An Edge-Cloud Collaborative Architecture for Proactive Elderly Care: Real-Time Risk Assessment and Three-Level Emergency Response

Abstract

The rapid aging of global populations has created an urgent need for intelligent healthcare monitoring systems to ensure the safety of elderly individuals living independently. Existing cloud-centric platforms face critical limitations, including high latency unsuitable for emergency response, privacy risks from continuous transmission of sensitive data, and limited, single-channel alert mechanisms lacking scalability and context awareness. This paper proposes an edge-cloud collaborative architecture that addresses these challenges through real-time multi-modal sensor fusion, a four-dimensional risk assessment model, and a three-level emergency response system. The framework adopts a five-layer design - device, edge, service, data, and application layers - enabling real-time risk evaluation with end-to-end alert latency under three seconds. At the edge, a weighted multi-modal fusion algorithm integrates data from five sensor types with confidence propagation. A unified risk score is generated by combining fall probability, physiological indicators, behavioral patterns, and sensor anomaly metrics. Based on dynamic thresholds, a three-tier notification system coordinates responses among family members, community doctors, and nearby volunteers. Experiments on CASAS, MIMIC-III, and SisFall datasets show that the approach achieves 91% activity recognition accuracy and an 84% anomaly detection F1-score, outperforming single-sensor methods. Deployment on Raspberry Pi 4 gateways demonstrates sub-100 ms inference latency while preserving privacy by keeping raw data local. This architecture advances practical, privacy-preserving, and responsive elderly care systems.