IEEE J Biomed Health Inform - Development of a wireless oral-feeding monitoring system for preterm infants.

Tópicos

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Resumo

Oral-feeding disorder is common in preterm infants. It not only shows the adverse effect for growth and neurodevelopment in clinical but also becomes one of the important indicators of high-risk group for neurodevelopment delay in preterm infants. Preterm infants must coordinate the motor patterns of sucking, swallowing, and respiration skillfully to avoid choking, aspiration, oxygen desaturation, bradycardia, or apnea episodes. However, up to now, the judgment and classification severity in preterm infants are mostly subjective and phasic evaluations. Directly monitoring the coordination of sucking-swallowing-breathing during oral feeding simultaneously is difficult for preterm infants. In this study, we proposed a wireless oral-feeding monitoring system for preterm infants to quantitatively monitor the sucking pressure via a designed sucking pressure sensing device, swallowing activity via a microphone to detect swallowing sound, and diaphragmatic breathing movement via surface electromyogram. Moreover, a sucking-swallowing-breathing detection algorithm is also proposed to evaluate the events of sucking-swallowing-breathing activities. Furthermore, verification of the accuracy and rationality of oral-feeding parameters with clinical findings including sucking, swallowing, and breathing in term and preterm infants had proved the practicality and value of the proposed system.

Resumo Limpo

oralfeed disord common preterm infant show advers effect growth neurodevelop clinic also becom one import indic highrisk group neurodevelop delay preterm infant preterm infant must coordin motor pattern suck swallow respir skill avoid choke aspir oxygen desatur bradycardia apnea episod howev now judgment classif sever preterm infant most subject phasic evalu direct monitor coordin suckingswallowingbreath oral feed simultan difficult preterm infant studi propos wireless oralfeed monitor system preterm infant quantit monitor suck pressur via design suck pressur sens devic swallow activ via microphon detect swallow sound diaphragmat breath movement via surfac electromyogram moreov suckingswallowingbreath detect algorithm also propos evalu event suckingswallowingbreath activ furthermor verif accuraci ration oralfeed paramet clinic find includ suck swallow breath term preterm infant prove practic valu propos system

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