Monitoring the respiratory rate of preterm infants using an ultrathin film sensor embedded in the bedding: a comparative feasibility study

被引:13
作者
Joshi, Rohan [1 ,2 ,3 ]
Bierling, Bart [1 ]
Feijs, Loe [1 ]
van Pul, Carola [3 ,4 ]
Andriessen, Peter [5 ]
机构
[1] Eindhoven Univ Technol, Dept Ind Design, Eindhoven, Netherlands
[2] Philips Res, Dept Family Care Solut, Eindhoven, Netherlands
[3] Maxima Med Ctr Veldhoven, Dept Clin Phys, Veldhoven, Netherlands
[4] Eindhoven Univ Technol, Dept Appl Phys, Eindhoven, Netherlands
[5] Maxima Med Ctr, Dept Neonatol, Veldhoven, Netherlands
关键词
wearable sensors; pediatrics; neonates; unobtrusive monitoring; respiration monitoring; NICU; EVENTS;
D O I
10.1088/1361-6579/ab1595
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Objective: To determine the feasibility of unobtrusively monitoring the respiratory rate (RR) in preterm infants by using a film-like pressure sensor placed between the mattress and the bedding. Approach: The RR was simultaneously measured by processing the chest impedance (CI) and the ballistographic (BSG) signal acquired from the pressure sensor in 10 preterm infants of varying body weight. Nearly 27 h of data were analyzed from these infants while in different body positions including both spontaneously breathing infants and those receiving non-invasive respiratory support. Main results: The RR acquired from the BSG signal (RR-BSG) was significantly correlated (r = 0.74) to the RR derived from the CI (RR-CI) with narrow 95% limits of agreement (10 breaths min(-1)). A subanalysis of epochs most and least affected by infant movement yielded comparable results. Significance: Irrespective of body weight or infant position, unobtrusively monitoring the RR of preterm infants is feasible using film-like pressure sensors.
引用
收藏
页数:8
相关论文
共 17 条
[1]   Respiratory Instability and Hypoxemia Episodes in Preterm Infants [J].
Bancalari, Eduardo ;
Claure, Nelson .
AMERICAN JOURNAL OF PERINATOLOGY, 2018, 35 (06) :534-536
[2]   Cardiorespiratory events in preterm infants: etiology and monitoring technologies [J].
Di Fiore, J. M. ;
Poets, C. F. ;
Gauda, E. ;
Martin, R. J. ;
MacFarlane, P. .
JOURNAL OF PERINATOLOGY, 2016, 36 (03) :165-171
[3]  
Di Fiore Juliann M, 2004, Semin Neonatol, V9, P195, DOI 10.1016/j.siny.2003.11.009
[4]   A Ballistographic Approach for Continuous and Non-Obtrusive Monitoring of Movement in Neonates [J].
Joshi, Rohan ;
Bierling, Bart L. ;
Long, Xi ;
Weijers, Janna ;
Feijs, Loe ;
Van Pul, Carola ;
Andriessen, Peter .
IEEE JOURNAL OF TRANSLATIONAL ENGINEERING IN HEALTH AND MEDICINE, 2018, 6
[5]   The heuristics of nurse responsiveness to critical patient monitor and ventilator alarms in a private room neonatal intensive care unit [J].
Joshi, Rohan ;
van de Mortel, Heidi ;
Feijs, Loe ;
Andriessen, Peter ;
van Pul, Carola .
PLOS ONE, 2017, 12 (10)
[6]   Pattern discovery in critical alarms originating from neonates under intensive care [J].
Joshi, Rohan ;
van Pul, Carola ;
Atallah, Louis ;
Feijs, Loe ;
Van Huffel, Sabine ;
Andriessen, Peter .
PHYSIOLOGICAL MEASUREMENT, 2016, 37 (04) :564-579
[7]   Monitoring the respiratory rate by miniature motion sensors in premature infants: a comparative study [J].
Kohn, S. ;
Waisman, D. ;
Pesin, J. ;
Faingersh, A. ;
Klotzman, I. C. ;
Levy, C. ;
Hirshberg, G. ;
Rotschild, A. ;
Landesberg, A. .
JOURNAL OF PERINATOLOGY, 2016, 36 (02) :116-120
[8]   Transcutaneous electromyography of the diaphragm: A cardio-respiratory monitor for preterm infants [J].
Kraaijenga, Juliette V. ;
Hutten, Gerard J. ;
de Jongh, Frans H. ;
van Kaam, Anton H. .
PEDIATRIC PULMONOLOGY, 2015, 50 (09) :889-895
[9]   A new algorithm for detecting central apnea in neonates [J].
Lee, Hoshik ;
Rusin, Craig G. ;
Lake, Douglas E. ;
Clark, Matthew T. ;
Guin, Lauren ;
Smoot, Terri J. ;
Paget-Brown, Alix O. ;
Vergales, Brooke D. ;
Kattwinkel, John ;
Moorman, J. Randall ;
Delos, John B. .
PHYSIOLOGICAL MEASUREMENT, 2012, 33 (01) :1-17
[10]   An optical measurement method for the simultaneous assessment of respiration and heart rates in preterm infants [J].
Marchionni, P. ;
Scalise, L. ;
Ercoli, I. ;
Tomasini, E. P. .
REVIEW OF SCIENTIFIC INSTRUMENTS, 2013, 84 (12)