Heart rate characteristics monitoring for neonatal sepsis

Heart rate characteristics monitoring for neonatal sepsis
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DOI:
10.1109/tbme.2005.859810
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发表时间:
2006-01-01
影响因子:
4.6
通讯作者:
Griffin, MP
Griffin, MP
中科院分区:
工程技术2区
文献类型:
--
作者:
Moorman, JR;Lake, DE;Griffin, MP

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虽然心率变异性已在许多临床环境中进行了测量,并提供了如何控制HR的见解,但很少提供导致患者管理变化的独特信息。我们回顾我们的经验,发展连续的HR特征监测,以帮助早期诊断败血症的早产儿在新生儿重症监护病房。在一个中心开发并在另一个中心验证的预测算法已经导致在出现严重疾病症状之前诊断和治疗这种亚急性和潜在的灾难性疾病。
While heart rate variability has been measured in many clinical settings and has offered insights into how HR is controlled, rarely has it offered unique information that has led to changes in patient management. We review our experience in developing continuous HR characteristics monitoring to aid in the early diagnosis of sepsis in premature infants in the neonatal intensive care unit. A predictive algorithm, developed at one center and validated at another, has led to diagnosis and treatment of this subacute and potentially catastrophic illness prior to appearance of symptoms of severe illness.