cost embedded platform. To account for physiological sex differences in baseline creatinine production, estimated glomerular filtration rate (eGFR) values and breath ammonia concentrations were derived from two independent clinical cohorts using sex-specific MDRD equations (incorporating the standard male formula and the 0.742 female correction factor, respectively) and creatinine-BUN conversion models, with male- and female-parameterized algorithms developed in parallel. The resulting feature space was analyzed using four unsupervised clustering approaches to stratify subjects into five clinically meaningful kidney function stages. Stage-specific ammonia thresholds were implemented within an Arduino Nano-based prototype equipped with an MQ-137 gas sensor and OLED display, enabling real-time point-of-care classification. Dataset-level classification accuracy reached 82% for the male algorithm and 92% for the female algorithm. Hospital-based validation on 29 patients (22 male, 7 female) yielded a real-world testing accuracy of 90.5% (20/22) for male patients and 71.4% (5/7) for female patients, a discrepancy largely attributable to the small female sample size. Because the current evaluation lacks healthy control subjects and is constrained by sample size, these empirical results serve primarily to demonstrate hardware-software functional integration and real-world deployment feasibility rather than definitive clinical efficacy. Despite these preliminary, sample-limited clinical datasets, results suggest this approach holds promise as an accessible, non-invasive screening complement to conventional diagnostic pathways, particularly in low-resource healthcare settings.