Cardiopulmonary monitoring at home: the CHIME monitor

A new physiologic monitor for use in the home has been developed and used for the Collaborative Home Infant Monitor Evaluation (CHIME). This monitor measures infant breathing by respiratory inductance plethysmography and transthoracic impedance; infant electrocardiogram, heart rate and R-R interval;...

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Veröffentlicht in:Physiological measurement 2001-05, Vol.22 (2), p.267-286
Hauptverfasser: Neuman, Michael R, Watson, Herman, Mendenhall, Rebecca S, Zoldak, John T, Fiore, Juliann M Di, Peucker, Mark, Baird, Terry M, Crowell, David H, Hoppenbrouwers, Toke T, Hufford, David, Hunt, Carl E, Corwin, Michael J, Tinsley, Larry R, Weese-Mayer, Debra E, Sackner, Marvin A, Group, the CHIME Study
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container_end_page 286
container_issue 2
container_start_page 267
container_title Physiological measurement
container_volume 22
creator Neuman, Michael R
Watson, Herman
Mendenhall, Rebecca S
Zoldak, John T
Fiore, Juliann M Di
Peucker, Mark
Baird, Terry M
Crowell, David H
Hoppenbrouwers, Toke T
Hufford, David
Hunt, Carl E
Corwin, Michael J
Tinsley, Larry R
Weese-Mayer, Debra E
Sackner, Marvin A
Group, the CHIME Study
description A new physiologic monitor for use in the home has been developed and used for the Collaborative Home Infant Monitor Evaluation (CHIME). This monitor measures infant breathing by respiratory inductance plethysmography and transthoracic impedance; infant electrocardiogram, heart rate and R-R interval; haemoglobin O2 saturation of arterial blood at the periphery and sleep position. Monitor signals from a representative sample of 24 subjects from the CHIME database were of sufficient quality to be clinically interpreted 91.7% of the time for the respiratory inductance plethysmograph, 100% for the ECG, 99.7% for the heart rate and 87% for the 16 subjects of the 24 who used the pulse oximeter. The monitor detected breaths with a sensitivity of 96% and a specificity of 65% compared to human scorers. It detected all clinically significant bradycardias but identified an additional 737 events where a human scorer did not detect bradycardia. The monitor was considered to be superior to conventional monitors and, therefore, suitable for the successful conduct of the CHIME study.
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source MEDLINE; IOP Publishing Journals; Institute of Physics (IOP) Journals - HEAL-Link
subjects Cardiography, Impedance
Computers
Electrocardiography
Heart Function Tests - instrumentation
Heart Rate - physiology
Humans
Infant
Infant, Newborn
Monitoring, Ambulatory - instrumentation
Oximetry
Plethysmography - instrumentation
Respiratory Function Tests - instrumentation
Respiratory Mechanics
title Cardiopulmonary monitoring at home: the CHIME monitor
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