使用持续监测的生命体征和心率波动率来预测产后发烧
Shubham Debnath1,2, Robert Koppel3,4, Nafeesa Saadi4
1Institute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, NY, USA.
Digital health
|July 14, 2023
概括
孕产妇心率变化 (HRV) 的变化可以预测产后发烧,这是新生儿早期败血症 (EOS) 的关键指标. 这种预测模型有助于及时干预母亲和婴儿健康.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 生物医学工程 生物医学工程
背景情况:
- 新生儿早期性败血症 (EOS) 是新生儿的一种严重的细菌感染.
- 由于非特异性症状,诊断EOS具有挑战性.
- 在分娩期间产妇发烧是EOS的强烈预测因素.
研究的目的:
- 开发产妇热的预测模型.
- 探索母亲心率变化 (HRV) 在预测发烧方面的实用性.
- 为了能够及早发现潜在的EOS病例.
主要方法:
- 使用无线传感器持续监测母亲的体温,心率和RR间隔.
- 从RR间隔计算HRV指标 (SDNN,RMSSD) 的计算.
- 开发一种使用连续性和偶发性生命体征的物流回归模型.
主要成果:
- 在发烧开始前几个小时,观察到母亲SDNN和RMSSD的显著下降.
- 结合HRV和持续生命体征的预测模型显示性能有所改善.
- 随着发烧检测前时间的缩短,模型的准确性增加.
结论:
- 基于HRV的预测模型可以识别患发烧风险的母亲.
- 这些模型可以帮助预测患有EOS风险的婴儿.
- 早期风险识别可以指导及时的孕产妇抗生素预防和新生儿护理.
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