使用可穿戴设备监测镇静/兴奋,用于通风儿童
Kanako Isaka1, Takeshi Hatachi1, Kanako Morita1
1Department of Intensive Care Medicine, Osaka Women's and Children's Hospital, Izumi, Japan.
概括
一个可穿戴的加速度计监测了通风儿童的镇静和动荡,证明了持续的,节省劳动力的评估是可行的. 这种方法有助于预防并发症,如在儿科重症监护中无计划的输出管.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 生物医学工程 生物医学工程
- 医疗器械技术 医疗器械技术
背景情况:
- 在通风儿童中,镇静和激动监测对于防止不规划的输出管等不良事件至关重要.
- 目前的监测尺度通常是复杂和劳动密集的.
- 开发连续的,自动化的方法是一个重要的临床需求.
研究的目的:
- 评估使用带有加速度计的可穿戴设备在机械通风儿童中持续监测镇静/兴奋的可行性.
- 评估加速计衍生的运动数据和临床激动评估之间的相关性.
主要方法:
- 一项前性观察试点研究,涉及20名儿童 (≤15岁) 在儿科重症监护室接受机械通风.
- 一个可穿戴的加速度计装置被连接到上肢,以测量在入院后2小时或直到输出管之前的加速度.
- 收集了每分钟平均加速度的数据,并与并发的状态行为量表 (SBS) 成绩进行了比较.
主要成果:
- 在平均加速和SBS得分之间发现了正相关性 (肯德尔的t = 0.22,p < 0.001).
- 随着SBS得分更高,中位加速显著增加,表明运动更大.
- 在监测期间没有报告任何不良事件.
结论:
- 持续的,节省劳动力的镇静/兴奋监测在通风儿童是可行的,使用可穿戴的加速度计装置.
- 这项技术为传统,更繁的评估方法提供了一个有希望的替代方案.
- 进一步的研究可以探索将其整合到常规临床实践中.
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