Credit: Fifth Eye, Inc. via University of Michigan
The technology developed at the University of Michigan continuously uses data from a single electrocardiogram lead
An artificial intelligence-driven device that works to detect and predict hemodynamic instability may provide a more accurate picture of patient deterioration than traditional vital sign measurements, a Michigan Medicine study suggests.
Researchers captured data from over 5,000 adult patients at University of Michigan Health with the Analytic for Hemodynamic Instability. Developed at the U-M Weil Institute for Critical Care Research and Innovation, AHI is a software as a medical device designed to detect and predict changes in hemodynamic status in real-time using data from a single electrocardiogram lead. The researchers compared the results against gold standard vital sign measurements of continuous heart rate and blood pressure measured by invasive arterial monitoring in several intensive care units to determine if the AHI could indicate hemodynamic instability in real-time.
They found that the AHI detected standard indications of hemodynamic instability, a combination of elevated heart rate and low blood pressure, with nearly 97% sensitivity and 79% specificity. The results are published in Critical Care Explorations (a Society of Critical Care Medicine journal).
The findings suggest that the AHI may be aThe implication of such a technology is that it has the potential to save lives not only in the hospital, but also at home, in the ambulance and on the battlefieldble to provide continuous dynamic monitoring cThe implication of such a technology is that it has the potential to save lives not only in the hospital, but also at home, in the ambulance and on the battlefieldapabilities in patients who traditionally have intermittent stThe implication of such a technology is that it has the potential to save lives not only in the hospital, but also at home, in the ambulance and on the battlefieldatic vital sign measurements, says senior author Ben Bassin, M.D., director of the Joyce and Don Massey Family Foundation Emergency Critical Care Center, also known as EC3, and an associate professor of emergency medicine at U-M Medical School.
“AHI performs extremely well, and it functions in a way that we think may have transformative clinical utility,” Bassin said. “Most vital signs measurements are static, subject to human error, and require validation and interpretation. AHI is the opposite of that. It’s dynamic, produces a binary output of ‘stable’ or ‘unstable,’ and it may enable early martialing of resources to patients who may not have been on a clinician’s radar.”
Traditional vital signs have limitations, including limited accuracy in non-invasive monitoring and the fact that patients who are not at obvious risk for immediate deterioration may only be monitored periodically every 4-6 hours or longer. The AHI, which was approved by the United States Food and Drug Administration in 2021 and is licensed to Fifth Eye, Inc. (a U-M spinoff), was designed to address those limitations.
“The vision of AHI was born out of our continued inability to identify unstable patients and to predict when patients would become unstable, especially in settings where they cannot be intensively monitored, said co-author Kevin Ward, M.D., executive director of the Weil Institute and professor of emergency medicine and biomedical engineering at Michigan Medicine.
“AHI is ideally suited to be utilized with wearable monitors such as ECG patches, that could make any hospital bed, waiting room or other setting into a sophisticated monitoring environment. The implication of such a technology is that it has the potential to save lives not only in the hospital, but also at home, in the ambulance and on the battlefield.”
Researchers say future studies are needed to determine if AHI provides clinical and resource allocation benefits in patients undergoing infrequent blood pressure monitoring. The next phase of research will focus on how AHI is used at Michigan Medicine.
Original Article: Patient deterioration predictor could surpass limits of traditional vital signs
More from: University of Michigan
The Latest Updates from Bing News & Google News
Go deeper with Bing News on:
Patient deterioration monitoring
- Switching Between Beta Blockers in Heart Failure Patients: Rationale and Practical Considerations
If a consideration to switch is being driven by clinical deterioration ... monitoring of blood pressure and heart rate in the outpatient clinic. Switching initially was done between patients ...
- Ascom launches Activity Monitoring, an innovative software solution for long-term care homes
Ascom Activity Monitoring is an end-to-end solution for long-term care that monitor and predict a deterioration in the health of residents. Built ...
- Paul Roscoe, Chief Executive Officer, CLEW Medical – Interview Series
Paul Roscoe is the Chief Executive Officer of CLEW Medical. Prior to joining Clew, Mr Roscoe was CEO of Trinda Health, and was responsible for establishing the company as the industry leader in ...
- AI could help us live longer and healthier lives — and it all comes down to data
As author Eric Topol explains in his book Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again, "the greatest opportunity offered by AI is not reducing errors or workloads, or ...
- Forget ringing the button for the nurse. Patients now stay connected by wearing one.
A battery-powered gadget records vital signs, then wirelessly sends the readings to nurses. Officials say it has improved care and reduced nurses’ workloads.
Go deeper with Google Headlines on:
Patient deterioration monitoring
[google_news title=”” keyword=”patient deterioration monitoring” num_posts=”5″ blurb_length=”0″ show_thumb=”left”]
Go deeper with Bing News on:
Analytic for Hemodynamic Instability
- Europe Hemodynamic Monitoring Systems Market 2024 Growth, Demand-supply Scenario, Production and Value Chain Analysis, Regional Assessment by 2032
Download Free Sample of This Strategic Report with Industry Analysis @ https://reportocean.com/industry-verticals/sample-request?report_id=GMD1135 Europe hemodynamic ...
- Hemodynamic Parameters to Guide Fluid Therapy
Specifically, the pulse pressure variation derived from analysis of the arterial waveform, the stroke volume variation derived from pulse contour analysis and the variation of the amplitude of the ...
- Call Center Analytics Guide (2024)
Her postgraduate degree in computer management fuels her comprehensive analysis and exploration of tech topics. Editorial Note: We earn a commission from partner links on Forbes Advisor.
- HR analytics: Key metrics and tips to get started
If your small business has yet to kick off an HR analytics strategy, now is the time. Whether you have five, 50 or 500 employees, insights can be gleaned from taking a hard look at your people ...
- Impella Pump Improves Survival in STEMI-Related Cardiogenic Shock
In the event of hemodynamic instability, treatment could be escalated to additional mechanical circulatory support after randomization in either group. In the pump group, treatment could be ...
Go deeper with Google Headlines on:
Analytic for Hemodynamic Instability
[google_news title=”” keyword=”Analytic for Hemodynamic Instability” num_posts=”5″ blurb_length=”0″ show_thumb=”left”]