scholarly journals Effects of Methylprednisolone Infusions on Vital Signs in Children With Headaches

2013 ◽  
Vol 18 (1) ◽  
pp. 39-44
Author(s):  
Elaine Heidrich ◽  
Gail Greene ◽  
Jessica Weberding ◽  
Li Lin ◽  
Susan McGee
Keyword(s):  
Blood Pressure ◽  
Patient Safety ◽  
Vital Sign ◽  
Hospital Admissions ◽  
Vital Signs ◽  
Retrospective Chart Review ◽  
Cardiovascular Effects ◽  
Sign Changes ◽  
Institutional Review ◽  
Specific Order

OBJECTIVES Intravenous methylprednisolone (IVMP) infusions have been associated with adverse cardiovascular effects. Inconsistent monitoring practices in a pediatric hospital led to questions about patient safety and allocation of nursing resources. This study describes vital sign changes in children and monitoring practices related to IVMP. METHODS This retrospective chart review received Institutional Review Board approval. Children aged 5 to 17 years receiving IVMP from January 2006 to January 2009 were included. Seventy-four patients with 94 hospital admissions were evaluated. Data collected included systolic blood pressure, diastolic blood pressure, and heart rate, as well as the time and dosage of IVMP. Frequency of vital sign monitoring as ordered and as performed was described. Interrater reliability was calculated, and descriptive statistics were used in the data analysis. RESULTS At baseline, about half of the patients had vital signs out of normal range for age. After the first dose, vital signs fluctuated, with a majority having greater than 10% changes from baseline as increases, decreases, or both. Time of initial 10% change in vital signs ranged from immediately after the dose to 135.5 hours later. Increased vital sign changes were seen in the older patients and in patients receiving higher doses. Monitoring of vital signs occurred more frequently than was ordered. Only 1 patient had a specific order for monitoring with IVMP. CONCLUSIONS The patients included in this study experienced documented fluctuations in vital signs. A prospective study to evaluate the relationship of IVMP and patient safety will assist in standardizing vital sign monitoring guidelines.

Advance Monitoring of Blood Pressure and Respiratory Rate Using De-Noising Auto Encoder

2021 ◽  
Author(s):  
Seung-Ho Park ◽  
Kyoung-Su Park
Keyword(s):  
Blood Pressure ◽  
Respiratory Rate ◽  
Vital Sign ◽  
Superficial Temporal Artery ◽  
Vital Signs ◽  
Pulse Signal ◽  
Temporal Artery ◽  
Sinus Arrhythmia ◽  
Vital Signs Monitoring ◽  
Vital Sign Measurement

Abstract As the importance of continuous vital signs monitoring increases, the need for wearable devices to measure vital sign is increasing. In this study, the device is designed to measure blood pressure (BP), respiratory rate (RR), and heartrate (HR) with one sensor. The device is in earphone format and is manufactured as wireless type using Arduino-based bluetooth module. The device measures pulse signal in the Superficial temporal artery using Photoplethysmograghy (PPG) sensor. The device uses the Auto Encoder to remove noise caused by movement, etc., contained in the pulse signal. Extract the feature from the pulse signal and use them for the vital sign measurement. The device is measured using Slope transit time (STT) method for BP and Respiratory sinus arrhythmia (RSA) method for RR. Finally, the accuracy is determined by comparing the vital signs measured through the device with the reference vital signs measured simultaneously.

scholarly journals Avatar-based versus conventional vital signs display in a central monitor for monitoring multiple patients: A multicenter computer-based laboratory study

2019 ◽  
Author(s):  
Olivier Garot ◽  
Julian Rössler ◽  
Juliane Pfarr ◽  
Michael T. Ganter ◽  
Donat R. Spahn ◽  
...  
Keyword(s):  
Patient Safety ◽  
Laboratory Study ◽  
Situation Awareness ◽  
Vital Sign ◽  
Vital Signs ◽  
Waveform Data ◽  
Perceived Workload ◽  
Computer Based ◽  
Nasa Tlx ◽  
Multiple Patients

Abstract Background Maintaining adequate situation awareness is crucial for patient safety. Previous studies found that the use of avatar-based monitoring (Visual Patient Technology) improved the perception of vital signs compared to conventional monitoring showing numerical and waveform data; and was further associated with a reduction of perceived workload. In this study, we aimed to evaluate the effectiveness of Visual Patient Technology on perceptive performance and perceived workload when monitoring multiple patients at the same time, such as in central station monitors in intensive care units or operating rooms.Methods A prospective, within-subject, computer-based laboratory study was performed in two tertiary care hospitals in Switzerland in 2018. Thirty-eight physician and nurse anesthetists volunteered for the study. The participants were shown four different central monitor scenarios in sequence, where each scenario displayed two critical and four healthy patients simultaneously for 10 or 30 seconds. After each scenario, participants had to recall the vital signs of the critical patients. Perceived workload was assessed with the National Aeronautics and Space Association Task-Load-Index (NASA TLX) questionnaire.Results In the 10-second scenarios, the median number of perceived vital signs significantly improved from 7 to 11 using avatar-based versus conventional monitoring with a median of differences of 5 vital signs, p < 0.001. At the same time, the median NASA TLX scores were significantly lower for avatar-based monitoring (67 vs. 77) with a median of differences of 5 points, p = 0.024. In the 30-second scenarios, vital sign perception and workload did not differ significantly.Conclusions In central monitor multiple patient monitoring, we found a significant improvement of vital sign perception and reduction of perceived cognitive workload using Visual Patient Technology, compared to conventional monitoring. The technology enabled improved assessment of patient status and may, thereby, increase situation awareness and enhance patient safety.

scholarly journals The effect of alternate nostril breathing exercise in vital signs of congestive heart failure patients

2019 ◽  
Vol 7 (1) ◽  
pp. 67
Author(s):  
Tiurmaida Simandalahi ◽  
Honesty Diana Morika ◽  
Puteri Fannya
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Congestive Heart Failure ◽  
Vital Sign ◽  
Vital Signs ◽  
Pharmacological Therapy ◽  
T Test ◽  
P Value ◽  
Breathing Exercise ◽  
Paired T Test

Background: Changes in vital signs such as tachycardia, dyspnea, tachipnea, decreased oxygenation, caused by the inability of the heart to pump enough blood to meet the needs of oxygen and nutrients needed by the tissue, so that alternative therapies are needed: alternate nostril breathing exercise (ANBE) as a companion to pharmacological therapy for congestive heart failure (CHF) patients. The purpose of this study was to see the effect of ANBE on the vital sign of CHF patients.Methods: This Quasy experimental study was used one group pretest and Posttes design, conducted at one of the Padang City Hospitals from March to August 2019. Study population includes CHF sufferers, with a sample of 16 people, using accidental sampling technique. Univariate data analysis to get the mean of vital sign and bivariate measurements using parametric test i.e. Paired t-test to see the effect of this therapy.Results: Mean vital signs pretest and posttest was given in a row The observations are: respiratory rate (RR): 5.4978; 4.6078, pulse: 10.1804; 8,7770, systolic blood pressure (SBP): 12,5963; 11,1481, and diastolic blood pressure (DBP): 10,3009; 8.8606. Paired t-test obtained p-value of RR, pulse, SBP and DBP: 0.000, and existing t count> from t table (t count> 2.13145), so that there is an effect of ANBE on vital signs.Conclusions: ANBE affects the vital sign of CHF patients and can be continued as an intervention that can be carried out independently by CHF sufferers.

scholarly journals Avatar-based versus conventional vital signs display in a central monitor for monitoring multiple patients: A multicenter computer-based laboratory study.

2019 ◽  
Author(s):  
Olivier Garot ◽  
Julian Rössler ◽  
Juliane Pfarr ◽  
Michael T. Ganter ◽  
Donat R. Spahn ◽  
...  
Keyword(s):  
Patient Safety ◽  
Laboratory Study ◽  
Situation Awareness ◽  
Vital Sign ◽  
Vital Signs ◽  
Waveform Data ◽  
Perceived Workload ◽  
Computer Based ◽  
Nasa Tlx ◽  
Multiple Patients

Abstract Background Maintaining adequate situation awareness is crucial for patient safety. Previous studies found that the use of avatar-based monitoring (Visual Patient Technology) improved the perception of vital signs compared to conventional monitoring showing numerical and waveform data; and was further associated with a reduction of perceived workload. In this study, we aimed to evaluate the effectiveness of Visual Patient Technology on perceptive performance and perceived workload when monitoring multiple patients at the same time, such as in central station monitors in intensive care units or operating rooms.Methods A prospective, within-subject, computer-based laboratory study was performed in two tertiary care hospitals in Switzerland in 2018. Thirty-eight physician and nurse anesthetists volunteered for the study. The participants were shown four different central monitor scenarios in sequence, where each scenario displayed two critical and four healthy patients simultaneously for 10 or 30 seconds. After each scenario, participants had to recall the vital signs of the critical patients. Perceived workload was assessed with the National Aeronautics and Space Association Task-Load-Index (NASA TLX) questionnaire.Results In the 10-second scenarios, the median number of perceived vital signs significantly improved from 7 to 11 using avatar-based versus conventional monitoring with a median of differences of 5 vital signs, p < 0.001. At the same time, the median NASA TLX scores were significantly lower for avatar-based monitoring (67 vs. 77) with a median of differences of 5 points, p = 0.024. In the 30-second scenarios, vital sign perception and workload did not differ significantly.Conclusions In central monitor multiple patient monitoring, we found a significant improvement of vital sign perception and reduction of perceived cognitive workload using Visual Patient Technology, compared to conventional monitoring. The technology enabled improved assessment of patient status and may, thereby, increase situation awareness and enhance patient safety.

scholarly journals Avatar-based versus conventional vital sign display in a central monitor for monitoring multiple patients: A multicenter computer-based laboratory study.

2019 ◽  
Author(s):  
Olivier Garot ◽  
Julian Rössler ◽  
Juliane Pfarr ◽  
Michael T. Ganter ◽  
Donat R. Spahn ◽  
...  
Keyword(s):  
Patient Safety ◽  
Laboratory Study ◽  
Situation Awareness ◽  
Vital Sign ◽  
Vital Signs ◽  
Waveform Data ◽  
Perceived Workload ◽  
Computer Based ◽  
Nasa Tlx ◽  
Multiple Patients

Abstract Background Maintaining adequate situation awareness is crucial for patient safety. Previous studies found that the use of avatar-based monitoring (Visual Patient Technology) improved the perception of vital signs compared to conventional monitoring showing numerical and waveform data; and was further associated with a reduction of perceived workload. In this study, we aimed to evaluate the effectiveness of Visual Patient Technology on perceptive performance and perceived workload when monitoring multiple patients at the same time, such as in central station monitors in intensive care units or operating rooms. Methods A prospective, within-subject, computer-based laboratory study was performed in two tertiary care hospitals in Switzerland in 2018. Thirty-eight physician and nurse anesthetists volunteered for the study. The participants were shown four different central monitor scenarios in sequence, where each scenario displayed two critical and four healthy patients simultaneously for 10 or 30 seconds. After each scenario, participants had to recall the vital signs of the critical patients. Perceived workload was assessed with the National Aeronautics and Space Administration Task-Load-Index (NASA TLX) questionnaire. Results In the 10-second scenarios, the median number of remembered vital signs significantly improved from 7 to 11 using avatar-based versus conventional monitoring with a mean of differences of 4 vital signs, 95% confidence interval (CI) 2 to 6, p < 0.001. At the same time, the median NASA TLX scores were significantly lower for avatar-based monitoring (67 vs. 77) with a mean of differences of 6 points, 95% CI 0.5 to 11, p = 0.034. In the 30-second scenarios, vital sign perception and workload did not differ significantly. Conclusions In central monitor multiple patient monitoring, we found a significant improvement of vital sign perception and reduction of perceived workload using Visual Patient Technology, compared to conventional monitoring. The technology enabled improved assessment of patient status and may, thereby, help to increase situation awareness and enhance patient safety.

scholarly journals THE PREVALENCE OF ORTHOSTATIC HYPOTENSION AMONG HOSPITALIZED OLDER ADULTS AT RISK FOR FALLING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S848-S848
Author(s):  
Denise L Lyons ◽  
Kathleen Schell
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Orthostatic Hypotension ◽  
Linear Models ◽  
Vital Signs ◽  
Retrospective Chart Review ◽  
The Elderly ◽  
Convenience Sample ◽  
Hospitalized Older Adults ◽  
Chi Square Analysis

Abstract Orthostatic hypotension (OH) may cause falls in hospitalized older adults. OH is a sustained drop of at least 20 mm Hg for systolic blood pressure or at least 10 mm Hg for diastolic blood pressure when changing position from supine to sitting, sitting to standing, or supine to standing. A recent systematic review revealed an inconsistent relationship between OH and falls. Orthostatic vital signs (OVS) measurement is often included in fall prevention initiatives. Some experts suggest that the time required to collect OVS and the possibility of measurement inaccuracy by nurses make this bedside screening unnecessary. The study aims were to determine: 1) the prevalence of OH, 2) if those older adults with documented OH experienced falls, and 3) the influence of medications known to be associated with OH and falls. Medication categories included antihypertensives, dopamine agonists, antipsychotics and antidepressants. A retrospective chart review was conducted on a convenience sample of 8,474 older adults on two Acute Care of the Elderly units at a large health system in the mid-Atlantic between 2015 and 2018. Results were determined using contingency tables and Chi-square analysis. More complex relationships were pursued using log linear models. The overall OH prevalence was 46.9% at some point during their hospital stay. Over the three years, 68 patients of whom 62% were hypotensive (p=.034). There was no statistical association of OH with medications or co-morbidities. The results demonstrate that although prevalent in almost half of this sample, orthostatic hypotension did not lead to falls.

scholarly journals Impact of a Medication Therapy Management Clinic on Glycosylated Hemoglobin, Blood Pressure, and Resource Utilization

2018 ◽  
Vol 53 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Jessica J. Tilton ◽  
Mansi G. Edakkunnathu ◽  
Kellyn M. Moran ◽  
Anna Markel Vaysman ◽  
Jessica L. DaPisa ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Low Income ◽  
Hospital Admissions ◽  
Glycosylated Hemoglobin ◽  
Medication Management ◽  
Medication Therapy Management ◽  
Therapy Management ◽  
Medication Therapy ◽  
Institutional Review ◽  
Patients With Diabetes

Background: Medication therapy management is widely promoted to improve care. However, few well-controlled studies have evaluated its impact. Objectives: We evaluated whether enrollment in a comprehensive medication therapy management clinic (MTMC) was associated with improved 12-month outcomes. Methods: This institutional review board approved study was a retrospective controlled cohort study in an academic health center serving low-income, African American and Latino populations. Between 2001 and 2011 MTMC patients were matched to control patients by age, gender, and comorbidities. Outcomes were mean change in glycosylated hemoglobin (A1C), diastolic (DBP) and systolic blood pressure (SBP), and emergency department (ED) and hospital admissions at 6 and 12 months. A difference-in-difference analysis was conducted for each outcome of interest, adjusting for observed, unmatched confounders. Results: Patients with diabetes and receiving MTMC had greater A1C improvements, compared with controls, of 0.54% (P = 0.0067) at 6 months and 0.63% (P = 0.0160) at 12 months. At 6 months, SBP and DBP decreased in MTMC patients by 6.5 mm Hg (P = 0.0108) and 3.8 mm Hg (P = 0.0136) more than controls, respectively. At 12 months, those receiving MTMC services had SBP and DBP decreases, respectively, of 8.2 mm Hg (P = 0.0018) and 1.7 mm Hg (P = 0.2691) compared with controls. ED and hospital visits were not statistically significantly different between groups. Conclusion and Relevance: This MTMC potentially improved outcomes for referred patients in whom target goals were difficult to achieve and can serve as a model for other similar medication management programs.

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

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

scholarly journals Accuracy of Vital Signs Measurements by a Smartwatch and a Portable Health Device: Validation Study

10.2196/16811 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e16811 ◽  
Author(s):  
Christina Hahnen ◽  
Cecilia G Freeman ◽  
Nilanjan Haldar ◽  
Jacquelyn N Hamati ◽  
Dylan M Bard ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Vital Sign ◽  
Vital Signs ◽  
Final Analysis ◽  
University Hospital ◽  
Health Concern ◽  
Absolute Difference ◽  
Mean Absolute Difference ◽  
The Mean ◽  
Performance Monitor

Background New consumer health devices are being developed to easily monitor multiple physiological parameters on a regular basis. Many of these vital sign measurement devices have yet to be formally studied in a clinical setting but have already spread widely throughout the consumer market. Objective The aim of this study was to investigate the accuracy and precision of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and oxygen saturation (SpO2) measurements of 2 novel all-in-one monitoring devices, the BodiMetrics Performance Monitor and the Everlast smartwatch. Methods We enrolled 127 patients (>18 years) from the Thomas Jefferson University Hospital Preadmission Testing Center. SBP and HR were measured by both investigational devices. In addition, the Everlast watch was utilized to measure DBP, and the BodiMetrics Performance Monitor was utilized to measure SpO2. After 5 min of quiet sitting, four hospital-grade standard and three investigational vital sign measurements were taken, with 60 seconds in between each measurement. The reference vital sign measurements were calculated by determining the average of the two standard measurements that bounded each investigational measurement. Using this method, we determined three comparison pairs for each investigational device in each subject. After excluding data from 42 individuals because of excessive variation in sequential standard measurements per prespecified dropping rules, data from 85 subjects were used for final analysis. Results Of 85 participants, 36 (42%) were women, and the mean age was 53 (SD 21) years. The accuracy guidelines were only met for the HR measurements in both devices. SBP measurements deviated 16.9 (SD 13.5) mm Hg and 5.3 (SD 4.7) mm Hg from the reference values for the Everlast and BodiMetrics devices, respectively. The mean absolute difference in DBP measurements for the Everlast smartwatch was 8.3 (SD 6.1) mm Hg. The mean absolute difference between BodiMetrics and reference SpO2 measurements was 3.02%. Conclusions Both devices we investigated met accuracy guidelines for HR measurements, but they failed to meet the predefined accuracy guidelines for other vital sign measurements. Continued sale of consumer physiological monitors without prior validation and approval procedures is a public health concern.

scholarly journals An effect of physical exercise-induced fatigue on the vital sign parameters: A preliminary study

2019 ◽  
Vol 15 (2) ◽  
pp. 173-177
Author(s):  
Zulkifli Ahmad ◽  
Mohd Najeb Jamaludin ◽  
Kamaruzaman Soeed
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Body Temperature ◽  
Physical Exercise ◽  
Vital Sign ◽  
Vital Signs ◽  
Health Condition ◽  
The Body ◽  
Physical Movement ◽  
Exercise Induced

Vital sign monitoring is an important body measurement to identify health condition and diagnose any disease and illness. In sports, physical exercise will contribute to the changes of the physiological systems, specifically for the vital signs. Therefore, the objective of this study was to determine the effect of physical fatigue exercise on the vital sign parameters. This is significant for the fitness identification and prediction of each individual when performing an exercise. Five male subjects with no history of injuries and random BMI were selected from students of biomedical engineering, Universiti Teknologi Malaysia. Based on the relationship between physical movement and physiology, the parameters considered were heart rate, blood pressure, and body temperature. Subjects were required to run on the treadmill at an initial speed of 4 km/h with an increase of 1 km/h at every 2 minutes interval. The effect of exercise was marked according to the fatigue protocol where the subject was induced to the maximum condition of performance. All parameters were measured twice, for pre and post exercise-induced protocol. The analysis of relationship of each parameter between pre and post fatigue was p<0.05. The results revealed that the heart rate and gap between blood pressure’s systolic and diastolic were greater for all categories except underweight, where the systolic blood pressure dropped to below 100mmHg at the end of exercise. Also, the body temperature was slightly declined to balance the thermoregulatory system with sweating. Hence, the vigorous physical movement could contribute to the active physiological system based on body metabolism. Heart rate and blood pressure presented significant effects from the fatiguing exercise whereas the body temperature did not indicate any distinguishable impact. The results presented might act as the basis of reference for physical exercise by monitoring the vital sign parameters.

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