J Clin Monit Comput - The ability of a new continuous cardiac output monitor to measure trends in cardiac output following implementation of a patient information calibration and an automated exclusion algorithm.

Tópicos

{ process(1125) use(805) approach(778) }
{ cancer(2502) breast(956) screen(824) }
{ blood(1257) pressur(1144) flow(957) }
{ imag(1057) registr(996) error(939) }
{ data(3963) clinic(1234) research(1004) }
{ chang(1828) time(1643) increas(1301) }
{ group(2977) signific(1463) compar(1072) }
{ system(1976) rule(880) can(841) }
{ error(1145) method(1030) estim(1020) }
{ extract(1171) text(1153) clinic(932) }
{ clinic(1479) use(1117) guidelin(835) }
{ howev(809) still(633) remain(590) }
{ result(1111) use(1088) new(759) }
{ featur(3375) classif(2383) classifi(1994) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ use(1733) differ(960) four(931) }
{ method(1969) cluster(1462) data(1082) }
{ data(1737) use(1416) pattern(1282) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ studi(2440) review(1878) systemat(933) }
{ problem(2511) optim(1539) algorithm(950) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ sampl(1606) size(1419) use(1276) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

A new non-invasive continuous cardiac output (esCCO) monitoring system solely utilizing a routine cardiovascular monitor was developed, even though a reference cardiac output (CO) is consistently required. Subsequently, a non-invasive patient information CO calibration together with a new automated exclusion algorithm was implemented in the esCCO system. We evaluated the accuracy and trending ability of the new esCCO system. Either operative or postoperative data of a multicenter study in Japan for evaluation of the accuracy of the original version of esCCO system were used to develop the new esCCO system. A total of 207 patients, mostly cardiac surgical patients, were enrolled in the study. Data were manually reviewed to formulate a new automated exclusion algorithm with enhanced accuracy. Then, a new esCCO system based on a patient information calibration together with the automated exclusion algorithm was developed. CO measured with a new esCCO system was compared with the corresponding intermittent bolus thermodilution CO (ICO) utilizing statistical methods including polar plots analysis. A total of 465 sets of CO data obtained using the new esCCO system were evaluated. The difference in the CO value between the new esCCO and ICO was 0.34 ? 1.50 (SD) L/min (95 % confidence limits of -2.60 to 3.28 L/min). The percentage error was 69.6 %. Polar plots analysis showed that the mean polar angle was -1.6? and radial limits of agreement were ?53.3?. This study demonstrates that the patient information calibration is clinically useful as ICO, but trending ability of the new esCCO system is not clinically acceptable as judged by percentage error and polar plots analysis, even though it's trending ability is comparable with currently available arterial waveform analysis methods.

Resumo Limpo

new noninvas continu cardiac output escco monitor system sole util routin cardiovascular monitor develop even though refer cardiac output co consist requir subsequ noninvas patient inform co calibr togeth new autom exclus algorithm implement escco system evalu accuraci trend abil new escco system either oper postop data multicent studi japan evalu accuraci origin version escco system use develop new escco system total patient most cardiac surgic patient enrol studi data manual review formul new autom exclus algorithm enhanc accuraci new escco system base patient inform calibr togeth autom exclus algorithm develop co measur new escco system compar correspond intermitt bolus thermodilut co ico util statist method includ polar plot analysi total set co data obtain use new escco system evalu differ co valu new escco ico sd lmin confid limit lmin percentag error polar plot analysi show mean polar angl radial limit agreement studi demonstr patient inform calibr clinic use ico trend abil new escco system clinic accept judg percentag error polar plot analysi even though trend abil compar current avail arteri waveform analysi method

Resumos Similares

AMIA Annu Symp Proc - Parametric survival models for predicting the benefit of adjuvant chemoradiotherapy in gallbladder cancer. ( 0,627876321311364 )
J Med Syst - Designing an architectural style for Pervasive Healthcare systems. ( 0,621582171379175 )
IEEE Trans Vis Comput Graph - Automatic Paper Sliceform Design from 3D Solid Models. ( 0,590284922288641 )
Lifetime Data Anal - Improved population-based probability of developing cancer when direct estimates of the cancer-free population are available. ( 0,582953722141656 )
Comput Math Methods Med - Monitoring fetal heart rate during pregnancy: contributions from advanced signal processing and wearable technology. ( 0,576606656287718 )
Methods Inf Med - On creating a patient-centric database from multiple Hospital Information Systems. ( 0,570827659583776 )
Comput Math Methods Med - Computer implementation of a new therapeutic model for GBM tumor. ( 0,56391664447011 )
Comput. Biol. Med. - Mathematical model in left ventricle segmentation. ( 0,562564471681259 )
J Clin Monit Comput - Transcranial Doppler monitoring of middle cerebral flow velocity in a patient with a ventriculoperitoneal shunt undergoing laparoscopy. ( 0,5567507803755 )
Comput. Biol. Med. - Classification of breast regions as mass and non-mass based on digital mammograms using taxonomic indexes and SVM. ( 0,549697746018343 )
J Am Med Inform Assoc - Bringing science to medicine: an interview with Larry Weed, inventor of the problem-oriented medical record. ( 0,547334862592745 )
Comput Methods Programs Biomed - User-centered requirements engineering in health information systems: a study in the hemophilia field. ( 0,539771631960864 )
J Med Syst - Customer-centered careflow modeling based on guidelines. ( 0,538470178832461 )
J Biomed Inform - Applying formalized rules for treatment procedures to data delivered by personal medical devices. ( 0,535845391850846 )
Appl Clin Inform - Creation of a hyponatremia registry supported by an industry-derived quality control methodology. ( 0,534637985497351 )
IEEE Trans Pattern Anal Mach Intell - Linear Latent Force Models Using Gaussian Processes. ( 0,531145950564504 )
Comput Math Methods Med - Approximating ideal filters by systems of fractional order. ( 0,528517789166719 )
Int J Comput Assist Radiol Surg - DICOM data migration for PACS transition: procedure and pitfalls. ( 0,526020397090703 )
Comput Methods Programs Biomed - Ultrasound based application for intraglandular mapping of breast cancer. ( 0,523762624725906 )
Res Synth Methods - Meta-analysis inside and outside particle physics: convergence using the path of least resistance? ( 0,523086424535974 )
Int J Comput Assist Radiol Surg - 3D model-based documentation with the Tumor Therapy Manager (TTM) improves TNM staging of head and neck tumor patients. ( 0,521030539317989 )
J Am Med Inform Assoc - Formative evaluation of the accuracy of a clinical decision support system for cervical cancer screening. ( 0,520248471940655 )
Comput Methods Programs Biomed - Simulation of transport and extravasation of nanoparticles in tumors which exhibit enhanced permeability and retention effect. ( 0,515026990467963 )
IEEE J Biomed Health Inform - Automated estimation of fetal cardiac timing events from Doppler ultrasound signal using hybrid models. ( 0,51101186094701 )
J Chem Inf Model - Identification of new Fyn kinase inhibitors using a FLAP-based approach. ( 0,510572061311449 )
J Biomed Inform - Detecting concept relations in clinical text: insights from a state-of-the-art model. ( 0,509588187155765 )
J Med Syst - A new locally weighted K-means for cancer-aided microarray data analysis. ( 0,507049714723162 )
Med Decis Making - A review and meta-analysis of utility values for lung cancer. ( 0,504042307650505 )
J Med Syst - A new specimen management system using RFID technology. ( 0,50399609020979 )
Comput. Biol. Med. - Thermographic evaluation of early melanoma within the vascularized skin using combined non-Newtonian blood flow and bioheat models. ( 0,498741516936264 )
J Med Syst - Application of intelligent systems in asthma disease: designing a fuzzy rule-based system for evaluating level of asthma exacerbation. ( 0,497662585324307 )
Med Biol Eng Comput - EEG study on affective valence elicited by novel and familiar pictures using ERD/ERS and SVM-RFE. ( 0,494227783521372 )
AMIA Annu Symp Proc - Online deviation detection for medical processes. ( 0,493592665096404 )
Comput. Biol. Med. - Prediction of temperature and damage in an irradiated human eye-Utilization of a detailed computer model which includes a vectorial blood stream in the choroid. ( 0,491106555342435 )
Comput Math Methods Med - A fuzzy model to interpret data of drive performances from patients with sleep deprivation. ( 0,48982037759279 )
J Clin Monit Comput - Trending ability and limitations of transpulmonary thermodilution and pulse contour cardiac output measurement in cats as a model for pediatric patients. ( 0,487388603335937 )
J Clin Monit Comput - A model-based decision support system for critiquing mechanical ventilation treatments. ( 0,484181339991223 )
J Biomed Inform - The clinician in the driver's seat: part 2 - intelligent uses of space in a drag/drop user-composable electronic health record. ( 0,480327136612239 )
J Med Syst - Accurate prediction of coronary artery disease using reliable diagnosis system. ( 0,478015742224482 )
Comput Methods Programs Biomed - Web-based tools for finding optimal designs in biomedical studies. ( 0,476649691791181 )
Appl Clin Inform - Evaluating a federated medical search engine: tailoring the methodology and reporting the evaluation outcomes. ( 0,474700422043095 )
Comput. Biol. Med. - Segmentation of histopathology HER2/neu images with fuzzy decision tree and Takagi-Sugeno reasoning. ( 0,474430327986665 )
J Clin Monit Comput - Evaluation of a CO2 partial rebreathing functional residual capacity measurement method for use during mechanical ventilation. ( 0,471682697377082 )
J Biomed Inform - System engineering approach to documentation: an evaluation of the documentation process in a gastroenterology laboratory. ( 0,470215564878847 )
Comput Math Methods Med - Analytical solution of multicompartment solute kinetics for hemodialysis. ( 0,466970731634674 )
Int J Comput Assist Radiol Surg - Value of CT, FDG PET-CT and serum tumor markers in staging recurrent colorectal cancer. ( 0,466877503183256 )
Comput. Biol. Med. - GammaKey system for improved diagnostics with gamma cameras. ( 0,466061155650516 )
Comput Methods Programs Biomed - In silico study of the haemodynamic effects induced by mechanical ventilation and biventricular pacemaker. ( 0,463161058073838 )
J Med Syst - Automated detection of breast cancer in thermal infrared images, based on independent component analysis. ( 0,462445750993579 )
Comput Methods Programs Biomed - An intelligent decision support algorithm for diagnosis of colorectal cancer through serum tumor markers. ( 0,462131811278119 )
Lifetime Data Anal - Group sequential tests for long-term survival comparisons. ( 0,461750024039484 )
Comput Methods Programs Biomed - Circular Cone: a novel approach for protein ligand shape matching using modified PCA. ( 0,461688955912281 )
J Clin Monit Comput - New airway device for ventilation and monitoring in pediatric patients undergoing MRI study. ( 0,460628343994365 )
Comput Math Methods Med - Modeling the spatial distribution of chronic tumor hypoxia: implications for experimental and clinical studies. ( 0,459123508789797 )
Med Decis Making - Presenting the results of Cochrane Systematic Reviews to a consumer audience: a qualitative study. ( 0,458882053076235 )
Comput Methods Programs Biomed - A coarse-to-fine approach for segmenting melanocytic skin lesions in standard camera images. ( 0,458735742366135 )
Comput. Biol. Med. - Automatic segmentation of lung nodules with growing neural gas and support vector machine. ( 0,458362996929302 )
Comput. Biol. Med. - Pattern discovery from patient controlled analgesia demand behavior. ( 0,457826584594384 )
J Clin Monit Comput - Additional hemodynamic measurements with an esophageal Doppler monitor: a preliminary report of compliance, force, kinetic energy, and afterload in the clinical setting. ( 0,45739410560965 )
J Clin Monit Comput - Cardiac output monitoring in septic shock: evaluation of the third-generation Flotrac-Vigileo. ( 0,457095087713098 )
Artif Intell Med - Non-invasive estimate of blood glucose and blood pressure from a photoplethysmograph by means of machine learning techniques. ( 0,456197024759915 )
J Clin Monit Comput - Cardiopulmonary interactions and volume status assessment. ( 0,45617675369847 )
J Clin Monit Comput - USCOM-window to the circulation: utility of supra-sternal Doppler in an elderly anaesthetized patient for a robotic cystectomy. ( 0,455199879148792 )
Comput. Biol. Med. - Experimental validation of a radiographic simulation code using breast phantom for X-ray imaging. ( 0,455162055414105 )
Med Biol Eng Comput - Optimized stimulus presentation patterns for an event-related potential EEG-based brain-computer interface. ( 0,454614045393907 )
Int J Health Geogr - Gravity models to classify commuting vs. resident workers. An application to the analysis of residential risk in a contaminated area. ( 0,45404595353032 )
Wiley Interdiscip Rev Syst Biol Med - Lymphatic vessels in health and disease. ( 0,451580198913865 )
AMIA Annu Symp Proc - Improving the accuracy of therapy descriptions in clinical trials using a bottom-up approach. ( 0,450026688040222 )
Med Biol Eng Comput - Cardiac oxygen supply is compromised during the night in hypertensive patients. ( 0,449950512493457 )
AMIA Annu Symp Proc - Integrating machine learning and physician knowledge to improve the accuracy of breast biopsy. ( 0,449879764651761 )
Comput Math Methods Med - Scale space methods for analysis of type 2 diabetes patients' blood glucose values. ( 0,449594234759736 )
J Clin Monit Comput - Hemodynamic volumetry using transpulmonary ultrasound dilution (TPUD) technology in a neonatal animal model. ( 0,449412780424798 )
Comput Methods Programs Biomed - The Atlas of Physiology and Pathophysiology: Web-based multimedia enabled interactive simulations. ( 0,448558974593568 )
Comput Methods Programs Biomed - Automated estimation of disease recurrence in head and neck cancer using routine healthcare data. ( 0,448229294418988 )
J Med Syst - Heart motion uncertainty compensation prediction method for robot assisted beating heart surgery - Master-slave Kalman Filters approach. ( 0,448000079194553 )
J Med Syst - A medical decision support system based on support vector machines and the genetic algorithm for the evaluation of fetal well-being. ( 0,447917422530835 )
J Med Syst - Mathematical models of real geometrical factors in restricted blood vessels for the analysis of CAD (coronary artery diseases) using Legendre, Boubaker and Bessel polynomials. ( 0,447521602246765 )
Med Biol Eng Comput - Characterising neovascularisation in fracture healing with laser Doppler and micro-CT scanning. ( 0,445864960048498 )
J Med Syst - An Artificial Neural Network classification approach for use the ultrasound in physiotherapy. ( 0,444580574096832 )
Comput Methods Programs Biomed - Measurements of the left atrium and pulmonary veins for analysis of reverse structural remodeling following cardiac ablation therapy. ( 0,44423347564877 )
BMC Med Inform Decis Mak - A systematic development process for patient decision aids. ( 0,44385663938179 )
AMIA Annu Symp Proc - Automated plan-recognition of chemotherapy protocols. ( 0,443726031093527 )
Methods Inf Med - Possible combinations of electronic data capture and randomization systems. principles and the realization with RANDI2 and OpenClinica. ( 0,44332945196721 )
Telemed J E Health - Stress and fitness monitoring embedded on a modern telematics platform. ( 0,442749436215943 )
Med Biol Eng Comput - Impact of atrial fibrillation on the cardiovascular system through a lumped-parameter approach. ( 0,44255177036785 )
AMIA Annu Symp Proc - Analysis of Breast Contour using Rotated Catenary. ( 0,441295258497519 )
AMIA Annu Symp Proc - VA-INPC: Linking Department of Veterans Affairs (VA) and Indiana Network for Patient Care (INPC) data to assess surveillance testing among veterans with colorectal cancer. ( 0,439901002894073 )
Perspect Health Inf Manag - Application of simulation to facility planning utilizing an organization's forecasted growth strategy. ( 0,43976996274739 )
Telemed J E Health - Telecytopathology for on-site adequacy evaluation decreases the nondiagnostic rate in endoscopic ultrasound-guided fine-needle aspiration of pancreatic lesions. ( 0,439465006902703 )
J Biomed Inform - Improving knowledge management through the support of image examination and data annotation using DICOM structured reporting. ( 0,43942623152867 )
Comput Math Methods Med - Therapeutic vascular compliance change may cause significant variation in coronary perfusion: a numerical study. ( 0,439300978479133 )
Comput Math Methods Med - Transformation of physical DVHs to radiobiologically equivalent ones in hypofractionated radiotherapy analyzing dosimetric and clinical parameters: a practical approach for routine clinical practice in radiation oncology. ( 0,438665319734361 )
J Clin Monit Comput - Inexpensive video-laryngoscopy guided intubation using a personal computer: initial experience of a novel technique. ( 0,438358482714672 )
J Med Syst - RFID-enabled healthcare applications, issues and benefits: an archival analysis (1997-2011). ( 0,438081695907807 )
Comput Methods Programs Biomed - Event-driven, pattern-based methodology for cost-effective development of standardized personal health devices. ( 0,437147428450375 )
Comput Math Methods Med - Design and customization of telemedicine systems. ( 0,436116147808989 )
AMIA Annu Symp Proc - Alignment and clustering of breast cancer patients by longitudinal treatment history. ( 0,435426789586215 )
BMC Med Inform Decis Mak - A study of health effects of long-distance ocean voyages on seamen using a data classification approach. ( 0,435381955533197 )
Med Biol Eng Comput - Coronary-aortic interaction during ventricular isovolumic contraction. ( 0,43362036237811 )
J Clin Monit Comput - Transcranial Doppler ultrasonography in acute ischemic stroke predicts stroke subtype and clinical outcome: a study in Omani population. ( 0,433584426411862 )