False alarms during patient monitoring in clinical intensive care units are highly related to poor quality of the monitored electrocardiogram signals.

Abstract:

:Electrocardiograms (ECGs) recorded from patients in intensive care were investigated to quantify any relationship between ECG signal quality and false monitoring alarms. False alarms are a considerable problem for nursing and medical staff as they distract from clinical care, and are also a problem for patients as they disturb rest, which is important for clinical recovery. ECG and alarm data were obtained for 750 patient alarms from the PhysioNet database. The final 8 s period before the alarm was triggered was investigated. All but one ECG channel in 38 ECG recordings with out-of-range data were associated with false positive alarms (p  <  0.0001). The frequency contributions for baseline (BL) instability, electromyogram (EMG) muscle noise, and high frequency (HF) noise were calculated. For all three frequency bands, the contributions associated with false positive alarms were very significantly greater than for true positive alarms (p  <  0.0001). The greatest difference was for BL with a mean level for false positive alarms 4.0 times greater than for true positive alarms, followed by EMG and HF at 1.6 times and 1.4 times respectively. These results confirm that attention needs to be taken to improve ECG signal quality to reduce the frequency of clinical false alarms, and hence improve conditions for clinical staff and patients.

journal_name

Physiol Meas

authors

Tsimenidis C,Murray A

doi

10.1088/0967-3334/37/8/1383

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

1383-91

issue

8

eissn

0967-3334

issn

1361-6579

journal_volume

37

pub_type

杂志文章
  • A randomized controlled trial studying the effect of maternal hyperoxygenation on fetal heart rate in suspected fetal distress.

    abstract:OBJECTIVE:To investigate the effect of maternal hyperoxygenation on fetal heart rate (FHR) when applied for suspected fetal distress during the second stage of term labor. APPROACH:A single-center randomized controlled trial was conducted in a tertiary care hospital in The Netherlands. Participants were included durin...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/abc0b6

    authors: Moors S,Joshi R,Bullens LM,van Oostrum NHM,Regis M,van den Heuvel ER,Oei SG,van Laar JOEH,van der Hout-van der Jagt MB

    更新日期:2020-12-11 00:00:00

  • The non-invasive and continuous estimation of cardiac output using a photoplethysmogram and electrocardiogram during incremental exercise.

    abstract::Cardiac output (CO) monitoring is not only essential for critically ill patients in the hospital, but also for patients at home and those undergoing cardiopulmonary exercise testing. However, CO is difficult to monitor during daily activities and exercise. In this paper, we aim at developing a novel CO estimation meth...

    journal_title:Physiological measurement

    pub_type: 临床试验,杂志文章

    doi:10.1088/0967-3334/31/5/008

    authors: Wang L,Poon CC,Zhang YT

    更新日期:2010-05-01 00:00:00

  • Modelling the cerebral haemodynamic response in the physiological range of PaCO2.

    abstract:OBJECTIVE:Arterial CO2 (PaCO2) has a strong effect on cerebral blood flow (CBF), but its influence on CBF regulatory mechanisms and circulatory systemic variables has not been fully described over the entire physiological range of PaCO2. APPROACH:CBF velocity (CBFV, transcranial Doppler), blood pressure (BP, Finometer...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aac76b

    authors: Minhas JS,Panerai RB,Robinson TG

    更新日期:2018-06-19 00:00:00

  • Electroencephalography as a predictor of self-report fatigue/sleepiness during monotonous driving in train drivers.

    abstract:OBJECTIVE:In this study, electroencephalography activity recorded during monotonous driving was investigated to examine the predictive capability of monopolar EEG analysis for fatigue/sleepiness in a cohort of train drivers. APPROACH:Sixty-three train drivers participated in the study, where 32- lead monopolar EEG dat...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aae42e

    authors: Lees T,Chalmers T,Burton D,Zilberg E,Penzel T,Lal S,Lal S

    更新日期:2018-10-30 00:00:00

  • Trabecular thickness measurement in cancellous bones: postmortem rat studies with the zoom-in micro-tomography technique.

    abstract::Using the cross-sectional images taken with the zoom-in micro-tomography technique, we measured trabecular thicknesses of femur bones in postmortem rats. Since the zoom-in micro-tomography technique is capable of high resolution imaging of a small local region inside a large subject, we were able to measure the trabec...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/26/5/008

    authors: Cho MH,Chun IK,Lee SC,Cho MH,Lee SY

    更新日期:2005-10-01 00:00:00

  • Comparison of self-reported measure of sitting time (IPAQ) with objective measurement (activPAL).

    abstract::This study compared sitting time measured by a questionnaire (International Physical Activity Questionnaire; IPAQ) with concurrently measured objective sitting time from an accelerometer-based measure of thigh inclination (activPAL).Adults (n = 69), wore an activPAL for a week, and then completed the long-form 7 d rec...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/35/11/2319

    authors: Chastin SF,Culhane B,Dall PM

    更新日期:2014-11-01 00:00:00

  • Dynamics of tissue shrinkage during ablative temperature exposures.

    abstract::There is a lack of studies that examine the dynamics of heat-induced shrinkage of organ tissues. Clinical procedures such as radiofrequency ablation, microwave ablation or high-intensity focused ultrasound, use heat to treat diseases such as cancer and cardiac arrhythmia. When heat is applied to tissues, shrinkage occ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/35/1/55

    authors: Rossmann C,Garrett-Mayer E,Rattay F,Haemmerich D

    更新日期:2014-01-01 00:00:00

  • Reproducibility of regional lung ventilation distribution determined by electrical impedance tomography during mechanical ventilation.

    abstract::Electrical impedance tomography (EIT) has the potential to become a new tool for bedside monitoring of regional lung ventilation. The aim of our study was to assess the reproducibility of regional lung ventilation distribution determined by EIT during mechanical ventilation under identical ventilator settings. The exp...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/28/7/S19

    authors: Frerichs I,Schmitz G,Pulletz S,Schädler D,Zick G,Scholz J,Weiler N

    更新日期:2007-07-01 00:00:00

  • A semi-implantable multichannel telemetry system for continuous electrical, mechanical and hemodynamical recordings in animal cardiac research.

    abstract::We have developed an eight-channel telemetry system for studying experimental models of chronic cardiovascular disease. The system is an extension of a previous device that has been miniaturized, reduced in power consumption and provided with increased functionality. We added sensors for ventricular dimension, and cor...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/28/3/002

    authors: Kong W,Huang J,Rollins DL,Ideker RE,Smith WM

    更新日期:2007-03-01 00:00:00

  • Auditory magnetic fields in cochlear-implant patients.

    abstract::Neuromagnetic recordings were used to check if electrical stimulation of the auditory nerve in cochlear-implant patients activates cortical auditory areas in a similar manner as acoustic stimulation in normal hearing subjects or whether the excitation processes are different. The waveform of the evoked magnetic field ...

    journal_title:Physiological measurement

    pub_type: 杂志文章,评审

    doi:10.1088/0967-3334/14/4a/014

    authors: Pelizzone M

    更新日期:1993-11-01 00:00:00

  • A wireless platform for in vivo measurement of resistance properties of the gastrointestinal tract.

    abstract::Active locomotion of wireless capsule endoscopes has the potential to improve the diagnostic yield of this painless technique for the diagnosis of gastrointestinal tract disease. In order to design effective locomotion mechanisms, a quantitative measure of the propelling force required to effectively move a capsule in...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/35/7/1197

    authors: Natali CD,Beccani M,Obstein KL,Valdastri P

    更新日期:2014-07-01 00:00:00

  • Tracking boundary movement and exterior shape modelling in lung EIT imaging.

    abstract::Electrical impedance tomography (EIT) has shown significant promise for lung imaging. One key challenge for EIT in this application is the movement of electrodes during breathing, which introduces artefacts in reconstructed images. Various approaches have been proposed to compensate for electrode movement, but no comp...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/36/6/1119

    authors: Biguri A,Grychtol B,Adler A,Soleimani M

    更新日期:2015-06-01 00:00:00

  • Recording of ENGs from the nerves innervating the pancreas of a dog during the intravenous glucose tolerance test.

    abstract::Electroneurograms (ENGs) from the vagus nerve (VN), the splanchnic nerve (SN) and the pancreatic nerve (PN) innervating the pancreas of a dog, were recorded with chronically implanted 33-electrode spiral cuffs (cuff) before and after the pancreas were stimulated with intravenously (i.v.) administered glucose. In the c...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/23/4/309

    authors: Rozman J,Zorko B,Bunc M,Mikac U,Tegou E

    更新日期:2002-11-01 00:00:00

  • An instrumented timed up and go: the added value of an accelerometer for identifying fall risk in idiopathic fallers.

    abstract::The Timed Up and Go (TUG) test is a widely used measure of mobility and fall risk among older adults that is typically scored using a stopwatch. We tested the hypothesis that a body-fixed accelerometer can enhance the ability of the TUG to identify community-living older adults with a relatively high fall risk of unkn...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/32/12/009

    authors: Weiss A,Herman T,Plotnik M,Brozgol M,Giladi N,Hausdorff JM

    更新日期:2011-12-01 00:00:00

  • In vivo neutron activation analysis of bone manganese in workers.

    abstract:OBJECTIVE:Manganese (Mn) is a neurotoxin. However, the impact of elevated, chronic Mn exposure is not well understood, partially due to the lack of a cumulative exposure biomarker. To address this gap, our group developed a compact in vivo neutron activation analysis (IVNAA) system to quantify Mn concentration in bone ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aaa749

    authors: Liu Y,Rolle-McFarland D,Mostafaei F,Zhou Y,Li Y,Zheng W,Wells E,Nie LH

    更新日期:2018-03-23 00:00:00

  • Airway resistance estimation by best fit analysis in very premature infants.

    abstract::Plethysmographic measurement of airway resistance (R(aw)) has been determined by single-point analysis, usually at 50% of maximum inspiratory flow (MIF). Computer-assisted (best fit) analysis, however, allows R(aw) to be calculated by applying a regression line to any portion of the plethysmograph pressure-flow loop. ...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/23/2/304

    authors: Thomas M,Greenough A,Blowes R,Rafferty GF,Calvert S,Marlow N,Peacock JL,Milner AD

    更新日期:2002-05-01 00:00:00

  • PaCO2 measurement in cerebral haemodynamics: face mask or nasal cannulae?

    abstract:OBJECTIVE:PaCO2 affects cerebral blood flow (CBF) and its regulatory mechanisms, but the effects of CO2 measurement technique on cerebrovascular parameters are unknown. In order to determine if the two most commonly used approaches, face mask (FM) or nasal cannulae (NC), are interchangeable or not, we tested the hypoth...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/1361-6579/aa6f9f

    authors: Minhas JS,Robinson T,Panerai R

    更新日期:2017-06-22 00:00:00

  • An intelligent ventilation and oxygenation management system in neonatal intensive care using fuzzy trend template fitting.

    abstract::This paper describes an open loop feedback intelligent system for neonatal intensive care management. The system provides a tool enabling the user to make the final decision to accept or reject the advice given. The system collects 18 parameters from the bedside monitor and ventilator using a Medical Information Bus (...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/26/4/019

    authors: Belal SY,Taktak AF,Nevill A,Spencer A

    更新日期:2005-08-01 00:00:00

  • Body fat prediction from skinfold anthropometry referenced to a new gold standard: in vivo neutron activation analysis and tritium dilution.

    abstract::Skinfold anthropometry is a widely practiced technique often with little appreciation of its limitations. The large residual error appearing in any regressions of body density versus sums of skinfolds is primarily due to biological causes, in particular the non-constancy of the ratio of subcutaneous to total body fat....

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/19/3/008

    authors: Beddoe AH,Samat SB

    更新日期:1998-08-01 00:00:00

  • Empirically derived cut-points for sedentary behaviour: are we sitting differently?

    abstract::Sedentary behaviour (SB) is associated with a number of adverse health outcomes. Studies that have used ActiGraph monitors to define sedentary time tend to use a threshold of  <100 counts per minute (cpm) for classifying SB; however, this cut-point was not empirically derived for adults. It is not known whether ActiGr...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/37/10/1669

    authors: Clarke-Cornwell AM,Farragher TM,Cook PA,Granat MH

    更新日期:2016-10-01 00:00:00

  • Tracking time-varying cerebral autoregulation in response to changes in respiratory PaCO2.

    abstract::Cerebral autoregulation has been studied by linear filter systems, with arterial blood pressure (ABP) as the input and cerebral blood flow velocity (CBFV-from transcranial Doppler Ultrasound) as the output. The current work extends this by using adaptive filters to investigate the dynamics of time-varying cerebral aut...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/31/10/001

    authors: Liu J,Simpson MD,Yan J,Allen R

    更新日期:2010-10-01 00:00:00

  • Wavelet bidomain sample entropy analysis to predict spontaneous termination of atrial fibrillation.

    abstract::The ability to predict if an atrial fibrillation (AF) episode terminates spontaneously or not through non-invasive techniques is a challenging problem of great clinical interest. This fact could avoid useless therapeutic interventions and minimize the risks for the patient. The present work introduces a robust AF pred...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/29/1/005

    authors: Alcaraz R,Rieta JJ

    更新日期:2008-01-01 00:00:00

  • Within-breath measurement of respiratory impedance.

    abstract::The measurement of the complex respiratory impedance at a high temporal resolution is described. The measurement of impedance is correlated with the breathing cycle using electrical transthoracic impedance. This allows the determination of the complex impedance at any fixed point in the respiratory cycle, which result...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/14/3/019

    authors: van der Putten WJ,MacLeod D,Prichard JS

    更新日期:1993-08-01 00:00:00

  • Independent component analysis of normal and abnormal rhythm in twin pregnancies.

    abstract::We investigated the utility of ICA for evaluation of fetal rhythm in five uncomplicated twin pregnancies and in five twin pregnancies complicated by fetal arrhythmia. Using objective and subjective criteria, we sought to determine how the signal-to-noise ratio, signal fidelity and interference rejection are affected w...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/32/1/004

    authors: Mensah-Brown NA,Lutter WJ,Comani S,Strasburger JF,Wakai RT

    更新日期:2011-01-01 00:00:00

  • Wearable sensors for patient-specific boundary shape estimation to improve the forward model for electrical impedance tomography (EIT) of neonatal lung function.

    abstract::Electrical impedance tomography (EIT) could be significantly advantageous to continuous monitoring of lung development in newborn and, in particular, preterm infants as it is non-invasive and safe to use within the intensive care unit. It has been demonstrated that accurate boundary form of the forward model is import...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/35/6/1149

    authors: Khor JM,Tizzard A,Demosthenous A,Bayford R

    更新日期:2014-06-01 00:00:00

  • Impedance analyser module for EIT and spectroscopy using undersampling.

    abstract::In this paper we present the concept, the design and the test procedure for a DSP-based high-precision and high-performance wide-band (up to 10 MHz) bioimpedance analyser module for application in EIT or bioimpedance spectroscopy. The module implements a digital concept with appropriate signal conditioning hardware fo...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/22/1/303

    authors: Dudykevych T,Gersing E,Thiel F,Hellige G

    更新日期:2001-02-01 00:00:00

  • Effects of CO2 on dynamic cerebral autoregulation measurement.

    abstract::Arterial pCO2 is known to influence cerebral autoregulation but its effect on the dynamic relationship between mean arterial blood pressure (ABP) and mean cerebral blood flow velocity (CBFV), obtained from spontaneous fluctuations in ABP, has not been established. In 16 normal subjects, ABP was measured non-invasively...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/20/3/304

    authors: Panerai RB,Deverson ST,Mahony P,Hayes P,Evans DH

    更新日期:1999-08-01 00:00:00

  • Storage effects on the Cole-Cole parameters of erythrocyte suspensions.

    abstract::Chemical alterations of red blood cells (RBCs) during storage eventually affect the electrical properties of blood. In this study, the physiological parameters such as extracellular (SAGM + CPD + residual plasma) Na(+), K(+), Cl(-), pH, 2,3-DPG and ATP together with the Cole-Cole parameters were measured using erythro...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/27/7/006

    authors: Sezdi M,Bayik M,Ulgen Y

    更新日期:2006-07-01 00:00:00

  • Identification of oxygen-19 during in vivo neutron activation analysis of water phantoms.

    abstract::Hand bone equivalent phantoms (250 ml) carrying selenium in various amounts were irradiated and counted for in vivo neutron activation analysis (IVNAA) by employing a 4π NaI(TI) based detection system. During the analysis of counting data, a feature at a higher energy than the gamma ray peak from (77m)Se (0.162 MeV) w...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/36/12/N127

    authors: Tahir SN,Chettle DR

    更新日期:2015-12-01 00:00:00

  • Empirical estimators of gamma fits to tracer-dilution curves and their technical basis and practical scope.

    abstract::A gamma fit facilitates smoothing and extrapolation of distorted tracer-dilution curves in blood flow studies. Theoretically based empirical estimators were developed as simple alternatives to direct regression approaches from simulated gamma distributions with a wide range of shape asymmetry. Key curve features of pe...

    journal_title:Physiological measurement

    pub_type: 杂志文章

    doi:10.1088/0967-3334/22/4/401

    authors: Lopatatzidis A,Millard RK

    更新日期:2001-11-01 00:00:00