Design and Improving Vital Sign with Parameter Body Temperature (axilla) and Oxymetry for Patient Monitoring

In most hospitals, nurses routinely calculate and document primary vital signs for all patients 2-3 times per day to get information on the patient's condition. Vital Sign Monitor is made for medical devices that can diagnose patients who need intensive care to determine patient needs. Some parameters used in patient renewal: Oxygen saturation (SPO2), and body temperature. This makes additional tasks very important to be evaluated for medical staff and equipment manufacturers. This evaluation is needed to get the real condition of the patient. With the large number of patients who need evaluation, it is not possible to see the condition of some medical workers who work. This medical service is expected to reduce the workload of nurses with doctors and improve the quality of patient care. The large demand for these devices, mostly in hospital intensive rooms, is the basis for researching the output of data from multiple vital sensor monitor monitors to obtain accurate and precise outputs. The output of the two sensors is processed by Arduino Mega2560 and requested on a 5 inch TFT LCD in the form of body temperature and oxygen saturation. Comparison of module results with standard measuring instruments calibrated to reference this module is used for accurate and precise results. According to the assessment and reversing tool data with the dressing tool, the highest error value is 1%. With a maximum permitted permission of 5%.

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Comparative Study of Burnout in Professional Caregivers of Institutionalized Elderly with Dementia and other Diseases

European Journal of Investigation in Health, Psychology and Education ◽

10.3390/ejihpe1020005 ◽

2011 ◽

Vol 1 (2) ◽

pp. 61-70

Author(s):

Inmaculada Méndez ◽

Esther Secanilla ◽

Juan P. Martínez ◽

Josefa Navarro

Keyword(s):

Quality Of Life ◽

Ad Hoc ◽

Maslach Burnout Inventory ◽

Well Being ◽

Measuring Instruments ◽

Global Approach ◽

People With Dementia ◽

Quality Of Patient Care ◽

Psychoeducational Programs

In a global approach about the need of paying attention to staff working with and for older people with dementia and other diseases in residential care, it is necessary to investigate their emotional well-being to provide strategies to improve their quality of life and therefore their quality of patient care. Professional caregivers of people with dementia and other diseases have specific psycho-sociological problems. They are more prone to stress which can sometimes lead to the “burnout” due to specific functions in the workplace. To define the sample was decided to compare two residential centers of two regions, Murcia and Barcelona. We proceeded to the administration of the following measuring instruments: the scale Maslach Burnout Inventory (MBI) and an ad hoc survey conducted for professional caregivers. Finally, the results offer the possibility of carrying out programs to prevent emotional exhaustion in professional carers, as well as the possibility of designing psychoeducational programs for staff care and even future proactive and reactive interventions.

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Remote Monitoring of Patients with COVID-19 after Hospital Discharge with Connected Health Platform: Outcomes and Quality of Life

Journal of Integrative Cardiology Open Access ◽

10.31487/j.jicoa.2020.05.05 ◽

2020 ◽

pp. 1-5

Author(s):

César Morcillo Serra ◽

Domingo Marzal Martín ◽

Jorge Velázquez Moro ◽

José Francisco Tomás Martínez

Keyword(s):

Quality Of Life ◽

Oxygen Saturation ◽

Hospital Discharge ◽

Remote Monitoring ◽

Vital Signs ◽

Medical Team ◽

Mobile Phone Application ◽

Connected Health ◽

Video Consultation

Background: Telemonitoring with applications and connected devices facilitates a more accessible and efficient attention. Its implementation has been accelerated thanks to the pandemic by COVID-19, where they have allowed the continuity of care. Objective: To evaluate the efficacy of a remote monitoring platform for the outpatient follow-up after hospital discharge by COVID-19. Methods: Prospective observational study of patients discharged from the hospital with COVID-19 infection between March 23 and May 25, 2020, who were followed for one month with the Connected Health telemonitoring platform. The mobile phone application connected to a pulse oximeter, allowed to measure vital signs and answer health questionnaires (EQ5D3L and CAT) daily, and alert the medical team that could be contacted by video consultation. Results: 95 patients (64% male) with a mean age of 54 (SD 26-81) years were included. The application allowed the detection of alerts for pain (80% of patients) and a decrease in oxygen saturation (12%). No patient required hospital readmission or presented complications. The application allowed strict monitoring of symptoms and quality of life. The main symptom was severe pain (59% of patients) followed by anxiety or depression (25%). The average state of health was 65 (SD 20-100). COVID-19 caused a low impact on the quality of life of 62% of the patients, although 8% reported a significant limitation, due to shortness of breath and leaving the house. Conclusion: telemonitoring allows a safe remote monitoring of patients after hospital discharge by COVID-19. The Connected Health application has allowed the measurement of oxygen saturation, symptoms and quality of life, and the detection and management of alerts by the medical team through video consultation.

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Vital-SCOPE: Design and Evaluation of a Smart Vital Sign Monitor for Simultaneous Measurement of Pulse Rate, Respiratory Rate, and Body Temperature for Patient Monitoring

Journal of Sensors ◽

10.1155/2018/4371872 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 7

Author(s):

Guanghao Sun ◽

Takemi Matsui ◽

Yasuyuki Watai ◽

Seokjin Kim ◽

Tetsuo Kirimoto ◽

...

Keyword(s):

Body Temperature ◽

Respiratory Rate ◽

Correlation Coefficient ◽

Pulse Rate ◽

Simultaneous Measurement ◽

Vital Sign ◽

Vital Signs ◽

Pearson’S Correlation ◽

Pearson's Correlation ◽

The Mean

Consistent vital sign monitoring is critically important for early detection of clinical deterioration of patients in hospital settings. Mostly, nurses routinely measure and document the primary vital signs of all patients 2‐3 times daily to assess their condition. To reduce nurse workload and thereby improve quality of patient care, a smart vital sign monitor named “Vital‐SCOPE” for simultaneous measurement of vital signs was developed. Vital-SCOPE consists of multiple sensors, including a reflective photo sensor, thermopile, and medical radar, to be used in simultaneous pulse rate, respiratory rate, and body temperature monitoring within 10 s. It was tested in laboratory and hospital settings. Bland-Altman and Pearson’s correlation analyses were used to compare the Vital-SCOPE results to those of reference measurements. The mean difference of the respiratory rate between respiratory effort belt and Vital-SCOPE was 0.47 breaths per minute with the 95% limit of agreement ranging from −7.4 to 6.5 breaths per minute. The Pearson’s correlation coefficient was 0.63 (P<0.05). Moreover, the mean difference of the pulse rate between electrocardiogram and Vital-SCOPE was 3.4 beats per minute with the 95% limit of agreement ranging from −13 to 5.8 beats per minute; the Pearson’s correlation coefficient was 0.91 (P<0.01), indicating strong linear relationship.

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Vital signs effectively predict non-hypoglycaemia in patients with altered mental status in pre-hospital settings: A retrospective analysis

10.21203/rs.3.rs-87519/v1 ◽

2020 ◽

Author(s):

Daisuke Mizu ◽

Yoshinori Matsuoka ◽

Ji Young Huh ◽

Koichi Ariyoshi

Keyword(s):

Body Temperature ◽

Mental Status ◽

Vital Sign ◽

Measurement Errors ◽

Vital Signs ◽

Area Under The Curve ◽

Altered Mental Status ◽

Final Diagnosis ◽

Significant Difference ◽

Kobe City

Abstract BackgroundBlood glucose (BG) measurement by paramedics for patients with altered mental status is recommended as pre-hospital care in Japan. Therefore, paramedics prioritise BG measurement over transport to hospital even in emergency conditions such as hypotension or hypoxaemia. The purpose of this study was to examine the relationship between BG levels and vital signs, and to evaluate whether vital signs are effective in determining the necessity of BG measurement in pre-hospital settings. MethodsWe extracted data of patients who had BG measurements performed by paramedics in Kobe City from April 2015 to March 2019. We retrospectively investigated patient age, sex, presence of hypoglycaemia (BG level < 50 mg/dL) and vital signs. If a patient did not have hypoglycaemia and was transported to the Kobe City Medical Centre General Hospital, a final diagnosis was obtained. Patients aged below 15 years, and those with BG measurement errors, missing vital sign data, or a Japan Coma Scale 0 and I-digit codes were excluded. The χ2 test and Mann-Whitney U test were used for statistical analysis, and P<0.05 was considered statistically significant. ResultsOf the 1,791 patients, 1,242 were eligible for analysis (mean age, 71.9 years; 805 [58%] male). Hypoglycaemia was observed in 324 patients (26.1%). Of the 918 non-hypoglycaemic patients, 253 (27.6%) were transported to our hospital and stroke was the most common final diagnosis (61 patients [24.1%]). The non-hypoglycaemic group had more elderly patients than the hypoglycaemic group (median 73 vs. 76 years; P < 0.01). A significant difference in each vital sign were noted between hypoglycaemic and non-hypoglycaemic groups, with body temperature showing the highest difference between groups (area under the curve, 0.71; 95% confidence interval [CI], 0.68-0.74). Furthermore, in cases with systolic blood pressure being over 100 mmHg and body temperature being 38°C or less, it was highly unlikely that hypoglycaemia caused impaired consciousness (likelihood ratio 0.12 and 0.16; 95% CI 0.05-0.25 and 0.06-0.35, respectively). ConclusionWhen considering pre-hospital hypoglycaemia assessment, vital signs are an effective index. If patients have significant hypotension or high fever, paramedics should consider immediate transport rather than BG measurement.

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A preliminary assessment of vital-signs-integrated patient-assisted intravenous opioid analgesia (VPIA) for postsurgical pain

10.21203/rs.2.11609/v5 ◽

2020 ◽

Author(s):

Ban Leong SNG ◽

Daryl Jian'an Tan ◽

Chin Wen TAN ◽

Nian-Lin Reena HAN ◽

Rehena SULTANA ◽

...

Keyword(s):

Patient Satisfaction ◽

Pain Relief ◽

Oxygen Saturation ◽

Vital Sign ◽

Infusion Pump ◽

Vital Signs ◽

Oxygen Desaturation ◽

Opioid Analgesia ◽

Median Percentage ◽

Vital Signs Monitoring

Abstract Background: We developed a Vital-signs-integrated Patient-assisted Intravenous opioid Analgesia (VPIA) analgesic infusion pump, a closed-loop vital signs monitoring and drug delivery system which embodied in a novel algorithm that took into account patients’ vital signs (oxygen saturation, heart rate). The system aimed to allow responsive titration of personalized pain relief to optimize pain relief and reduce the risk of respiratory depression. Moreover, the system would be important to enable continuous monitoring of patients during delivery of opioid analgesia.Methods: Nineteen patients who underwent elective gynecological surgery with postoperative patient controlled analgesia (PCA) with morphine were recruited. The subjects were followed up from their admission to the recovery room/ ward for at least 24 hours until assessment of patient satisfaction on the VPIA analgesic infusion pump.Results: The primary outcome measure of incidence of oxygen desaturation showed all patients had at least one episode of oxygen desaturation (<95%) during the study period. Only 6 (31.6%) patients had oxygen desaturation that persisted for more than 5 minutes. The median percentage time spent during treatment that oxygen saturation fell below 95% was 1.9%. Fourteen (73.7%) out of 19 patients encountered safety pause, due to transient oxygen desaturation or bradycardia. The patients’ median [IQR] pain scores at rest and at movement after post-op 24 hours were 0.0 [2.0] and 3.0 [2.0], respectively. The average morphine consumption in the first 24 hours was 12.5 ± 7.1mg. All patients were satisfied with their experience with the VPIA analgesic infusion pump. Conclusions: The use of VPIA analgesic infusion pump, when integrated with continuous vital sign monitor and variable lockout algorithm, was able to provide pain relief with good patient satisfaction.Keywords: infusion pump, postoperative pain, vital sign monitoring, oxygen desaturation.Trial registration: This study was registered on clinicaltrials.gov registry (NCT02804022) on 28 Feb 2016.

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Contactless Vital Signs Measurement System Using RGB-Thermal Image Sensors and Its Clinical Screening Test on Patients with Seasonal Influenza

Sensors ◽

10.3390/s20082171 ◽

2020 ◽

Vol 20 (8) ◽

pp. 2171 ◽

Cited By ~ 6

Author(s):

Toshiaki Negishi ◽

Shigeto Abe ◽

Takemi Matsui ◽

He Liu ◽

Masaki Kurosawa ◽

...

Keyword(s):

Heart Rate ◽

Body Temperature ◽

Respiration Rate ◽

Vital Sign ◽

Seasonal Influenza ◽

Estimation Method ◽

Vital Signs ◽

Thermal Image ◽

Image Sensors ◽

Music Algorithm

Background: In the last two decades, infrared thermography (IRT) has been applied in quarantine stations for the screening of patients with suspected infectious disease. However, the fever-based screening procedure employing IRT suffers from low sensitivity, because monitoring body temperature alone is insufficient for detecting infected patients. To overcome the drawbacks of fever-based screening, this study aims to develop and evaluate a multiple vital sign (i.e., body temperature, heart rate and respiration rate) measurement system using RGB-thermal image sensors. Methods: The RGB camera measures blood volume pulse (BVP) through variations in the light absorption from human facial areas. IRT is used to estimate the respiration rate by measuring the change in temperature near the nostrils or mouth accompanying respiration. To enable a stable and reliable system, the following image and signal processing methods were proposed and implemented: (1) an RGB-thermal image fusion approach to achieve highly reliable facial region-of-interest tracking, (2) a heart rate estimation method including a tapered window for reducing noise caused by the face tracker, reconstruction of a BVP signal with three RGB channels to optimize a linear function, thereby improving the signal-to-noise ratio and multiple signal classification (MUSIC) algorithm for estimating the pseudo-spectrum from limited time-domain BVP signals within 15 s and (3) a respiration rate estimation method implementing nasal or oral breathing signal selection based on signal quality index for stable measurement and MUSIC algorithm for rapid measurement. We tested the system on 22 healthy subjects and 28 patients with seasonal influenza, using the support vector machine (SVM) classification method. Results: The body temperature, heart rate and respiration rate measured in a non-contact manner were highly similarity to those measured via contact-type reference devices (i.e., thermometer, ECG and respiration belt), with Pearson correlation coefficients of 0.71, 0.87 and 0.87, respectively. Moreover, the optimized SVM model with three vital signs yielded sensitivity and specificity values of 85.7% and 90.1%, respectively. Conclusion: For contactless vital sign measurement, the system achieved a performance similar to that of the reference devices. The multiple vital sign-based screening achieved higher sensitivity than fever-based screening. Thus, this system represents a promising alternative for further quarantine procedures to prevent the spread of infectious diseases.

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Trajectories of Vital Signs and Risk of In-Hospital Cardiac Arrest

Frontiers in Medicine ◽

10.3389/fmed.2021.800943 ◽

2022 ◽

Vol 8 ◽

Author(s):

Chu-Lin Tsai ◽

Tsung-Chien Lu ◽

Chih-Hung Wang ◽

Cheng-Chung Fang ◽

Wen-Jone Chen ◽

...

Keyword(s):

Cardiac Arrest ◽

Oxygen Saturation ◽

Vital Sign ◽

Troponin I ◽

Medical Center ◽

Multivariable Analysis ◽

Vital Signs ◽

Reactive Protein ◽

Laboratory Markers ◽

Hospital Cardiac Arrest

Background: Little is known about the trajectories of vital signs prior to in-hospital cardiac arrest (IHCA), which could explain the heterogeneous processes preceding this event. We aimed to identify clinically relevant subphenotypes at high risk of IHCA in the emergency department (ED).Methods: This retrospective cohort study used electronic clinical warehouse data from a tertiary medical center. We retrieved data from 733,398 ED visits over a 7-year period. We selected one ED visit per person and retrieved patient demographics, triage data, vital signs (systolic blood pressure [SBP], heart rate [HR], body temperature, respiratory rate, oxygen saturation), selected laboratory markers, and IHCA status. Group-based trajectory modeling was performed.Results: There were 37,697 adult ED patients with a total of 1,507,121 data points across all vital-sign categories. Three to four trajectory groups per vital-sign category were identified, and the following five trajectory groups were associated with a higher rate of IHCA: low and fluctuating SBP, high and fluctuating HR, persistent hypothermia, recurring tachypnea, and low and fluctuating oxygen saturation. The IHCA-prone trajectory group was associated with a higher triage level and a higher mortality rate, compared to other trajectory groups. Except for the persistent hypothermia group, the other four trajectory groups were more likely to have higher levels of C-reactive protein, lactic acid, cardiac troponin I, and D-dimer. Multivariable analysis revealed that hypothermia (adjusted odds ratio [aOR], 2.20; 95% confidence interval [95%CI], 1.35–3.57) and recurring tachypnea (aOR 2.44; 95%CI, 1.24–4.79) were independently associated with IHCA.Conclusions: We identified five novel vital-sign sub-phenotypes associated with a higher likelihood of IHCA, with distinct patterns in clinical course and laboratory markers. A better understanding of the pre-IHCA vital-sign trajectories may help with the early identification of deteriorating patients.

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Description of physiotherapy services in a mental health institution in Nigeria

South African Journal of Physiotherapy ◽

10.4102/sajp.v67i3.49 ◽

2011 ◽

Vol 67 (3) ◽

Cited By ~ 1

Author(s):

C.A. Gbiri ◽

A.O. Akinpelu ◽

A.C. Odole

Keyword(s):

Mental Health ◽

Physical Diagnosis ◽

Mental Health Team ◽

Health Institution ◽

Health Team ◽

Number Of Patients ◽

Quality Of Patient Care ◽

Health Institutions ◽

Mental Health Institution

Physiotherapy has long been recognised as adjunct to drug therapy in the management of individuals with mental illness. however, little evidence existed on the utilization of physiotherapy in mental health especially in developing worlds.This study reviewed the utilization of physiotherapy in a Mental health Institution in lagos, nigeria and determined its contribution to quality of patient-care in the hospital.This study involved review of clients’ activity profile and patients’ record in a federal neuro-psychiatric hospital in lagos, nigeria between 2002 and 2006. The hospital records were used as source of information for socio- demographic details. Information on the physical diagnosis was extracted from the patients’ records in the departmental records. Data were summarized using descriptive statistics.Six thousand, four hundred and seventy-three (3.3%) out of the 195,686 patients of the hospital within the study period enjoyed physiotherapy ser vices. only 766 (14%) of the hospital in-patients enjoyed physiotherapy services. In addition, 808 clients enjoyed the health promotion services. low back pain (85; 21.7%), osteo-arthritis (82; 20.9%), stroke (64; 16.3%) and shoulder pain (29; 7.4%) were the most common co-existing health problems referred for physiotherapy.The importance of physiotherapy in mental health is evidenced in the number of patients/clients who benefited from its services. Therefore, physiotherapy is an integral and indispensible member of the mental health team. however, physiotherapy is still under-utilized in the hospital. This points to the need for proper integration of physiotherapy into mental health team in the hospital and other similar health institutions.

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Vital Signs Changes of Brick Industry Workers Exposed to Heat Pressure in Sukarami Palembang

Journal Of Medicine & Health ◽

10.28932/jmh.v2i1.737 ◽

2018 ◽

Vol 2 (1) ◽

Author(s):

Syokumawena Syokumawena ◽

Marta Pastari ◽

Rahmad A. Juliansyah ◽

Hanna S.W. Kusuma ◽

Dwi D. Rihibiha

Keyword(s):

Blood Pressure ◽

Health Status ◽

Body Temperature ◽

Environmental Factors ◽

Cardiovascular System ◽

Vital Sign ◽

Vital Signs ◽

Chemical Substances ◽

Pulse Heat

Brick workers are exposed to dust contained of mixtures of chemical substances andhigh temperature. Those environmental factors can affect the health status of the workers;mainly the cardiovascular system. The aim of this research was to observe the effect of heatpressure on vital sign of brick factory manufacturing workers in Sukarami Palembang. Theresearch was conducted in RT 07/13 Sungai Durian, Kecamatan Sukarami, Palembang. Thesubjects were 40 people brick workers; 20 workers were exposed to heat pressure and 20workers did not. We found that in the workers with heat pressure exposure,the average vitalsigns before working are blood pressure of 117/76 mmHg, pulse of 77 x/minutes, and bodytemperature of 36,5°C and after working are blood pressure of 130/84 mmHg, pulse of 92x/minutes, and body temperature of 38°C. In the workers without heat pressure exposure, theaverage vital signs before working are blood pressure of 107/80 mmHg, pulse of 75 x/minutes,and body temperature of 36°C and the average vital signs after working are blood pressure of112/81 mmHg, pulse of 79 x/minutes, and body temperature of 37°C. Conclusion, heat pressurehas effects on vital sign of brick factory manufacturing workers in Sukarami Palembang.Keywords: blood pressure, body temperature, brick factory pulse, heat pressure

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EMERGENCY DEPARTMENT OCCUPANCY ASSESSMENT IN LITHUANIA

Management Theory and Studies for Rural Business and Infrastructure Development ◽

10.15544/mts.2017.37 ◽

2017 ◽

Vol 39 (4) ◽

pp. 537-551

Author(s):

Gintautas Virketis ◽

Vinsas Janušonis

Keyword(s):

Health Care ◽

Emergency Department ◽

Intensive Care ◽

Patient Care ◽

Waiting Time ◽

Negative Consequences ◽

Number Of Patients ◽

Quality Of Patient Care ◽

Patient Health

Emergency department (ED) occupancy can cause many negative consequences for the quality of patient care. The purpose was to find out the reasons for the increased occupancy of the ED, to determine the appropriate criteria for the assessment of ED occupancy and the limits of waiting queues or waiting time. The heads and managers of Lithuanian in-patient health care institutions and ambulance services, in-patient reanimation and intensive care units and emergency departments were interviewed. The reasons for the increased waiting time of the ED and the appropriate criteria for the assessment of ED occupancy were determined: "the number of patients waiting in the queue" and “the estimated waiting time before doctor examination”.

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